NSG 6320 ADULT HEALTH- ADULTS & GERONTOLOGY WEEK 3 RESPIRATORY
COUGH QUESTIONS AND ANSWERS
Acute Cough - CORRECT ANSWER✅✅(less than 3 weeks)
Subacute Cough - CORRECT ANSWER✅✅3-8 weeks
Chronic Cough - CORRECT ANSWER✅✅8 or more weeks
Upper airway cough syndrome - CORRECT ANSWER✅✅Chronic cough often caused by postnasal
discharge or drainage.
UACS signs and symptoms - CORRECT 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 - CORRECT ANSWER✅✅inflammation of the airways with varying degrees of airway obstruction
andhyper-responsiveness
Asthma Signs and symptoms - CORRECT 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 - CORRECT ANSWER✅✅PFT, spirometry
Peak flow not used for diagnosis, but to monitoring ongoing symptoms.
, COPD - CORRECT ANSWER✅✅When younger patients or non smokers present with COPD, consider
alpha-1 antitrypsin deficiency
COPD - CORRECT ANSWER✅✅Two related and often coexisting problems:
Chronic Bronchitis
Emphysema
COPD Signs and Symptoms - CORRECT ANSWER✅✅Chronic Cough
Sputum production
Often hx of exacerbations
Frequent episodes of acute bronchitis
Lung sounds diminished
Barrel Chest
COPD diagnostic tests - CORRECT ANSWER✅✅Sprirometry
GOLD staging I-IV
MMRC Dyspnea Scale A-D
CAT
COPD CHEST XRAY - CORRECT ANSWER✅✅shows hyperinflation of lungs with flattened diaphragm.
Used for confirmation but not diagnosis.
Alpha-1 antitrypsin - CORRECT ANSWER✅✅All patients with COPD or asthma with chronic obstructive
changes should have serum alpha-1 level
Pneumonia - CORRECT ANSWER✅✅inflammation and consolidation.
Community acquired or Hospital acquired
COUGH QUESTIONS AND ANSWERS
Acute Cough - CORRECT ANSWER✅✅(less than 3 weeks)
Subacute Cough - CORRECT ANSWER✅✅3-8 weeks
Chronic Cough - CORRECT ANSWER✅✅8 or more weeks
Upper airway cough syndrome - CORRECT ANSWER✅✅Chronic cough often caused by postnasal
discharge or drainage.
UACS signs and symptoms - CORRECT 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 - CORRECT ANSWER✅✅inflammation of the airways with varying degrees of airway obstruction
andhyper-responsiveness
Asthma Signs and symptoms - CORRECT 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 - CORRECT ANSWER✅✅PFT, spirometry
Peak flow not used for diagnosis, but to monitoring ongoing symptoms.
, COPD - CORRECT ANSWER✅✅When younger patients or non smokers present with COPD, consider
alpha-1 antitrypsin deficiency
COPD - CORRECT ANSWER✅✅Two related and often coexisting problems:
Chronic Bronchitis
Emphysema
COPD Signs and Symptoms - CORRECT ANSWER✅✅Chronic Cough
Sputum production
Often hx of exacerbations
Frequent episodes of acute bronchitis
Lung sounds diminished
Barrel Chest
COPD diagnostic tests - CORRECT ANSWER✅✅Sprirometry
GOLD staging I-IV
MMRC Dyspnea Scale A-D
CAT
COPD CHEST XRAY - CORRECT ANSWER✅✅shows hyperinflation of lungs with flattened diaphragm.
Used for confirmation but not diagnosis.
Alpha-1 antitrypsin - CORRECT ANSWER✅✅All patients with COPD or asthma with chronic obstructive
changes should have serum alpha-1 level
Pneumonia - CORRECT ANSWER✅✅inflammation and consolidation.
Community acquired or Hospital acquired
