UTA NURS 5315 MOD 6 PULM AND
SHOCK COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ What is the pathologic hallmark of ARDS:
Answer: diffuse alveolar capillary damage
poor gas exchange
severe pulmonary edema
hypoxemia
◉ What are the 3 phases of ARDS?
Answer: inflammatory- first 72 hours: surfactant is innactivated,
inflammatory cascade
-proliferative: pulmonary edema resolves, last 1-3 weeks, intra-
alveolar exudate turns into cellular granulation tissue & worses
hypoxemia
fibrotic- 14-21 days: alveoli undergo fibrosis, V/Q mismatch w/ rt
to left shunting, pulm htn
◉ What kind of mediated reaction is asthma?
Answer: IgE
◉ What happens to the lungs in one with asthma?
Answer: -bronchial smooth muscle hypertrophy
, -goblet cell hyperplasia
-Hyperventilation occurs 2ndary to Inc lung volumes, which
causes CO2 retention and resp acidosis
◉ What are signs of impending death in one with asthma?
Answer: silent chest
PaO2 <70
◉ COPD results in _____ and is preventable and treatable.
Answer: Obstruction of airflow
◉ The obstruction of airflow in COPD is typically _____ and is ____
Answer: not reversible
progressive
◉ What are the 2 main types of COPD?
Answer: ephysema
chronic bronchitis
◉ There are genetic susceptibilites that predispose one to COPD
and it is ______
Answer: inherited mutation in alpha I antitrypsin gene
Should be considered in anyone who has emphysema before age
40 who does not smoke
SHOCK COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ What is the pathologic hallmark of ARDS:
Answer: diffuse alveolar capillary damage
poor gas exchange
severe pulmonary edema
hypoxemia
◉ What are the 3 phases of ARDS?
Answer: inflammatory- first 72 hours: surfactant is innactivated,
inflammatory cascade
-proliferative: pulmonary edema resolves, last 1-3 weeks, intra-
alveolar exudate turns into cellular granulation tissue & worses
hypoxemia
fibrotic- 14-21 days: alveoli undergo fibrosis, V/Q mismatch w/ rt
to left shunting, pulm htn
◉ What kind of mediated reaction is asthma?
Answer: IgE
◉ What happens to the lungs in one with asthma?
Answer: -bronchial smooth muscle hypertrophy
, -goblet cell hyperplasia
-Hyperventilation occurs 2ndary to Inc lung volumes, which
causes CO2 retention and resp acidosis
◉ What are signs of impending death in one with asthma?
Answer: silent chest
PaO2 <70
◉ COPD results in _____ and is preventable and treatable.
Answer: Obstruction of airflow
◉ The obstruction of airflow in COPD is typically _____ and is ____
Answer: not reversible
progressive
◉ What are the 2 main types of COPD?
Answer: ephysema
chronic bronchitis
◉ There are genetic susceptibilites that predispose one to COPD
and it is ______
Answer: inherited mutation in alpha I antitrypsin gene
Should be considered in anyone who has emphysema before age
40 who does not smoke
