Diagnostic - EGANS Ch. 22 Bronchoscopy Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.

Which of the following are divisions of imaging systems used during flexible bronchoscopy? 1.) Fiber Optic 2.)Video 3.)Hybrid 4.)Fusion A. 1 and 3 only B. 1, 2 and 3 only C. 3 and 4 only D. 2, 3 and 4 only - B. 1, 2 and 3 only What is the purpose of administering atropine before bronchoscopy? - To help dry out the airway to make better visualization and help counteract bradycardia if the vagus nerve is stimulated. Your patient is being scheduled for a flexible bronchoscopy and is inquiring about when to stop taking her warfarin. After consulting the physician, what would you tell her? A. 1 to 2 days prior to the procedure B. 3 to 5 days prior to the procedure C. 1 week prior to the procedure D. She does not need to discontinue her warfarin - B. 3 to 5 days prior to the procedure Which of the following are considered indications for flexible broncoscopy? 1.) Unexplained lung collapse 2.) Need for large tissue specimen 3.) Evaluate endotracheal tube related injury 4.) Bronchogenic carcinoma A. 1 and 3 onlyB. 1, 2 and 3 only C. 1, 3 and 4 only D. 1, 2, 3 and 4 - C. 1, 3 and 4 only Which of the following are considered contraindications for flexible bronchoscopy? 1.) Severe hypercapnia 2.) Impaired neck mobility 3.) Hemoptysis 4.) Recent myocardial infarction A. 1 and 3 only B. 1, 2 and 4 only C. 3 and 4 only D. 2, 3 and 4 only - B. 1, 2 and 4 only Which of the following are considered indications for rigid bronchoscopy? 1.) Large foreign body extraction 2.) Management of massive hemoptysis 3.) Self-expandable sent placement 4.) Mediastinal and hilar lymphadenopathy A. 3 only B. 2 and 3 only C. 1, 2 and 3 only D. 1, 2, 3 and 4 - C. 1, 2 and 3 only Metallic stents are placed during: A. Flexible bronchoscopy B. Rigid bronchoscopy C. Either flexible or rigid bronchoscopyD. Mediastinal surgery - C. Either flexible or rigid bronchoscopy For patient safety, to help avoid methemoglobinemia, the total dose of lidocaine should not exceed: A. 2 mg/kg B. 5 mg/kg C. 7 mg/kg D. 10 mg/kg - C. 7 mg/kg The assessment of the upper airway to a flexible bronchoscopy procedure to help identify patients in whom it may be difficult to secure an airway is referred to as: A. The Glasgow Coma Scale B. The mallampati Classification C. The APACHE Scale D. The Borg Scale - B. The mallampati Classification What is the most difficult parameter to monitor during FB? A. Depth of sedation B. Airway pressure C. Chest movement D. Pulse oximetry - A. Depth of sedation Which of the following must be continuously monitored during a bronchoscopy? 1.) Cardiac monitoring 2.) Blood pressure 3.) Oximetry 4.) MetHb levels A. 1 and 3 only B. 1, 2 and 3 only C. 3 and 4 onlyD. 1, 2, 3 and 4 - B. 1, 2 and 3 only To obtain a lavage fluid, the bronchoscope is wedged at which of the following locations? A. The level of the carina B. The level of the second or third generation bronchus C. The level of the fourth or fifth generation bronchus D. At least at the level of the sixth generation bronchus - C. The level of the fourth or fifth generation bronchus What portion of the airway are bronchial washings generally obtained? A. The large airways B. Either of the upper lobes C. Either of the upper lower lobes D. The smallest lobe of the lung affected - A. The large airways When is the endobronchial biopsy performed? A. To obtain a sputum sample from a visible endobronchial lesion B. To obtain a tissue sample from a visible endobronchial lesion C. It is used with transbronchial needle aspiration D. It is used during bronchial stent placement - B. To obtain a tissue sample from a visible endobronchial lesion.