Clinical Simulation Actual UPDATED ACTUAL Exam Questions and CORRECT Answers 100% Correct (verified)

Clinical Simulation Actual UPDATED ACTUAL Exam Questions
and CORRECT Answers 100% Correct (verified)

Question 1.
COPD

Correct Answer: Preventable and treatable disease state characterized by air
flow limitation that is not fully reversible.


Question 2.
Emphysema

Correct 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 3.
Chronic bronchitis

Correct 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 4.
Etiology of COPD

Correct Answer: - tobacco smoke -genetic predisposition - indoor and outdoor
pollution


Question 5.
Pt Assessment of Emphysema Pt (Primary assessment)

Correct 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 6.
Body build of Type A COPD (pink puffer) Emphysema

Correct Answer: Thin, underweight

,Question 7.
Past medical history for emphysema pts

Correct Answer: Tobacco use


Question 8.
Cough (Emphysema)

Correct Answer: Less common, muciod secretions


Question 9.
Appearance of the chest (Emphysema)

Correct Answer: Barrel chest, increased A-P diameter


Question 10.
Respiratory pattern ( Emphysema)

Correct Answer: Dyspnea, pursed lip breathing, accessory muscle use,
especially during exacerbations Color (Emphysema) -✓✓Often reddish


Question 11.
Clubbing (Emphysema)

Correct Answer: Late stage


Question 12.
Diagnostic Chet Percussion (Emphysema)

Correct Answer: Hyperresonant/tympanic note


Question 13.
Breath sounds ( Emphysema)

Correct Answer: Diminished, prolonged expiration


Question 14.
Patient Assessment (Primary) Chronic Bronchitis

Correct 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 15.
Body build (Chronic Bronchitis)

Correct Answer: Stocky, overweight


Question 16.
Past Medical History (Chronic Bronchitis)

Correct Answer: Tobacco use


Question 17.
Cough (Chronic Bronchitis )

Correct Answer: Productive, copious amounts of purulent secretions


Question 18.
Chest Appearance (Chronic Bronchitis)

Correct Answer: Occasionally barrel chest


Question 19.
Respiratory Pattern (Chronic Bronchitis )

Correct Answer: Use of accessory muscles less common


Question 20.
Clubbing ( Chronic Bronchitis )

Correct Answer: Common


Question 21.
Diagnostic Chest Percussion ( Chronic Bronchitis)

Correct Answer: Normal


Question 22.
Breath Sounds (Chronic Bronchitis )

Correct Answer: Rhonchi, crackles, wheezing


Question 23.
Secondary Assessment Emphysema pt

Correct 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 Chest X-ray
(Emphysema ) -✓✓Translucent (dark) lung fields, depressed or flattened
diaphragms, long and narrow heart, increased retrosternal air space, possibly
hypertrophy or right ventricle


Question 24.
ABG (emphysema)

Correct Answer: Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe stage: Chronic ventilatory failure with hypoxemia


Question 25.
Pulmonary Function (Emphysema )

Correct Answer: Decreased flowrates, Decreased DLCO


Question 26.
CBC (Emphysema)

Correct Answer: Increased RBC/Hct/Hb in late stages


Question 27.
Sputum (Emphysema)

Correct Answer: Normal


Question 28.
Secondary Assessment Chronic Bronchitis

Correct Answer: AKA Type B Blue Bloater Chest X-ray = translucent (dark)
lung fields, depressed or flattened diaphragms, possibly hypertrophy of right
ventricle ABG = Mild to moderate stages: Acute alveolar hyperventilation with
hypoxemia Severe stage: Chronic ventilatory failure with hypoxemia
Pulmonary Function = Decreased flowrates, DLCO normal CBC = increased
RBC/Hb/Hct in early and late stages Sputum = Often shows ; Streptococcus
pneumoniae, Haemophilus influenza, Moraxella catarrhalis


Question 29.
Chest X-ray (Chronic Bronchitis)