CSE Pathology nbrc Exam Questions
and Answers 100% PASS
Emphysema definition - CORRECT ANSWER-Permanent enlargement of air
spaces, accompanied by destruction of bronchial walls w/o obvious fibrosis
Chronic bronchitis definition - CORRECT ANSWER-Chronic productive cough
for 3 months
Emphysema primary assessment (info gathering) - CORRECT ANSWER-Pink
puffer, underweight, barrel chest, Hoover's sign, reddish skin, clubbing in late
stage, dyspnea, pursed-lip breathing, accessory muscle use,
hyperresonant/tympanic, diminished BS
Chronic bronchitis primary assessment (info gathering) - CORRECT ANSWER-
Blue bloater, overweight, productive cough, purulent secretions, occasional barrel
chest, cyanotic, clubbing is common, normal chest percussion, rhonchi, crackles,
wheezes
Emphysema secondary assessment (info gathering) - CORRECT ANSWER-CXR
- long, narrow heart, possibly hypertrophy of right ventricle
ABG - mild/moderate stage: actue alv hyperventilation w/ hypoxemia. Severe
stage: chronic ventilatory failure w/ hypoxemia
,PFT - decreased flow rates and DLCO
CBC - increased RBC/Hb/Hct in LATE stages
Sputum - normal
Chronic bronchitis secondary assessment (info gathering) - CORRECT ANSWER-
CXR - possibly hypertrophy of right ventricle
ABG - mild/moderate stage: actue alv hyperventilation w/ hypoxemia. Severe
stage: chronic ventilatory failure w/ hypoxemia
PFT - decreased flow rates, normal DLCO
CBC - increased RBC/Hb/Hct in EARLY and LATE stages
Sputum - streptococcus pneumoniae, haemophilus influenzae, moraxella catarrhalis
Emphysema and Chronic bronchitis Tx. (decision making) - CORRECT
ANSWER-Low flow O2 therapy (NC 1 - 2 LPM)
Bronchodilators (SABA, LABA, anticholinergics)
ICS
ABX if indicated by sputum culture
Bronchial hygiene as indicated
NPPV for acute exacerbations of ventilatory failure
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, Pulm rehab
Chest trauma/Flail chest/Rib fractures definition - CORRECT ANSWER-Trauma
- any trauma to chest wall
Flail chest - result of double fractures or 3 or more adjacent ribs causing thoracic
cage to become unstable
Chest trauma/Flail chest/Rib fractures etiology - CORRECT ANSWER-Industrial
accidents
Vehicle accidents
Falls
Violence
Blast injury
Chest trauma/Flail chest/Rib fractures primary assessment (info gathering) -
CORRECT ANSWER-Possible hemoptysis, paradoxical chest movement, shallow
rapid respirations, severe chest pain, cyanotic, diminished BS over affected area,
increased HR and BP
Chest trauma/Flail chest/Rib fractures secondary assessment (info gathering) -
CORRECT ANSWER-CXR - increased opacity from lung compression
ABG - actue alv hyperventilation w/ hypoxemia
PFT - decreased volumes and capacities
and Answers 100% PASS
Emphysema definition - CORRECT ANSWER-Permanent enlargement of air
spaces, accompanied by destruction of bronchial walls w/o obvious fibrosis
Chronic bronchitis definition - CORRECT ANSWER-Chronic productive cough
for 3 months
Emphysema primary assessment (info gathering) - CORRECT ANSWER-Pink
puffer, underweight, barrel chest, Hoover's sign, reddish skin, clubbing in late
stage, dyspnea, pursed-lip breathing, accessory muscle use,
hyperresonant/tympanic, diminished BS
Chronic bronchitis primary assessment (info gathering) - CORRECT ANSWER-
Blue bloater, overweight, productive cough, purulent secretions, occasional barrel
chest, cyanotic, clubbing is common, normal chest percussion, rhonchi, crackles,
wheezes
Emphysema secondary assessment (info gathering) - CORRECT ANSWER-CXR
- long, narrow heart, possibly hypertrophy of right ventricle
ABG - mild/moderate stage: actue alv hyperventilation w/ hypoxemia. Severe
stage: chronic ventilatory failure w/ hypoxemia
,PFT - decreased flow rates and DLCO
CBC - increased RBC/Hb/Hct in LATE stages
Sputum - normal
Chronic bronchitis secondary assessment (info gathering) - CORRECT ANSWER-
CXR - possibly hypertrophy of right ventricle
ABG - mild/moderate stage: actue alv hyperventilation w/ hypoxemia. Severe
stage: chronic ventilatory failure w/ hypoxemia
PFT - decreased flow rates, normal DLCO
CBC - increased RBC/Hb/Hct in EARLY and LATE stages
Sputum - streptococcus pneumoniae, haemophilus influenzae, moraxella catarrhalis
Emphysema and Chronic bronchitis Tx. (decision making) - CORRECT
ANSWER-Low flow O2 therapy (NC 1 - 2 LPM)
Bronchodilators (SABA, LABA, anticholinergics)
ICS
ABX if indicated by sputum culture
Bronchial hygiene as indicated
NPPV for acute exacerbations of ventilatory failure
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED
, Pulm rehab
Chest trauma/Flail chest/Rib fractures definition - CORRECT ANSWER-Trauma
- any trauma to chest wall
Flail chest - result of double fractures or 3 or more adjacent ribs causing thoracic
cage to become unstable
Chest trauma/Flail chest/Rib fractures etiology - CORRECT ANSWER-Industrial
accidents
Vehicle accidents
Falls
Violence
Blast injury
Chest trauma/Flail chest/Rib fractures primary assessment (info gathering) -
CORRECT ANSWER-Possible hemoptysis, paradoxical chest movement, shallow
rapid respirations, severe chest pain, cyanotic, diminished BS over affected area,
increased HR and BP
Chest trauma/Flail chest/Rib fractures secondary assessment (info gathering) -
CORRECT ANSWER-CXR - increased opacity from lung compression
ABG - actue alv hyperventilation w/ hypoxemia
PFT - decreased volumes and capacities
