8/8/25, 11:48 AM Clinical Simulation Study Guide EXAM QUESTIONS AND VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!! Flas…
Clinical Simulation Study Guide EXAM
QUESTIONS AND VERIFIED ANSWERS
2025-2026(GRADED A+) DETAILED ANSWERS!!
AKA Blue bloater Type B COPD Body build = Stocky,
overweight Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
Chest Appearance = Ocassionally barrel chest Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
Patient Assessment
(Primary) Chronic
Bronchitis
Preventable and treatable disease state characterized
COPD
by air flow limitation that is not fully reversible.
Presence of permanent enlargement of the air spaces
Emphysema distal to the terminal bronchioles, accompanied by
destruction of their walls and without obvious fibroisis
Chronic productive cough for three months in each of
Chronic bronchitis two successive years in a pt for whom other causes of
the productive cough have been excluded
- tobacco smoke
Etiology of COPD -genetic predisposition
- indoor and outdoor pollution
1/52
,8/8/25, 11:48 AM Clinical Simulation Study Guide EXAM QUESTIONS AND VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!! Flas…
AKA pink puffer or Type A COPD
Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
Appearance of chest = Barrel chest, increased A-P
diameter (Hoover's Sign)
Pt Assessment of
Respiratory Pattern = Dyspnea, pursed-lip breathing,
Emphysema Pt (Primary
accessory muscle use, especially during
assessment)
exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/
Tympanic note
Breath Sounds = Diminished, prolonged expiration
Body build of Type A Thin, underweight
COPD (pink puffer)
Emphysema
Past medical history for Tobacco use
emphysema pts
Cough (Emphysema) Less common, muciod secretions
Appearance of the chest Barrel chest, increased A-P diameter
(Emphysema)
Respiratory pattern ( Dyspnea, pursed lip breathing, accessory muscle use,
Emphysema) especially during exacerbations
Color (Emphysema) Often reddish
Clubbing (Emphysema) Late stage
Diagnostic Chet Hyperresonant/tympanic note
Percussion (Emphysema)
Breath sounds ( Diminished, prolonged expiration
Emphysema)
2/52
,8/8/25, 11:48 AM Clinical Simulation Study Guide EXAM QUESTIONS AND VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!! Flas…
Body build (Chronic Stocky, overweight
Bronchitis)
Past Medical History Tobacco use
(Chronic Bronchitis)
Cough (Chronic Bronchitis Productive, copious amounts of purulent secretions
)
Chest Appearance Occasionally barrel chest
(Chronic Bronchitis)
Respiratory Pattern Use of accessory muscles less common
(Chronic Bronchitis )
Clubbing ( Chronic Common
Bronchitis )
Diagnostic Chest Normal
Percussion ( Chronic
Bronchitis)
Breath Sounds (Chronic Rhonchi, crackles, wheezing
Bronchitis )
3/52
, 8/8/25, 11:48 AM Clinical Simulation Study Guide EXAM QUESTIONS AND VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!! Flas…
Chest X-ray = translucent (dark) lung fields, depressed
or flattened diaphragms, long and narrow heart,
increased retrosternal air spaces, possibly
hypertrophy or right ventricle
ABG = Mild to moderate stages: Acute alveolar
Secondary Assessment hyperventilation with hypoxemia Severe Stages:
Emphysema pt Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF
25-75%, FEF 200-1200, FEV1/FVC, and PEFR)
Decreased DLCO
CBC = Increased RBC/Hb/Hct in late stages
Sputum = Normal
Translucent (dark) lung fields, depressed or flattened
diaphragms, long and narrow heart, increased
Chest X-ray (Emphysema )
retrosternal air space, possibly hypertrophy or right
ventricle
Mild to moderate stages: Acute alveolar
ABG (emphysema) hyperventilation with hypoxemia Severe stage:
Chronic ventilatory failure with hypoxemia
Pulmonary Function Decreased flowrates, Decreased DLCO
(Emphysema )
CBC (Emphysema) Increased RBC/Hct/Hb in late stages
Sputum (Emphysema) Normal
4/52
Clinical Simulation Study Guide EXAM
QUESTIONS AND VERIFIED ANSWERS
2025-2026(GRADED A+) DETAILED ANSWERS!!
