Polmonology Test

Front 1

Which of the following is the most important intrinsic risk factor for respiratory disease?

Back 1

Family history

Front 2

Air entering and leaving the lungs via inspiration and expiration is known as

Back 2

Ventilation

Front 3

The diaphragm is controlled by the ______ nerve.

Back 3

Phrenic

Front 4

An example of diffusion in the respiratory system is movement of

Back 4

Oxygen from the alveoli into the pulmonary capillaries

Front 5

Airway resistance is increased by

Back 5

Decreased elasticity of the chest wall

Front 6

Which of the following patients are at risk for the most common cause of upper airway obstruction

Back 6

21-year-old female unconscious and supine on the floor

Front 7

Normal tidal volume in an average adult is approximately _____ mL

Back 7

500

Front 8

After normal inspiration and expiration an adult patient has about 2400mL of air remaining in the lungs known as the

Back 8

Functional residual capacity

Front 9

An average size male has a respiratory rate of 12 per minute and a normal tidal volume. What is the estimated minute alveolar volume for this patient?

Back 9

6000

Front 10

A 19 year old female with difficulty breathing produces a peak expiratory flow rate of 425 lpm indicating

Back 10

Normal ventilatory state

Front 11

Stretch receptors in the lungs send a signal to the inspiration center of the medulla inhibiting it's stimulation of the phrenic and intercostal nerves. This is called the _______ reflex

Back 11

Hering-Breuer

Front 12

The most important factor in determining the respiratory rate is

Back 12

Arterial pCO2

Front 13

You are working in the ED carting for a 55 year old female with a long history of COPD. She is more short of breath today than usual and states she has an increased controlled cough. She has a tympanic temperature of 99.8F. You have drawn arterial blood gasses with the patient on room air and when the report comes back, it shows that the patient has a pO2 of 52 mmHg. Which of the following is most likely?

Back 13

This is the typical value for this patient

Front 14

Your ICU patient has ARDS with a pO2 of 62 mmHg despite mechanical ventilation and oxygen. which of the following best explains this finding oat

Back 14

It is a problem with gas diffusion in the lung

Front 15

Your patient complains of coughing up greenish brown sputum. This is most consistent with

Back 15

Bronchitis

Front 16

As you are palpating your patients chest he speaks and you can feel the vibration through the chest wall. You should document this as:

Back 16

Tactile fremitus

Front 17

Capnometry measures the partial pressure of CO2 in:

Back 17

Expired air

Front 18

ETCO2 is recorded during phase ______ of the capnogram

Back 18

III

Front 19

Your patient is a 23 year old female who is 30 weeks pregnant. She choked on some chess while eating apiece of pizza. When asked if she can speak she replies yes although with some difficulty. Your next step should be to

Back 19

Ask the patient to cough as hard as she can

Front 20

Most carbon dioxide from cellular metabolism reaches the alveoli by being transported

Back 20

Bound to hemoglobin

Front 21

Pulmonary embolism is a problem of

Back 21

Perfusion of the lungs

Front 22

Normal exhalation involves all of the following exceptob

Back 22

Phrenic nerve stimulation

Front 23

Obstructive sleep apnea is a problem of the

Back 23

Upper airway

Front 24

Which of the following provides provides evidence that a patient is using accessory muscles to breath?

Back 24

There is a noticeable contraction of the intercostal muscles

Front 25

You have been called to treat a patient complaining of difficulty breathing. Which of the findings should concern you the most?

Back 25

The patient can only speak only one to two words between breaths

Front 26

Your patient is a 70 year old man with a history of emphysema and pulmonary hypotension. His wife called Ems because the patient has become progressively more dyspneic over the course of the day. Which of the following aspects of the history should concern you the most?

Back 26

The patient was admitted to the ICU last year and required mechanical ventilation

Front 27

Your patient is an obese 42 year old male who uses CPAP at night. This would be most suggestive of

Back 27

Obstructive sleep apnea

Front 28

Your patient is a 44 year old female alert and oriented in moderate distress and complaining of difficulty breathing. She gives a one week history of fever and malaise with shortness of breath developing three days ago. She also has left sided chest pain with deep inspiration and a phlegmy cough. Physical examination reveals hot pale dry skin and tho chi and rales throughout the left lung. The right lung sounds are clear. HR = 134 BP=88/64 RR=24 SaO2=92%. She has a history of two previous myocardial infractions and takes nitroglycerin as needed. Which of the following is the best course of prehospital management?

Back 28

Oxygen via nonrebreather mask, IV of NS with fluid challenge