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AG-ACNP Boards – Respiratory Questions and Answers

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AG-ACNP Boards – Respiratory Questions and Answers

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AG-ACNP Boards – Respiratory
Questions and Answers
What are the microorganisms associated with HAP? Correct Ans-Staphylococcus aureus

Streptococcus pneumoniae

Haemophilius influenzae



VAP is associated most commonly with what microorganism? Correct Ans-Pseudomonas




Explain the pathology of a pneumothorax. Correct Ans-Gas enters into pleural space

Increased pleural pressures

Impairs respiration

Collapsed lung



What are the hallmark signs and symptoms of a pneumothorax? Correct Ans-Chest pain

Dyspnea

Cough

Diminished breath sounds on affected side

Hypotension



What is the gold standard for diagnosing a pneumothorax? Correct Ans-CXR

, At what point does a pneumothorax become symptomatic and require intervention? Correct
Ans-When the pneumothorax is >20%



What intervention is used first in the management on a non-emergent pneumothorax? Correct
Ans-Chest tube placement 4th-5th ICS MAL



What is the immediate intervention indicated for a tension pneumothorax? Correct Ans-
Needle thoracostomy 2nd ICS MCL



What is the leading cause of inpatient hospital death? Correct Ans-Pulmonary Embolism.




Identify the risk factors of a pulmonary embolism. Correct Ans-Immobility

Venous stasis

Hypercoagulable states

Endothelial damage

Recent surgery of a long-bone

PO contraceptives



What are the hallmark signs and symptoms of a pulmonary embolism? Correct Ans-ACUTE

SOB

Hypotension

Tachycardia

Chest pain

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