CSE NBRC
Information Gathering -correct answer_1. Visuals 2. Bedside 3. Basic Labs 4. Special Tests
Visuals (Level 1) -correct answer_Inspection: General appearance Appearance of chest
Respiratory pattern/rate Sensorium Posture Patient color Bedside Assessment (Level 2)
-correct answer_Symptoms HPI Medical/Family hx Advance directives Vital signs Tracheal
position Chest percussion Temperature Capnography Oximetry ECG monitor Transcutaneous
monitoring Reflexes, ROM, Cap refill, Hemodynamic monitoring Basic Lab Tests (Level 3)
-correct answer_ABGs CBC 12 lead ECG Electrolytes CXR Special Tests (Level 4) -correct
answer_Sputum C&S Urinalysis Blood culture Volumes, flowrates, Pre-Post bronchodilator CT
scan, MRI, PET scan Lateral neck, lateral decubitus Bronchoscopy Stress testing
Echocardiogram Art lines, ICP Sweat Chloride V/Q scan ELISA test, Edrophonium Test,
APGAR score, Cardiac enzymes Polysomnography GCS Sweat Chloride Test -correct
answer_Recommended to establish a diagnosis of CF >60 mEq/L is considered a positive test
for cystic fibrosis ELISA Test -correct answer_Test commonly used to detect the presence of
antibodies to specific infectious agents, such as HIV Edrophonium Chloride (Tensilon) Test
-correct answer_A rapid-acting, short-lasting cholinesterase inhibitor indicated for the
diagnosis of myasthenia gravis Emphysema (Type A COPD): Pink Puffer -correct
answer_Primary Assessment: Thin, underweight Tobacco use hx Mucoid secretions Dyspnea,
pursed-lip breathing Often reddish skin Clubbing in late stage Hyperresonant/Tympanic
Diminished BS/prolonged expiration Secondary Assessment: Translucent lung fields
Depressed/flattened diaphragm Decreased flowrates and DLCO Increased RBC, Hb, and Hct
in late stages Normal sputum Treatment: Low flow O2 Bronchial hygiene Smoking cessation
Pulmonary Rehab Annual flu vaccines Chronic Bronchitis (Type B COPD): Blue Bloater
-correct answer_Primary Assessment: Stocky, overweight Tobacco use hx Productive cough,
purulent secretions Cyanotic, clubbing is common Normal percussion Rhonchi, crackles,
wheezes Secondary Assessment: Translucent lung fields, flattened diaphragms Possible
hypertrophy of right ventricle Decreased flowrates Normal DLCO Sputum--Streptococcus
pneumonia, Haemophilus influenza, Moraxella catarrhalis Treatment: Low flow O2 Bronchial
hygiene Smoking cessation Pulmonary Rehab Annual flu vaccines Bronchiectasis -correct
answer_Primary Assessment: PMH-recurrent pulmonary infections, CF, or Kartagener's Syndr.
SOB present, possibly pursed-lip breathing Productive cough w/ purulent foul smelling sputum
Hemoptysis and 3 layer sputum, may be blood streaked Barrel chest, accessory muscle usage
Cyanotic, clubbing Hyperresonant/Tympanic note Wheezing, diminished BS Secondary
Assessment: Hyperlucent lung fields, depressed/flattened diaphragm Enlarged or elongated
heart Decreased flowrates Increased Hb/RBC/Hct Sputum may indicate infection CT
scan-increased bronchial wall opacity Treatment: Bronchopulmonary hygiene Lung expansion
therapy Antibiotics for infection Expectorants Apnea -correct answer_Cessation of breathing
for a period of 10 seconds or longer Hypopnea -correct answer_Shallow or slow breathing
Central Sleep Apnea -correct answer_Caused by failure of the respiratory center of the brain to
Information Gathering -correct answer_1. Visuals 2. Bedside 3. Basic Labs 4. Special Tests
Visuals (Level 1) -correct answer_Inspection: General appearance Appearance of chest
Respiratory pattern/rate Sensorium Posture Patient color Bedside Assessment (Level 2)
-correct answer_Symptoms HPI Medical/Family hx Advance directives Vital signs Tracheal
position Chest percussion Temperature Capnography Oximetry ECG monitor Transcutaneous
monitoring Reflexes, ROM, Cap refill, Hemodynamic monitoring Basic Lab Tests (Level 3)
-correct answer_ABGs CBC 12 lead ECG Electrolytes CXR Special Tests (Level 4) -correct
answer_Sputum C&S Urinalysis Blood culture Volumes, flowrates, Pre-Post bronchodilator CT
scan, MRI, PET scan Lateral neck, lateral decubitus Bronchoscopy Stress testing
Echocardiogram Art lines, ICP Sweat Chloride V/Q scan ELISA test, Edrophonium Test,
APGAR score, Cardiac enzymes Polysomnography GCS Sweat Chloride Test -correct
answer_Recommended to establish a diagnosis of CF >60 mEq/L is considered a positive test
for cystic fibrosis ELISA Test -correct answer_Test commonly used to detect the presence of
antibodies to specific infectious agents, such as HIV Edrophonium Chloride (Tensilon) Test
-correct answer_A rapid-acting, short-lasting cholinesterase inhibitor indicated for the
diagnosis of myasthenia gravis Emphysema (Type A COPD): Pink Puffer -correct
answer_Primary Assessment: Thin, underweight Tobacco use hx Mucoid secretions Dyspnea,
pursed-lip breathing Often reddish skin Clubbing in late stage Hyperresonant/Tympanic
Diminished BS/prolonged expiration Secondary Assessment: Translucent lung fields
Depressed/flattened diaphragm Decreased flowrates and DLCO Increased RBC, Hb, and Hct
in late stages Normal sputum Treatment: Low flow O2 Bronchial hygiene Smoking cessation
Pulmonary Rehab Annual flu vaccines Chronic Bronchitis (Type B COPD): Blue Bloater
-correct answer_Primary Assessment: Stocky, overweight Tobacco use hx Productive cough,
purulent secretions Cyanotic, clubbing is common Normal percussion Rhonchi, crackles,
wheezes Secondary Assessment: Translucent lung fields, flattened diaphragms Possible
hypertrophy of right ventricle Decreased flowrates Normal DLCO Sputum--Streptococcus
pneumonia, Haemophilus influenza, Moraxella catarrhalis Treatment: Low flow O2 Bronchial
hygiene Smoking cessation Pulmonary Rehab Annual flu vaccines Bronchiectasis -correct
answer_Primary Assessment: PMH-recurrent pulmonary infections, CF, or Kartagener's Syndr.
SOB present, possibly pursed-lip breathing Productive cough w/ purulent foul smelling sputum
Hemoptysis and 3 layer sputum, may be blood streaked Barrel chest, accessory muscle usage
Cyanotic, clubbing Hyperresonant/Tympanic note Wheezing, diminished BS Secondary
Assessment: Hyperlucent lung fields, depressed/flattened diaphragm Enlarged or elongated
heart Decreased flowrates Increased Hb/RBC/Hct Sputum may indicate infection CT
scan-increased bronchial wall opacity Treatment: Bronchopulmonary hygiene Lung expansion
therapy Antibiotics for infection Expectorants Apnea -correct answer_Cessation of breathing
for a period of 10 seconds or longer Hypopnea -correct answer_Shallow or slow breathing
Central Sleep Apnea -correct answer_Caused by failure of the respiratory center of the brain to
