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58 Cards in this Set

  • Front
  • Back
Which of the following is also known as Fiedlander's bacillus?
a) Haemophilus influenzae
b) Pseudomonas aeruginosa
c) legionella pneumophila
d) klebsiella
e) Streptococcus
d) Klebsiella
Of the six types of Haemophilus influenzae, which type is most frequently pathogenic?
a Type A
b Type B
c Type C
d Type D
e Type E
b Type B
Which of the following is asssociated with Q fever?
a Mycoplasma pnuemoniae
b Rickettsia
c Ornithosis
d Varicella
e Respiratory synctial virus
b Rickettsia
Mendelson's syndrome is associated with which of the following?
a Lipoid pnuemonitis
b Rubella
c Varicella
d Aspiration pneumonia
e Rickettsia
d Aspiration pnuemonia
Which of the followingis/are commonly seen in patients with AIDS?
i Aspergillus
ii Cryptococcus
iii Pneumocystis carinii
iv Cytomegalovirus

a i only
b iii only
c ii and iv only
d ii, iii, and iv only
e i, ii, iii, and iv
e i, ii, iii, and iv
Ribavarin aerosol has been shown to be effective in treating children with which of the following?
a Klebsiella
b Haemophilus influenzae B
c Respiratory synctial virus
d Pseudomonas aeruginosa
e Streptococcus
c Respiratory synctial virus
Which of the following is almost always the cause of acute epiglottitis?
a Haemophilus influenzae B
b Klebsiella
c Streptococcus
d Mycoplasma pneumonae
e Parainfluenza virus
a Haemophilus influenzae B
Which of the following is most associated with "croup"?
a Streptococcus
b Parainfluenza virus
c Mycoplasma pneumoniae
d Adenovirus
e Clamydia psittaci
b Parainfluenza virus
In the absence of a secondary bacterial infection, lung inflamation caused by the aspiration of gastric fluids ussually becomes insignificant in approximately how many days?
a 2
b 3
c 5
d 7
e 10
b 3
Which of the following is/are associated with pneumonia?
i Decreased tactile and vocal fremitus
ii Increased C(a-v)o2
iii Decreased PEFR
iv increased VC

a i only
b iii only
c ii and iv only
d i and iii only
e ii and iii only
b iii only
Which of the following is/are anaerobic organisms?
i Klebsiella
ii Peptococcus
iii Coccidiodes immitis
iv Bacteriodes

a i and ii only
b ii and iv only
c iii and iv only
d ii, iii, and iv only
e i, iii, and iv only
b ii and iv only
Which of the following is/are predisposing factors to the aspiration of gastrointestinal fluids (and anaerobes)?
i Siezure disorders
ii Head truama
iii Alcoholic binges
iv General anesthisia

a i and iii only
b ii and iv only
c ii and iii only
d ii, iii, and iv only
e i, ii, iii, and iv
e i, ii, iii, and iv
Which of the following aerobic organisms is/are associated with the formation of a lung abscess?

i Fusobcaterium
ii Staphylococcus aureus
iii Klebsiella
iv Streptococcus pyogenes

a i only
b iii only
c ii and iv only
d ii, iii, and iv only
e i, ii, iii, and iv
d ii, iii, and iv only
Anatomically, a lung abscess most commonly forms in which part(s) of the lung?

i Posterior segment of the upper lobe
ii Lateral basal segment of the lower lobe
iii Anterior segment of the upper lobe
iv Superior segment of the lower lobe

a i only
b iii only
c i and iv only
d ii and iii only
e ii, iii, and iv only
c i and iv only
Which of the following pulmonary function findings may be associated with a severe and extensive lunf abscess?

