NSG 6420: RESPIRATORY PART 2 TEST
QUESTIONS AND ANSWERS.
Acute Cough - Answer (less than 3 weeks)
Subacute Cough - Answer 3-8 weeks
Chronic Cough - Answer 8 or more weeks
Upper airway cough syndrome - Answer Chronic cough often caused by postnasal discharge or
drainage.
UACS signs and symptoms - Answer chronic cough,
sensation of drainage in the back of the throat,
clearing throat frequently,
hoarseness,
allergic rhinitis symptoms,
Chronic sinusitis symptoms,drainage on the posterior pharynx, hyperemia and cobblestoning of
the the posterior pharynx, negative chest exam
Asthma - Answer inflammation of the airways with varying degrees of airway obstruction
andhyper-responsiveness
Asthma Signs and symptoms - Answer intermittent chest tightness, cough, shortness of
breath, wheezing
Cough usually nonproductive,
deep respiratory effort may prompt cough,
often association with allergic rhinitis or atopic dermatitis
Asthma diagnostic studies - Answer PFT, spirometry
Peak flow not used for diagnosis, but to monitoring ongoing symptoms.
, Chronic Bronchitis
Emphysema
COPD Signs and Symptoms - Answer Chronic Cough
Sputum production
Often hx of exacerbations
Frequent episodes of acute bronchitis
Lung sounds diminished
Barrel Chest
COPD diagnostic tests - Answer Sprirometry
GOLD staging I-IV
MMRC Dyspnea Scale A-D
CAT
COPD CHEST XRAY - Answer shows hyperinflation of lungs with flattened diaphragm.
Used for confirmation but not diagnosis.
Alpha-1 antitrypsin - Answer All patients with COPD or asthma with chronic obstructive
changes should have serum alpha-1 level
Pneumonia - Answer inflammation and consolidation.
Community acquired or Hospital acquired
Most often streptococcus pneumonia, Haemophilis influenzae, or Staphylococcus aureus.
Pneumonia Signs and symptoms - Answer cough, fever, malaise, shaking chills, rigors, chest
discomfort.
Can be tachycardic, tachypneaic.
Uneven fremitus, dull percussion over consolidation.
Crackles on auscultation
QUESTIONS AND ANSWERS.
Acute Cough - Answer (less than 3 weeks)
Subacute Cough - Answer 3-8 weeks
Chronic Cough - Answer 8 or more weeks
Upper airway cough syndrome - Answer Chronic cough often caused by postnasal discharge or
drainage.
UACS signs and symptoms - Answer chronic cough,
sensation of drainage in the back of the throat,
clearing throat frequently,
hoarseness,
allergic rhinitis symptoms,
Chronic sinusitis symptoms,drainage on the posterior pharynx, hyperemia and cobblestoning of
the the posterior pharynx, negative chest exam
Asthma - Answer inflammation of the airways with varying degrees of airway obstruction
andhyper-responsiveness
Asthma Signs and symptoms - Answer intermittent chest tightness, cough, shortness of
breath, wheezing
Cough usually nonproductive,
deep respiratory effort may prompt cough,
often association with allergic rhinitis or atopic dermatitis
Asthma diagnostic studies - Answer PFT, spirometry
Peak flow not used for diagnosis, but to monitoring ongoing symptoms.
, Chronic Bronchitis
Emphysema
COPD Signs and Symptoms - Answer Chronic Cough
Sputum production
Often hx of exacerbations
Frequent episodes of acute bronchitis
Lung sounds diminished
Barrel Chest
COPD diagnostic tests - Answer Sprirometry
GOLD staging I-IV
MMRC Dyspnea Scale A-D
CAT
COPD CHEST XRAY - Answer shows hyperinflation of lungs with flattened diaphragm.
Used for confirmation but not diagnosis.
Alpha-1 antitrypsin - Answer All patients with COPD or asthma with chronic obstructive
changes should have serum alpha-1 level
Pneumonia - Answer inflammation and consolidation.
Community acquired or Hospital acquired
Most often streptococcus pneumonia, Haemophilis influenzae, or Staphylococcus aureus.
Pneumonia Signs and symptoms - Answer cough, fever, malaise, shaking chills, rigors, chest
discomfort.
Can be tachycardic, tachypneaic.
Uneven fremitus, dull percussion over consolidation.
Crackles on auscultation
