EXAM 8-12) ACTUAL QUESTIONS
AND ANSWERS (ALREADY GRADED
A)
What is pulmonary disease? - ANSWER - Type of disease that affects the lungs and
other associated parts of the respiratory system.
Describe pulmonary disease - ANSWER - Acute, obstructive, chronic or
infectious/non-infectious
Pulmonary disease can be associated with other organs - True or False - ANSWER -
True - the heart in particular
Signs and symptoms of pulmonary disease (8) - ANSWER - -Dyspnea
-Cough
-Sputum
-Pain
-Cyanosis
-Clubbing
-Hemopysis
-Abnormal breathing patterns
Coughing up blood - ANSWER - hemoptysis
What causes iatrogenic pneumothorax? - ANSWER - transthoracic needle aspiration
When is the difference between open and closed pneumothorax? - ANSWER - Open
air pressure enters into pleural space during inspiration and exits during expiration.
Closed air does not escape pleural space during expiration
,Presence of fluid in plural space - ANSWER - pleural effusion
Collection of blood in the pleural space - ANSWER - hemothorax
What is kussmal respiration? - ANSWER - increased respirations and tidal volumes
Alternating breathing patterns of deep and shallow breathing - ANSWER - cheyne-
stokes
What is hypoxemia - ANSWER - reduced oxygenation of arterial blood
What is hypoxia? - ANSWER - deficiency in the amount of oxygen reaching the
tissues
What happens in respiratory failure? - ANSWER - Defined as inadequate gas
exchange. Can result from injury to lungs, airway or chest wall or indirectly from
disease to other body systems
What is flail chest? - ANSWER - Results from fractures of ribs, which allow ribs to
move independently during respiration
Clinical manifestations flail chest? (5) - ANSWER - -Pain in chest
-Tenderness
-Difficulty breathing
-Bruising and inflammation
-Paradoxical movement when breathing
What is primary (spontaneous) pneumothorax? - ANSWER - occurs when a small air
blister (bleb) on the top of the lung ruptures
, What is secondary pneumothorax? - ANSWER - Caused by disease, trauma, injury,
or condition
Presence of pus in the plural space - ANSWER - Empyema
what is a restrictive lung disorder - ANSWER - decrease compliance of the lung
tissue
Treatment for pulmonary edema - ANSWER - depends on cause - left sided heart
failure: diuretics, vasodilators and medications, capillary injury: maintain adequate
ventilation and circulation
Represents a spectrum of acute lung inflammation and defuse alveolocapillary
injury - ANSWER - acute respiratory distress syndrome (ARDS)
What is the impact from restrictive lung disorders? - ANSWER - Individuals
experience dyspnea, increased respiratory rate, and decreased tidal volume
Passage of fluid and solid particles into the lung - ANSWER - Aspiration
Clinical manifestations of aspiration? - ANSWER - -Sudden onset of choking
-Intractable cough
-fever
-dyspnea
-Wheezing
Collapse of lung tissue - ANSWER - atelectasis
What are the 3 types of atelectasis? - ANSWER - - Compression
- Absorption
- Surfactant