Sanders: Mosby's Paramedic Practice Today, 4th Edition
Chapter 24: Respiratory
Test Bank
MULTIPLE CHOICE
1. Foreign body airway obstruction is defined as a problem with what?
A. Ventilation C. Perfusion
B. Diffusion D. Oxygenation
ANS: A PTS: 1 REF: 743 OBJ: 1
2. What is the process of air moving into and out of the lungs?
A. Ventilation C. Respiration
B. Diffusion D. Oxygenation
ANS: A PTS: 1 REF: 742 OBJ: 1
3. CNS depression will lead to what problem?
A. Ventilation C. Perfusion
B. Diffusion D. Oxygenation
ANS: A PTS: 1 REF: 742 OBJ: 1
4. Pulmonary edema will lead to what problem?
A. Ventilation C. Perfusion
B. Diffusion D. Oxygenation
ANS: B PTS: 1 REF: 742 OBJ: 1
5. While gathering the history of an asthma patient, the patient states, “They had to intubate
me last time this happened.” What does this information mean?
A. An accurate indicator of severe pulmonary disease
B. Not related to future ventilation needs
C. Pertinent to this event; you should intubate this patient immediately.
D. Important to the hospital staff but not important in the prehospital environment
ANS: A PTS: 1 REF: 744 OBJ: 1
6. What will bradycardia with a pulmonary complaint represent?
A. A sign that the patient is handling the event well
B. Less serious than tachycardia
C. An ominous sign of severe hypoxemia
D. A cardiac event and is not related to the pulmonary complaint
ANS: C PTS: 1 REF: 744 OBJ: 2
Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
, 7. Paramedics are treating a patient who reports that she has COPD. If she has emphysema,
what finding would paramedics expect?
A. A productive cough C. Chronic cyanosis
B. Mild, chronic dyspnea D. A thick, barrel-chested appearance
ANS: D PTS: 1 REF: 745 OBJ: 2
8. What might excessive positive intrathoracic pressure during an asthma attack lead to?
A. Excessively increased preload C. Hypocapnia
B. Hypertension D. Pulsus paradoxus
ANS: D PTS: 1 REF: 753 OBJ: 2
9. Which adventitious lung sounds are most commonly associated with asthma?
A. Stridor C. Rhonchi
B. Rales (crackles) D. Wheezes
ANS: D PTS: 1 REF: 753 OBJ: 2
10. What is the name of the test that measures the amount of expired air in a patient with
respiratory problems?
A. Capnography (ETCO2)
B. PEEP (positive end-expiratory pressure)
C. PEFR (peak expiratory flow rate)
D. CPAP (continuous positive airway pressure)
ANS: C PTS: 1 REF: 746 OBJ: 2
11. After measuring peak expiratory flow, paramedics note that this reading varies by 30%
from previous readings. What does this indicate in regards to the exacerbation?
A. Resolved C. Moderate
B. Mild D. Severe
ANS: D PTS: 1 REF: 748 OBJ: 2
12. What is the most common site for thrombus formation leading to pulmonary embolism?
A. Upper arm C. Bone marrow
B. Abdominal fat D. Legs
ANS: D PTS: 1 REF: 758 OBJ: 2
13. Which is associated with patients with COPD?
A. Pursed-lip breathing C. Clubbing of the fingertips
B. Accessory muscle use D. All of the above
ANS: D PTS: 1 REF: 745 OBJ: 2
14. Which patient would be predisposed to spontaneous pneumothorax?
A. A female between ages 60 and 70
B. A male between ages 60 and 70
C. A patient who is thin and tall and has a narrow chest
Chapter 24: Respiratory
Test Bank
MULTIPLE CHOICE
1. Foreign body airway obstruction is defined as a problem with what?
A. Ventilation C. Perfusion
B. Diffusion D. Oxygenation
ANS: A PTS: 1 REF: 743 OBJ: 1
2. What is the process of air moving into and out of the lungs?
A. Ventilation C. Respiration
B. Diffusion D. Oxygenation
ANS: A PTS: 1 REF: 742 OBJ: 1
3. CNS depression will lead to what problem?
A. Ventilation C. Perfusion
B. Diffusion D. Oxygenation
ANS: A PTS: 1 REF: 742 OBJ: 1
4. Pulmonary edema will lead to what problem?
A. Ventilation C. Perfusion
B. Diffusion D. Oxygenation
ANS: B PTS: 1 REF: 742 OBJ: 1
5. While gathering the history of an asthma patient, the patient states, “They had to intubate
me last time this happened.” What does this information mean?
A. An accurate indicator of severe pulmonary disease
B. Not related to future ventilation needs
C. Pertinent to this event; you should intubate this patient immediately.
D. Important to the hospital staff but not important in the prehospital environment
ANS: A PTS: 1 REF: 744 OBJ: 1
6. What will bradycardia with a pulmonary complaint represent?
A. A sign that the patient is handling the event well
B. Less serious than tachycardia
C. An ominous sign of severe hypoxemia
D. A cardiac event and is not related to the pulmonary complaint
ANS: C PTS: 1 REF: 744 OBJ: 2
Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
, 7. Paramedics are treating a patient who reports that she has COPD. If she has emphysema,
what finding would paramedics expect?
A. A productive cough C. Chronic cyanosis
B. Mild, chronic dyspnea D. A thick, barrel-chested appearance
ANS: D PTS: 1 REF: 745 OBJ: 2
8. What might excessive positive intrathoracic pressure during an asthma attack lead to?
A. Excessively increased preload C. Hypocapnia
B. Hypertension D. Pulsus paradoxus
ANS: D PTS: 1 REF: 753 OBJ: 2
9. Which adventitious lung sounds are most commonly associated with asthma?
A. Stridor C. Rhonchi
B. Rales (crackles) D. Wheezes
ANS: D PTS: 1 REF: 753 OBJ: 2
10. What is the name of the test that measures the amount of expired air in a patient with
respiratory problems?
A. Capnography (ETCO2)
B. PEEP (positive end-expiratory pressure)
C. PEFR (peak expiratory flow rate)
D. CPAP (continuous positive airway pressure)
ANS: C PTS: 1 REF: 746 OBJ: 2
11. After measuring peak expiratory flow, paramedics note that this reading varies by 30%
from previous readings. What does this indicate in regards to the exacerbation?
A. Resolved C. Moderate
B. Mild D. Severe
ANS: D PTS: 1 REF: 748 OBJ: 2
12. What is the most common site for thrombus formation leading to pulmonary embolism?
A. Upper arm C. Bone marrow
B. Abdominal fat D. Legs
ANS: D PTS: 1 REF: 758 OBJ: 2
13. Which is associated with patients with COPD?
A. Pursed-lip breathing C. Clubbing of the fingertips
B. Accessory muscle use D. All of the above
ANS: D PTS: 1 REF: 745 OBJ: 2
14. Which patient would be predisposed to spontaneous pneumothorax?
A. A female between ages 60 and 70
B. A male between ages 60 and 70
C. A patient who is thin and tall and has a narrow chest
