Clinical Simulation Test Bank | Complete UPDATED ACTUAL
Exam Questions and CORRECT Answers Graded A+ 100%
Verified
Question 1.
Emphysema .
Answer: Presence of permanent enlargement of the air spaces distal to the
terminal bronchioles, accompanied by destruction of their walls and without
obvious fibroisis
Question 2.
Chronic bronchitis .
Answer: Chronic productive cough for three months in each of two successive
years in a pt for whom other causes of the productive cough have been
excluded
Question 3.
Etiology of COPD .
Answer: - tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
Question 4.
Pt Assessment of Emphysema Pt (Primary assessment) .
Answer: AKA pink puffer or Type A COPD
Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
Appearance of chest = Barrel chest, increased A-P diameter (Hoover's Sign)
Respiratory Pattern = Dyspnea, pursed-lip breathing, accessory muscle use,
especially during exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/ Tympanic note
Breath Sounds = Diminished, prolonged expiration
Question 5.
Body build of Type A COPD (pink puffer) Emphysema .
Answer: Thin, underweight
,Question 6.
Past medical history for emphysema pts .
Answer: Tobacco use
Question 7.
Cough (Emphysema) .
Answer: Less common, muciod secretions
Question 8.
Appearance of the chest (Emphysema) .
Answer: Barrel chest, increased A-P diameter
Question 9.
Respiratory pattern ( Emphysema) .
Answer: Dyspnea, pursed lip breathing, accessory muscle use, especially
during exacerbations
Question 10.
Color (Emphysema) .
Answer: Often reddish
Question 11.
Clubbing (Emphysema) .
Answer: Late stage
‣ Diagnostic Chet Percussion (Emphysema) . Answer: Hyperresonant/tympanic
note
Question 12.
Breath sounds ( Emphysema) .
Answer: Diminished, prolonged expiration
Question 13.
Patient Assessment (Primary) Chronic Bronchitis .
Answer: AKA Blue bloater Type B COPD
Body build = Stocky, overweight
Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
,Chest Appearance = Ocassionally barrel chest
Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
Question 14.
Body build (Chronic Bronchitis) .
Answer: Stocky, overweight
Question 15.
Past Medical History (Chronic Bronchitis) .
Answer: Tobacco use
‣ Cough (Chronic Bronchitis ) . Answer: Productive, copious amounts of
purulent secretions
Question 16.
Chest Appearance (Chronic Bronchitis) .
Answer: Occasionally barrel chest
Question 17.
Respiratory Pattern (Chronic Bronchitis ) .
Answer: Use of accessory muscles less common
Question 18.
Clubbing ( Chronic Bronchitis ) .
Answer: Common
Question 19.
Diagnostic Chest Percussion ( Chronic Bronchitis) .
Answer: Normal
Question 20.
Breath Sounds (Chronic Bronchitis ) .
Answer: Rhonchi, crackles, wheezing
, Question 21.
Secondary Assessment Emphysema pt .
Answer: Chest X-ray = translucent (dark) lung fields, depressed or flattened
diaphragms, long and narrow heart, increased retrosternal air spaces,
possibly hypertrophy or right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe Stages: Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF 25-75%, FEF 200-1200,
FEV1/FVC, and PEFR) Decreased DLCO CBC = Increased RBC/Hb/Hct in late
stages
Sputum = Normal
Question 22.
Chest X-ray (Emphysema ) .
Answer: Translucent (dark) lung fields, depressed or flattened diaphragms,
long and narrow heart, increased retrosternal air space, possibly hypertrophy
or right ventricle
Question 23.
ABG (emphysema) .
Answer: Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe stage: Chronic ventilatory failure with hypoxemia
Question 24.
Pulmonary Function (Emphysema ) .
Answer: Decreased flowrates, Decreased DLCO
Question 25.
CBC (Emphysema) .
Answer: Increased RBC/Hct/Hb in late stages
Question 26.
Sputum (Emphysema) .
Answer: Normal
Question 27.
Secondary Assessment Chronic Bronchitis .
Answer: AKA Type B Blue Bloater
Chest X-ray = translucent (dark) lung fields, depressed or flattened
Exam Questions and CORRECT Answers Graded A+ 100%
Verified
Question 1.
Emphysema .
Answer: Presence of permanent enlargement of the air spaces distal to the
terminal bronchioles, accompanied by destruction of their walls and without
obvious fibroisis
Question 2.
