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NSPE 7200 Final Exam Questions With Correct Answers

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©BRAINBARTER EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 1 | P a g e NSPE 7200 Final Exam Questions With Correct Answers Asthma - answerA chronic disorder of the airways that causes episodes of airway obstruction, bronchial hyperresponsiveness, airway inflammation, and possible airway remodelling. Recurrent attacks of SOB and dyspnea with wheezing due to spasmodic contraction of the bronchi. Bronchiolitis - answerA common lung infection in children that causes swelling, inflammation, and irritation and a buildup of mucus in the small airways of the lungs. Bronchitis - answerInflammation of the mucous membranes of the bronchial tubes, which become inflamed and lead to coughing and mucus production. Croup (Laryngotracheobronchitis) - answerA contagious URTI that causes swelling of the larynx (voice box), and windpipe (trachea), which leads to symptoms including a distinct barking cough and stridor (raspy breathing). Empyema - answerAn accumulation of pus in a cavity of the body, especially the pleural space. ©BRAINBARTER EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 2 | P a g e Epiglottitis - answerInflammation of the epiglottis, which is the tissue-lined cartilage that covers the trachea while swallowing. FB Aspiration - answeraka pulmonary aspiration, occurs when an object is inhaled and becomes lodged in the airway or lungs, which can lead to breathing difficulties or choking. Pneumonia - answerAn infection that inflames the air sacs in one or both lungs. The alveoli and bronchioles may fill with thick secretions of fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing. Pneumothorax - answerA collapsed lung occurs when air leaks into the space between your lung and chest wall. This air pushes on the outside of the lung and makes it collapse. It can be a complete collapse or only a portion of the lung. Pleural Effusion - answerA buildup of fluid between the layers of tissue (pleural cavity) that line the lungs and chest cavity. Anatomical Differences - Saliva - answerSaliva is minimal at birth, salivary secretions increase after 3mo. Consequences: increased aspiration risk Anatomical Differences - Teeth - answerDeciduous (baby) teeth grow between 6-24mo. Consequences: delay could signify hypothyroidism or malnutrition Anatomical Differences - Nose - answerObligate nose breathers ©BRAINBARTER EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 3 | P a g e Consequences: nasal passages are easily obstructed by secretions which affects airway patency and ability to feed - can cause respiratory distress Anatomical Differences - Airway and Nasal Passages - answerAirway and nasal passages are narrow, larynx is narrowest at a level of the cricoid cartilage subglottis. Consequences: increased risk of airway obstruction and infection, endotracheal intubation is difficult, accidental extubation is more likely with movement, cricoid is susceptible to edema (1mm can narrow the airways by 60%), position of larynx makes airway visualization more difficult. Anatomical Differences - Tongue - answerTongue is large in proportion to size of the mouth. Consequences: potential for airway obstruction Anatomical Differences - Palate - answerProportionately large soft palate and large amount of soft tissue in the airway Consequences: soft tissue swelling increased risk of airway obstruction Anatomical Differences - Swallowing - answerAbility to coordinate swallowing and breathing is immature. Consequences: risk for aspiration and GERD Anatomical Differences - Epiglottis - answerProportionately large, floppy, and long epiglottis ©BRAINBARTER EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 4 | P a g e Consequences: potential for airway obstruction with swelling and endotracheal intubation is difficult. Anatomical Differences - Hypoxic and Hypercapnic Drives - answerHypoxic and hypercapnic drives are not fully developed Consequences: periodic breathing with apnea of < 10s without cyanosis or bradycardia is WNL. Anatomical Differences - Chest - answerEasily compressible cartilage of the chest wall with very little musculature Consequences: limits tidal volume, lowers functional residual capacity, ribcage is flexible and provides little support for the lungs, negative intrathoracic pressure is poorly maintained causing increased WOB, soft thoracic cage collapses easily during laboured breathing. Anatomical Differences - Alveoli - answerAlveoli are thick-walled and infants only have 10% of the total number of alveoli found in adults. Consequences: affects GE and increases RR, children with pulmonary damage can regenerate new pulmonary tissue, contributes to high number of respiratory issues during acute illness Anatomical Differences - Mucus Membranes - answerMucus membranes lining the respiratory tract are loosely attached and very vascular. Consequences: potential for airway edema is greater, more respiratory secretions are produced which increases the risk of aspiration.

