NGR6200 Respiratory with Verified Solutions Latest Version Fully Solved

NGR6200 Respiratory with Verified Solutions Latest Version Fully Solved Question 1 Which of the following statements are true in reference to signs of consolidation? (Select all that apply) a. Tactile fremitus is decreased b. Transmitted sound of "E" changes to "Ay" c. Transmitted sound of 1,2,3 is clear d. Auscultation in the bases reveals a predominate expiratory phase - Answers b, c and d - Transmitted sound of "E" changes to "Ay" - Transmitted sound of "1,2,3" is clear (not muffled) - Auscultation in the bases reveals a predominate expiratory phase Match the respiratory drug to the drug class: Serevent (salmeterol) - Answers LABA - Long Acting Beta Agonist - bronchodilator MOA: activated B2 adrenergic receptors, decr effect on histamine supression Uses: Stable COPD as a combo drug, Long term control Admin: fixed schedule, NEVER prn Match the respiratory drug to the drug class: levalbuterol (Xopenex) - Answers SABA - (Short Acting Beta2 Agonist) Match the respiratory drug to the drug class: tiotropium (Spiriva) - Answers anticholinergic -(LAMA/muscarinic antagonist), MOA: antagonizes acetylcholine receptors, producing bronchodilation Think: "anTI-OTROPIUM cholingeric" Match the respiratory drug to the drug class: montelukast (Singular) - Answers leukotrine antagonist Match the respiratory drug to the drug class: dextromethophan (Robitussin, Delsyn, DayQuil) - Answers antitussive Match the respiratory drug to the drug class: pseudoephederine (Sudfed) - Answers decongestant Match the respiratory drug to the drug class: loratadine (Claritin) - Answers non sedating antihistamine (2nd Gen) - H1 antagonist/ H1 Blocker - does not cross BBB, non sedating - use cautiously in hepatic and renal dysfunction Match the respiratory drug to the drug class: chlorpheniramine - Answers sedating antihistamine (1st Gen) Question 3: A 36 year old man with ASTHMA also needs antihypertensive therapy. Which agent would you avoid prescribing? a. hydrochlorothiazide b. propranolol c. amlodipine d. enalapril - Answers b. - propranolol Question 4: A patient with COPD has been prescribed home oxygen. How often must the patient wear the nasal cannula for optimal benefit? a. only as needed b. 4-6 hours per day c. 10-12 hours per day d. 18 hours a day - Answers d. - 18 hours a day Question 5: The CURB 65 is used to: a. Diagnosis DVT b. Predict prognosis in CAP and help determine outpatient vs inpatient treatment c. Assess risk for SBE d. Assess need for anticoagulation - Answers b. - Predict prognosis in CAP and help determine outpatient vs inpatient treatment Question 6: The definitive test for sleep apnea is: a. a Holter monitor b. ABI measures c. an overnight polysomnogram d. spirometry - Answers c. - an overnight polysomnogram, spirometry measures Asthma and COPD Question 7 The nurse practitioner assesses a PPD on the forearm of a patient being screened for employment. The induration is 7 mm. How should this finding be interpreted? a. negative, insignificant b. moderately significant, requiring chest radiograph c. moderately significant, requiring sputum culture d. significant, requiring treatment - Answers a. - negative, insignificant Question 8 Treatment of latent TB consists of: a. a four drug cocktail of anti mycobacterial agents b. no treatment is recommended if the CXR is negative c. isoniazid daily for 9 months d. ethambutol for 6 months - Answers c. - isoniazid daily for 9 months Question 9: What is the desired action of ipratropium bromide (Atrovent) when used in treating chronic obstructive pulmonary disease (COPD)? a. increase mucociliary clearance b. reduce alveolar volume c. bronchodilator effect d. mucolytic agent - Answers c. bronchodilator effect; it antagonized acetylcholine receptors producting bronchodilation. NOTE: *atrovent nasal spray antagonizes ACh receptors AND inhibits nasal serous/seromucos glands as an anticholinergic agent. Question 10: Which of the following drugs can cause interstitial lung disease? (Select all that apply) a. amiodarone b. nitrofurantoinc c. methotrexate d. phenytoin - Answers all of the above - all listed are toxic to lung tissue, - Antibiotics, such as nitrofurantoin and sulfa drugs - Heart medicines, such as amiodarone - Chemotherapy drugs such as bleomycin, cyclophosphamide, and methotrexate - Street drugs Question 11: Which of the following worsen OSA? (Select all that apply) a. Supine position b. Weight loss c. REM sleep d. A dental device - Answers a. and c - Supine position + REM sleep