Test Bank for Paramedic Care: Principles and Practice, Volume 2, 6th Edition – Bledsoe & Cherry

TEST BANK

PARAMEDIC CARE: PRINCIPLES AND PRACTICE,
VOLUME. 2 (6TH EDITION) - Paramedicine

CHAPTER NO. 32: PULMONOLOGY

1) What is the most important intrinsic risk factor for respiratory disease?
A) Environment
B) Smoking
C) Sedentary lifestyle
D) Family history
Answer: D
Diff: 1 Page Ref: 1018
Standard: Medicine (Respiratory)
Objective: 2

2) Air entering and leaving the lungs via inspiration and expiration is known as:
A) ventilation.
B) respirations.
C) perfusion.
D) oxygenation.
Answer: A
Diff: 1 Page Ref: 1022
Standard: Medicine (Respiratory)
Objective: 1

3) The diaphragm is controlled by which nerve?
A) Vagus
B) Olfactory
C) Abducens
D) Phrenic
Answer: D
Diff: 1 Page Ref: 1023
Standard: Medicine (Respiratory)
Objective: 3

4) An example of diffusion in the respiratory system is movement of:
A) oxygen from the alveoli into the pulmonary capillaries.
B) air from the outside environment into the lungs.
C) oxygen from the tissues into the systemic capillaries.

,D) carbon dioxide from the alveoli into the pulmonary capillaries.
Answer: A
Diff: 2 Page Ref: 1026
Standard: Medicine (Respiratory)
Objective: 4

5) Airway resistance is increased by:
A) sympathetic nervous system stimulation.
B) decreased elasticity of the chest wall.
C) anticholinergic drugs.
D) bronchospasm.
Answer: D
Diff: 2 Page Ref: 1024
Standard: Medicine (Respiratory)
Objective: 4

6) Which patient is at risk for the most common cause of upper airway obstruction?
A) 4-year-old male with croup
B) 21-year-old female unconscious and supine on the floor
C) 22-year-old female stung by a wasp
D) 5-year-old female with epiglottitis
Answer: B
Diff: 2 Page Ref: 1040
Standard: Medicine (Respiratory)
Objective: 7

7) Normal tidal volume in an average 70 kg adult is approximately how many milliliters?
A) 1,500
B) 1,000
C) 750
D) 500
Answer: D
Diff: 1 Page Ref: 1024
Standard: Medicine (Respiratory)
Objective: 4

8) After a normal inspiration and expiration, an adult patient has about 2,400 mL of air
remaining in the lungs, known as the:
A) expiratory reserve volume.
B) residual volume.
C) functional residual capacity.

,D) vital capacity.
Answer: C
Diff: 1 Page Ref: 1025
Standard: Medicine (Respiratory)
Objective: 4

9) A 19-year-old female with difficulty breathing produces a peak expiratory flow rate of 425
lpm, indicating:
A) moderate bronchoconstriction.
B) mild bronchoconstriction.
C) normal ventilatory state.
D) severe bronchoconstriction.
Answer: C
Diff: 2 Page Ref: 1037
Standard: Medicine (Respiratory)
Objective: 7

10) Stretch receptors in the lungs send a signal to the inspiratory center of the medulla, inhibiting
its stimulation of the phrenic and intercostal nerves. This is known as what reflex?
A) Cushing's
B) Hering-Breuer
C) Moro
D) Cheyne-Stokes
Answer: B
Diff: 2 Page Ref: 1025
Standard: Medicine (Respiratory)
Objective: 3

11) The most important factor in determining the respiratory rate is:
A) arterial pCO2.
B) arterial pO2.
C) alveolar pCO2.
D) alveolar pO2.
Answer: A
Diff: 1 Page Ref: 1025
Standard: Medicine (Respiratory)
Objective: 3

12) You are working in the ED caring for a 55-year-old female with a long history of COPD. She
is more short of breath today than usual and states she has an increased cough. She has a

, tympanic temperature of 99.8°F. You have drawn arterial blood gases with the patient on room
air and when the report comes back, it shows that the patient has a pO2 of 52 mmHg. Which one
is most likely?
A) You have inadvertently drawn a venous sample.
B) The patient is critically hypoxic and requires assisted ventilation.
C) This is the typical value for this patient.
D) The lab performed the test incorrectly.
Answer: C
Diff: 3 Page Ref: 1026
Standard: Medicine (Respiratory)
Objective: 3

13) Your ICU patient has ARDS with a pO2 of 62 mmHg, despite mechanical ventilation and
oxygenation. What best explains this finding?
A) It is a problem with perfusion.
B) It is a problem with ventilation.
C) It is a problem with the blood gas sample collection.
D) It is a problem with gas diffusion in the lung.
Answer: D
Diff: 3 Page Ref: 1042
Standard: Medicine (Respiratory)
Objective: 8

14) Most carbon dioxide from cellular metabolism reaches the alveoli by being transported:
A) bound to hemoglobin.
B) as bicarbonate ion.
C) dissolved in plasma.
D) as carbonic anhydrase.
Answer: B
Diff: 1 Page Ref: 1027
Standard: Medicine (Respiratory)
Objective: 3

15) Pulmonary embolism is a problem of:
A) interstitial edema.
B) ventilation of lungs.
C) thickness of the respiratory membrane.
D) perfusion of the lungs.
Answer: D
Diff: 2 Page Ref: 1027