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NSPE 7200 Final Exam Questions With
Correct Answers


Asthma - answer✔A chronic disorder of the airways that causes episodes of airway obstruction,

bronchial hyperresponsiveness, airway inflammation, and possible airway remodelling.

Recurrent attacks of SOB and dyspnea with wheezing due to spasmodic contraction of the

bronchi.


Bronchiolitis - answer✔A common lung infection in children that causes swelling, inflammation,

and irritation and a buildup of mucus in the small airways of the lungs.


Bronchitis - answer✔Inflammation of the mucous membranes of the bronchial tubes, which

become inflamed and lead to coughing and mucus production.


Croup (Laryngotracheobronchitis) - answer✔A contagious URTI that causes swelling of the

larynx (voice box), and windpipe (trachea), which leads to symptoms including a distinct barking

cough and stridor (raspy breathing).


Empyema - answer✔An accumulation of pus in a cavity of the body, especially the pleural

space.




1|Page

, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
Epiglottitis - answer✔Inflammation of the epiglottis, which is the tissue-lined cartilage that

covers the trachea while swallowing.


FB Aspiration - answer✔aka pulmonary aspiration, occurs when an object is inhaled and

becomes lodged in the airway or lungs, which can lead to breathing difficulties or choking.


Pneumonia - answer✔An infection that inflames the air sacs in one or both lungs. The alveoli

and bronchioles may fill with thick secretions of fluid or pus, causing cough with phlegm or pus,

fever, chills, and difficulty breathing.


Pneumothorax - answer✔A collapsed lung occurs when air leaks into the space between your

lung and chest wall. This air pushes on the outside of the lung and makes it collapse. It can be a

complete collapse or only a portion of the lung.


Pleural Effusion - answer✔A buildup of fluid between the layers of tissue (pleural cavity) that

line the lungs and chest cavity.


Anatomical Differences - Saliva - answer✔Saliva is minimal at birth, salivary secretions increase

after 3mo.


Consequences: increased aspiration risk


Anatomical Differences - Teeth - answer✔Deciduous (baby) teeth grow between 6-24mo.


Consequences: delay could signify hypothyroidism or malnutrition


Anatomical Differences - Nose - answer✔Obligate nose breathers


2|Page

, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
Consequences: nasal passages are easily obstructed by secretions which affects airway patency

and ability to feed - can cause respiratory distress


Anatomical Differences - Airway and Nasal Passages - answer✔Airway and nasal passages are

narrow, larynx is narrowest at a level of the cricoid cartilage subglottis.


Consequences: increased risk of airway obstruction and infection, endotracheal intubation is

difficult, accidental extubation is more likely with movement, cricoid is susceptible to edema

(1mm can narrow the airways by 60%), position of larynx makes airway visualization more

difficult.


Anatomical Differences - Tongue - answer✔Tongue is large in proportion to size of the mouth.


Consequences: potential for airway obstruction


Anatomical Differences - Palate - answer✔Proportionately large soft palate and large amount of

soft tissue in the airway


Consequences: soft tissue swelling increased risk of airway obstruction


Anatomical Differences - Swallowing - answer✔Ability to coordinate swallowing and breathing

is immature.


Consequences: risk for aspiration and GERD


Anatomical Differences - Epiglottis - answer✔Proportionately large, floppy, and long epiglottis




3|Page

, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
Consequences: potential for airway obstruction with swelling and endotracheal intubation is

difficult.


Anatomical Differences - Hypoxic and Hypercapnic Drives - answer✔Hypoxic and hypercapnic

drives are not fully developed


Consequences: periodic breathing with apnea of < 10s without cyanosis or bradycardia is WNL.


Anatomical Differences - Chest - answer✔Easily compressible cartilage of the chest wall with

very little musculature


Consequences: limits tidal volume, lowers functional residual capacity, ribcage is flexible and

provides little support for the lungs, negative intrathoracic pressure is poorly maintained

causing increased WOB, soft thoracic cage collapses easily during laboured breathing.


Anatomical Differences - Alveoli - answer✔Alveoli are thick-walled and infants only have 10% of

the total number of alveoli found in adults.


Consequences: affects GE and increases RR, children with pulmonary damage can regenerate

new pulmonary tissue, contributes to high number of respiratory issues during acute illness


Anatomical Differences - Mucus Membranes - answer✔Mucus membranes lining the

respiratory tract are loosely attached and very vascular.


Consequences: potential for airway edema is greater, more respiratory secretions are produced

which increases the risk of aspiration.




4|Page

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