AKA Blue bloater Type B COPD Body build = Stocky,
overweight Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
Chest Appearance = Ocassionally barrel chest Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
Patient Assessment
(Primary) Chronic
Bronchitis
Preventable and treatable disease state characterized
COPD
by air flow limitation that is not fully reversible.
Presence of permanent enlargement of the air spaces
Emphysema distal to the terminal bronchioles, accompanied by
destruction of their walls and without obvious fibroisis
Chronic productive cough for three months in each of
Chronic bronchitis two successive years in a pt for whom other causes of
the productive cough have been excluded
- tobacco smoke
Etiology of COPD -genetic predisposition
- indoor and outdoor pollution
1/52
,8/8/25, 11:48 AM Clinical Simulation Study Guide EXAM QUESTIONS AND VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!! Flas…
AKA pink puffer or Type A COPD
Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
Appearance of chest = Barrel chest, increased A-P
diameter (Hoover's Sign)
Pt Assessment of
Respiratory Pattern = Dyspnea, pursed-lip breathing,
Emphysema Pt (Primary
accessory muscle use, especially during
assessment)
exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/
Tympanic note
Breath Sounds = Diminished, prolonged expiration
Body build of Type A Thin, underweight
COPD (pink puffer)
Emphysema
Past medical history for Tobacco use
emphysema pts
Cough (Emphysema) Less common, muciod secretions
Appearance of the chest Barrel chest, increased A-P diameter
(Emphysema)
Respiratory pattern ( Dyspnea, pursed lip breathing, accessory muscle use,
Emphysema) especially during exacerbations
Color (Emphysema) Often reddish
Clubbing (Emphysema) Late stage
Diagnostic Chet Hyperresonant/tympanic note
Percussion (Emphysema)
Breath sounds ( Diminished, prolonged expiration
Emphysema)
2/52
,8/8/25, 11:48 AM Clinical Simulation Study Guide EXAM QUESTIONS AND VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!! Flas…
Body build (Chronic Stocky, overweight
Bronchitis)
Past Medical History Tobacco use
(Chronic Bronchitis)
Cough (Chronic Bronchitis Productive, copious amounts of purulent secretions
)
Chest Appearance Occasionally barrel chest
(Chronic Bronchitis)
Respiratory Pattern Use of accessory muscles less common
(Chronic Bronchitis )
Clubbing ( Chronic Common
Bronchitis )
Diagnostic Chest Normal
Percussion ( Chronic
Bronchitis)
Breath Sounds (Chronic Rhonchi, crackles, wheezing
Bronchitis )
3/52
, 8/8/25, 11:48 AM Clinical Simulation Study Guide EXAM QUESTIONS AND VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!! Flas…
Chest X-ray = translucent (dark) lung fields, depressed
or flattened diaphragms, long and narrow heart,
increased retrosternal air spaces, possibly
hypertrophy or right ventricle
ABG = Mild to moderate stages: Acute alveolar
Secondary Assessment hyperventilation with hypoxemia Severe Stages:
Emphysema pt Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF
25-75%, FEF 200-1200, FEV1/FVC, and PEFR)
Decreased DLCO
CBC = Increased RBC/Hb/Hct in late stages
Sputum = Normal
Translucent (dark) lung fields, depressed or flattened
diaphragms, long and narrow heart, increased
Chest X-ray (Emphysema )
retrosternal air space, possibly hypertrophy or right
ventricle
Mild to moderate stages: Acute alveolar
ABG (emphysema) hyperventilation with hypoxemia Severe stage:
Chronic ventilatory failure with hypoxemia
Pulmonary Function Decreased flowrates, Decreased DLCO
(Emphysema )
CBC (Emphysema) Increased RBC/Hct/Hb in late stages
Sputum (Emphysema) Normal
4/52
