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1. Which is indicative of a left tension pneumothorax?
a. course crackles throughout the left chest
b. tracheal deviation to the left
c. absent breath sounds on the left
d. respiratory acidosis - ANSWER ✔ C
2. A pt. with a productive cough and parenchymal infiltrated on x-ray is
demonstrating symptomology of
a. bacterial pneumonia
b. viral pneumonia
c. tuberculosis
d. acute respiratory distress syndrome - ANSWER ✔ A
3. Which ds is caused by inhalation of organic substances?
a. diffuse interstitial lung ds
b. hypersensitivity pneumonitis
c. sarcoidosis
d. acute respiratory distress syndrome - ANSWER ✔ B
4. Empyema is defined as an
a. exudative bronchitis
b. infection int he pleural space
c. infection localized in the lung
d. infection in the blood - ANSWER ✔ B
5. A pt with flail chest will demonstrate
a. absence of chest movement with breaths
, b. no inspiratory breath sounds
c. fluttering chest movements on expirations
d. outward chest movement on expiration - ANSWER ✔ d
6. Venous obstruction leads to edema because it _____ pressure
a. increases capillary oncotic
b. increases arterial blood
c. decreases tissue
d. increases capillary hydrostatic - ANSWER ✔ D
7. Which is not considered to be a risk factor fro thrombus formation?
a. thrombocytopenia
b. vascular trauma
c. stasis of blood flow
d. circulatory shock - ANSWER ✔ A
8. Which clinical finding is indicative of compartment syndrome?
a. peripheral edema
b. absent peripheral pulses
c. redness and swelling
d. atrophy of distal tissues - ANSWER ✔ B
9. When a pt is struck in the eye by a baseball, the result is redness and
swelling. This increase in blood flow to a localized area is called
a. auto-regulation
b. edema
c. hyperemia
d. hypoxia - ANSWER ✔ C
10.Hypertension with a specific, identifiable cause is known as _____
hypertension.
a. primary
b. orthostatic
c. secondary
d. malignant - ANSWER ✔ C
11.Mitral stenosis can lead to what within the atrium of the heart? - ANSWER
✔ Atrial Fibrillation
,12.A patient with aortic valve stenosis reports complaints of what? - ANSWER
✔ Palpitations, chest pains, fatigue, & syncope
13.Platelets and fibrins clump and collect on valve leaflets in which valve
disorder? - ANSWER ✔ Rheumatic heart disease
14.A patient with acute infective endocarditis can develop - ANSWER ✔
valvular insufficiency & stroke
15.A patient with chronic pericarditis presents with weakness and fatigue. From
what occurrence do these clinical manifestations come from? - ANSWER
✔ Adhesion of the heart and surrounding mediastinum tissue
16.A patient develops edema after sitting in chair, what type of heart failure is
present? - ANSWER ✔ Right sided heart failure
17.What are the backwards effects of left sided heart failure? - ANSWER ✔
Pulmonary congestion, dyspnea, orthopnea, cough, crackles in lungs,
pulmonary edema
18.Why does a patient develop cor pulmonale? - ANSWER ✔ Increased
resistance in pulmonary arteries leads the right side of the heart to
compensate
19.A patient is diagnosed with a pneumothorax. What is the pathogenesis of
this disease process? - ANSWER ✔ Air is trapped in the pleural space and
cannot escape & causes the lung to collapse.
20.Patients with varicose veins are at risk for developing - ANSWER ✔
Increased capillary pressure
21.A patient with aortic stenosis may report feeling - ANSWER ✔ syncopal
22.Why does a lung patient develop cor pulmonale? - ANSWER ✔ Right
ventricular hypertrophy secondary to pulmonary hypertension
23.What should be taught to a patient with ankylosing spondylitis? - ANSWER
✔ Respiratory function will become limited, fibrosis or hardening will
, occur in the upper lobes of the lungs, & muscles in the chest wall can
atrophy
24.What are the common clinical manifestations for asthma? - ANSWER ✔
Airway edema, mucous secretions, bronchoconstriction, & wheezing
25.What is a common clinical manifestation of a tension pneumothorax? -
ANSWER ✔ A tracheal shift occurs to the opposite side of the the
pneumothorax
26.What is commonly seen with a pleural effusion? - ANSWER ✔ Tracheal
shift
27.The patient asks why lung problems caused a heart problem, cor pulmonale.
What response is best? - ANSWER ✔ - Increased resistance to pulmonary
arterial flow leads to compensatory right ventricular hypertrophy
- Cor pulmonale is right ventricular hypertrophy that occurs as
a compensatory response to chronically increased resistance
to pulmonary arterial flow
28.What is the amount of gas remaining within the lungs after MAXIMAL
respiration - ANSWER ✔ Residual volume
29.What is a common characteristic of viral pneumonia? - ANSWER ✔ Dry
Cough
30.What are the clinical manifestations associated with chronic bronchitis? -
ANSWER ✔ Productive cough for >3 months, abnormal lung sounds, &
hypersecretion of mucous
31.What does mucus supply a hospitable environment for in a patient with
chronic bronchitis? - ANSWER ✔ Bacterial colonization and recurrent
infections
32.What are the clinical manifestations associated with legionnaires disease? -
ANSWER ✔ Fever, diarrhea, abdominal pain, & pneumonia