CH 5 & 6 Advanced Patho
1.Which of the following patients in the emergency room would have the highest priority
for evaluation?: 6-month-old female with fever, audible inspiratory stridor, and
restlessness
2.Which of the following acute respiratory infections in children poses the greatest threat
of severe hypoxia caused by airway obstruction?: Epiglottitis
3.Several employees at a factory develop Legionnaires' disease. Which of the following is
important to include in the education you give to the employees regarding this disease?:
it is usually spread through air ventilation systems.
4.Which of the following are symptoms of tuberculosis?: A) Weight loss B) Fever C)
Persistent cough for 2-3
weeks ***All of these are
correct.
5.A 12-year-old girl presents to the emergency room wheezing with prolonged expiration
and chest tightness lasting for 45 minutes and is unrelieved by her usual treatment.
These findings are consistent with:: status asthmaticus
6.A patient who has a known history of cardiac problems and currently smokes comes in
complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath.
The pain is occurring on only one side and can be isolated on general assessment. This
description is most likely caused by:: pleural effusion 7. Which type of pulmonary
disorders requires more force to expire a volume of air?: Chronic obstructive pulmonary
disease
8. Which of the following pulmonary disorders is characterized as restrictive
(prevention of full lung expansion)?: Acute respiratory distress syndrome
9. Which mediators are released during the initial acute early phase of asthma?:
Histamine, prostaglandins, and leukotrienes
10. Croup is usually caused by:: Parainfluenza virus
11. A child is brought into the urgent care center with rhinorrhea, seal-like barking
cough, and a low-grade fever. Although generally a mild, self-limiting disorder, which
complication is more likely to occur?: Airway narrowing and obstruction 12. The
respiratory syncytial virus is often implicated in which pulmonary disorder that usually
occurs during the first year of life?: Bronchiolitis
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, 13. A 25-year-old, tall, thin man is exercising and suddenly experiences shortness of
breath and pleural pain and is breathing fast. He has no past medical history. He goes
to the emergency room. A likely cause of these symptoms is a(n):: spontaneous
pneumothorax.
14. A mother brings her 5-year-old child in because the child snores and has difficulty
breathing when sleeping and seems to move around a lot when sleeping. Obstructive
sleep apnea syndrome (OSAS) is suspected. What is a
likely physical exam finding to support the most common cause of OSAS in children?:
Noted mouth breathing and enlarged tonsils
15. Which of the following can be used to measure hypercapnia?: End tidal carbon
dioxide detector (too much CO2 in the blood)
16. Which of the following individuals is at highest risk for developing laryngeal
cancer?: 60-year-old man who smokes and drinks 4-5 alcoholic beverages 4 times a week
17. The most common manifestations of acute epiglottitis in children is(are):: tripod
positioning, "hot potato" voice, and acutely high fever.
18. An infant is born with a surfactant deficiency. Surfactant is important and:-
: reduces surface tension, preventing alveolar collapse.
19. A pulmonary disease characterized by severe hypoxia and decreased pulmonary
compliance as a result of massive alveolar capillary membrane injury and acute lung
inflammation is a description of:: acute respiratory distress syndrome 20. Which of the
following is accurate pertaining to cystic fibrosis: It is caused by
a mutation in the transmembrane conductance regulator and affects cells that produce
mucus, saliva, sweat, and digestive secretions.
21. In which disorder are alveoli ventilated but not perfused?: Pulmonary emboli (blood
clot)
22. The purpose of positive end-expiratory pressure setting on a ventilator is to: avoid
alveolar collapse.
23. Which of the following types of lung cancer is more common?: Adenocarcinoma 24.
Which of the following are possible causes of chronic cough?: Gastroesophageal reflux
disease and asthma
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1.Which of the following patients in the emergency room would have the highest priority
for evaluation?: 6-month-old female with fever, audible inspiratory stridor, and
restlessness
2.Which of the following acute respiratory infections in children poses the greatest threat
of severe hypoxia caused by airway obstruction?: Epiglottitis
3.Several employees at a factory develop Legionnaires' disease. Which of the following is
important to include in the education you give to the employees regarding this disease?:
it is usually spread through air ventilation systems.
4.Which of the following are symptoms of tuberculosis?: A) Weight loss B) Fever C)
Persistent cough for 2-3
weeks ***All of these are
correct.
5.A 12-year-old girl presents to the emergency room wheezing with prolonged expiration
and chest tightness lasting for 45 minutes and is unrelieved by her usual treatment.
These findings are consistent with:: status asthmaticus
6.A patient who has a known history of cardiac problems and currently smokes comes in
complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath.
The pain is occurring on only one side and can be isolated on general assessment. This
description is most likely caused by:: pleural effusion 7. Which type of pulmonary
disorders requires more force to expire a volume of air?: Chronic obstructive pulmonary
disease
8. Which of the following pulmonary disorders is characterized as restrictive
(prevention of full lung expansion)?: Acute respiratory distress syndrome
9. Which mediators are released during the initial acute early phase of asthma?:
Histamine, prostaglandins, and leukotrienes
10. Croup is usually caused by:: Parainfluenza virus
11. A child is brought into the urgent care center with rhinorrhea, seal-like barking
cough, and a low-grade fever. Although generally a mild, self-limiting disorder, which
complication is more likely to occur?: Airway narrowing and obstruction 12. The
respiratory syncytial virus is often implicated in which pulmonary disorder that usually
occurs during the first year of life?: Bronchiolitis
1/7
, 13. A 25-year-old, tall, thin man is exercising and suddenly experiences shortness of
breath and pleural pain and is breathing fast. He has no past medical history. He goes
to the emergency room. A likely cause of these symptoms is a(n):: spontaneous
pneumothorax.
14. A mother brings her 5-year-old child in because the child snores and has difficulty
breathing when sleeping and seems to move around a lot when sleeping. Obstructive
sleep apnea syndrome (OSAS) is suspected. What is a
likely physical exam finding to support the most common cause of OSAS in children?:
Noted mouth breathing and enlarged tonsils
15. Which of the following can be used to measure hypercapnia?: End tidal carbon
dioxide detector (too much CO2 in the blood)
16. Which of the following individuals is at highest risk for developing laryngeal
cancer?: 60-year-old man who smokes and drinks 4-5 alcoholic beverages 4 times a week
17. The most common manifestations of acute epiglottitis in children is(are):: tripod
positioning, "hot potato" voice, and acutely high fever.
18. An infant is born with a surfactant deficiency. Surfactant is important and:-
: reduces surface tension, preventing alveolar collapse.
19. A pulmonary disease characterized by severe hypoxia and decreased pulmonary
compliance as a result of massive alveolar capillary membrane injury and acute lung
inflammation is a description of:: acute respiratory distress syndrome 20. Which of the
following is accurate pertaining to cystic fibrosis: It is caused by
a mutation in the transmembrane conductance regulator and affects cells that produce
mucus, saliva, sweat, and digestive secretions.
21. In which disorder are alveoli ventilated but not perfused?: Pulmonary emboli (blood
clot)
22. The purpose of positive end-expiratory pressure setting on a ventilator is to: avoid
alveolar collapse.
23. Which of the following types of lung cancer is more common?: Adenocarcinoma 24.
Which of the following are possible causes of chronic cough?: Gastroesophageal reflux
disease and asthma
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