Chronic bronchitis .
Answer: Chronic productive cough for three months in each of two successive
years in a pt for whom other causes of the productive cough have been
excluded
Question 3.
Etiology of COPD .
Answer: - tobacco smoke
-genetic predisposition
- indoor and outdoor pollution
Question 4.
Pt Assessment of Emphysema Pt (Primary assessment) .
Answer: AKA pink puffer or Type A COPD
Body build = thin, underweight
Past medical history = Tobacco use
Cough = Less common, muciod secretions
Appearance of chest = Barrel chest, increased A-P diameter (Hoover's Sign)
Respiratory Pattern = Dyspnea, pursed-lip breathing, accessory muscle use,
especially during exacerbations
Color= Often reddish
Clubbing = Late stage
Diagnostic Chest Percussion = Hyperresonant/ Tympanic note
Breath Sounds = Diminished, prolonged expiration
Question 5.
Body build of Type A COPD (pink puffer) Emphysema .
Answer: Thin, underweight
,Question 6.
Past medical history for emphysema pts .
Answer: Tobacco use
Question 7.
Cough (Emphysema) .
Answer: Less common, muciod secretions
Question 8.
Appearance of the chest (Emphysema) .
Answer: Barrel chest, increased A-P diameter
Question 9.
Respiratory pattern ( Emphysema) .
Answer: Dyspnea, pursed lip breathing, accessory muscle use, especially
during exacerbations
Question 10.
Color (Emphysema) .
Answer: Often reddish
Question 11.
Clubbing (Emphysema) .
Answer: Late stage
‣ Diagnostic Chet Percussion (Emphysema) . Answer: Hyperresonant/tympanic
note
Question 12.
Breath sounds ( Emphysema) .
Answer: Diminished, prolonged expiration
Question 13.
Patient Assessment (Primary) Chronic Bronchitis .
Answer: AKA Blue bloater Type B COPD
Body build = Stocky, overweight
Past Medical History = Tobacco use
Cough = Productive, copious amounts, purulent secretions
,Chest Appearance = Ocassionally barrel chest
Color = Cyanotic
Clubbing = Common
Diagnostic Chest Percussion = normal
Breath Sounds = Rhonchi, crackles , wheezing
Question 14.
Body build (Chronic Bronchitis) .
Answer: Stocky, overweight
Question 15.
Past Medical History (Chronic Bronchitis) .
Answer: Tobacco use
‣ Cough (Chronic Bronchitis ) . Answer: Productive, copious amounts of
purulent secretions
Question 16.
Chest Appearance (Chronic Bronchitis) .
Answer: Occasionally barrel chest
Question 17.
Respiratory Pattern (Chronic Bronchitis ) .
Answer: Use of accessory muscles less common
Question 18.
Clubbing ( Chronic Bronchitis ) .
Answer: Common
Question 19.
Diagnostic Chest Percussion ( Chronic Bronchitis) .
Answer: Normal
Question 20.
Breath Sounds (Chronic Bronchitis ) .
Answer: Rhonchi, crackles, wheezing
, Question 21.
Secondary Assessment Emphysema pt .
Answer: Chest X-ray = translucent (dark) lung fields, depressed or flattened
diaphragms, long and narrow heart, increased retrosternal air spaces,
possibly hypertrophy or right ventricle
ABG = Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe Stages: Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates (FEV1 , FEF 25-75%, FEF 200-1200,
FEV1/FVC, and PEFR) Decreased DLCO CBC = Increased RBC/Hb/Hct in late
stages
Sputum = Normal
Question 22.
Chest X-ray (Emphysema ) .
Answer: Translucent (dark) lung fields, depressed or flattened diaphragms,
long and narrow heart, increased retrosternal air space, possibly hypertrophy
or right ventricle
Question 23.
ABG (emphysema) .
Answer: Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe stage: Chronic ventilatory failure with hypoxemia
Question 24.
Pulmonary Function (Emphysema ) .
Answer: Decreased flowrates, Decreased DLCO
Question 25.
CBC (Emphysema) .
Answer: Increased RBC/Hct/Hb in late stages
Question 26.
Sputum (Emphysema) .
Answer: Normal
Question 27.
Secondary Assessment Chronic Bronchitis .
Answer: AKA Type B Blue Bloater
Chest X-ray = translucent (dark) lung fields, depressed or flattened
