NBRC Top Forecasted Exam Questions And CORRECT Answers

Information Gathering - Emphysema: (Abnormal condition of the alveoli resulting destruction and loss of elasticity.) LEVEL I : Cyanosis, Barrel chest, increased A-P diameter, Accessory muscle use, Digital clubbing of the nail beds, Significant history of smoking and/or occupational exposure to smoke or other pulmonary irritant LEVEL II : Dyspnea, Wheezing breath sounds LEVEL III : Chest X-ray—flattened diaphragms, hyperlucency, diminished pulmonary vascular markings. CBC—polycythemia, increased WBC due to possible infection. ABGs—Compensated respiratory acidosis (high PaCO2, normal pH), moderate to severe hypoxemia. Sputum culture—often positive for bacteria. LEVEL IV : FT—flows are decreased especially middle sized airways (FEF 25-75%) Fev1 and Fev1/FVC%, reduced DLCO (less than 20)