i Decreased FVC
ii Increased PEFR
iii Decreased RV
iv Increased FRC

a i only
b iii only
c ii and iv only
d iii and iv only
e i and iii only
e i and iii only
T/F
Penicillin or semisynthetic penicillin analogs are usually the first drugs of choice in treating a lung abscess.
T
T/F
Odorless green or yellow sputum indicates a putrid infection that is caused by numerous organisms.
F
T/F
In humans, anaerobic organisms normally inhabit the intestines and are found in saliva.
T
T/F
Some parasites such as Echinicoccus are associated with lung abscess.
T
T/F
A lung abscess is more commonly found in the left lung than in the right.
F
What is the first stage of tuberculosis known as?
Primary tuberculosis and Primary infection stage
What is the name of the protective cell wall that surrounds and encases lung tissue infected with tuberculosis?
Granuloma and Tubercle
The tubercle bacillus is:
Highly aerobic, Acid fast, Capable of surviving for months outside the body, and rod shaped .
At which size wheal is the TB skin test considered to be positive?
Greater than 10 mm
What is often prescribed a a daily dose for 1 year in individuals who have been exposed to the tuberculosis bacilli?
Isoniazid
T/F
Pleural space complications such as emphyzema and pneumothorax are common in patients with tuberculosis?
F
T/F
A positive reaction to the tuberculin skin test confirms that a patient has zctive TB.
F
T/F
Tb commonly develops in the apices of the lungs.
T
T/F
The tuberculin skintest measures the delayed hypersensitivity that follows exposure to the tubercle bacillus.
F
Miliary TB presents as a small, isolated tubercle lesion.
T
What is the most common fungal infection in the U.S.?
Histoplasmosis
Incidence of histoplasmosis is especially high in what state or region?
Mississippi
The condition called desert bumps, desert arthritis, or desert rheumatism is associated with what fungal infection?
Coccidioidomycosis
What medication is/ are used to treat fungal disease?
Amphotericin B and Itraconazole
What form of histoplasmosis is characterized by healed lesions in the hilar lymph nodes as well as a positive histoplasmin skintest response?
Latent asymptomatic disease
T/F
Histoplasma capsulatum is commonly found in soils near chicken houses and pigeon lofts.
T
T/F
It is estimated that about 50,000 new cases of coccidiodomycosis occusr annually.
F
T/F
Blastomycosis also is known as valley or desert fever.
F
T/F
The diagnosis of coccidiodomycosis can be made by blood tests that detect antibodies of the fungus, or culture of the organism from infected fluid or tissue.
T
Blatomycosis is most common in young men living in north america.
T
In Pulmonary Edema, fluid first moves into the:

i Alveoli
ii Perivascular interstitial space
iii Bronchioles
iv Peribronchial interstitial space
ii and iv
What is the normal hydrostatic pressure in the pulmonary capillaries?

a 5 to 10 mm Hg
b 10 to 15 mm Hg
c 15 to 20 mm Hg
d 20 to 25 mm Hg
e 25 to 30 mm Hg
b 10 to 15 mm Hg
What is the normal oncotic pressure of the blood?

a 5 to 10 mm Hg
b 10 to 15 mm Hg
c 15 to 20 mm Hg
d 20 t0 25 mm Hg
e 25 to 30 mm Hg
e 25 to 30 mm Hg
Which of the following are causes of cadiogenic pulmonary edema?

i Excessive fluid administration
ii Right ventricular failure
iii Mitral valve disease
iv Pulmonary embolus
i, iii, and iv only
As a result of pulmonary edema, the patient's:

i RV is decreased
ii FRC is increased
iii VC is increased
iv TLC is increased
i only
T/F
Morphine sulfate induces venodilation.
T
T/F
Patients with pulmonary edema frequently recieve 30% to 50% aerosolized alcohol.
T
T/F
A patient is said to have orthopnea if dyspnea increases when the patient is in the upright position.
F
T/F
T/F
Kerley B lines on the chest X-ray films are believe to originate from edematous interlobar septa.
T
T/F
Hypoproteinemia reduces oncotic pressure
T
Most pulmonary emboli originate from throbi in the :

a Lungs
b Right heart
c Leg and pelvic veins
d Pulmonary veins
c Leg and pelvic veins
The aortic and carotid sinus baroreceptors initiate which of the following in reponse to a decreased systemic blood pressure?

i Increased heart rate
ii Increased ventilatory rate
iii Decreased heart rate
iv Ventilatory rate is not affected by the aortic and carotid sinus barorecptors
i and ii only
What is the upper limit of the normal mean pulmonary artery pressure?

a 5 mmHg
b 10 mmHg
c 15 mmHg
d 20 mmHg
e 25 mmHg
c 15 mmHg
Pulmonary hypertension develops in pulmonary emblism because:
vasoconstriction caused by humoral agent release and induced by decreased alveolar oxygen pressure (Pao2).
In severe pulmonary embolism, which of the following hemodynamic indices is/are commonly seen?
i Decreased PVR
ii Increased PA
iii Decreased CVP
iv Increased PCWP
ii Increased PA
When humoral agents such as serotoninare released into the pulmonary circulation, which of the following occur?
i The brochial smooth muscles dilate
ii The V/Q ratio decreases
iii The bronchial smooth muscle constrict
iv The V/Q ratio increases
ii and iii only
Which of the following is a thrombolytic agent?

i Urokinase
ii Heparin
iii Warfarin
iv Streptokinase
i and iv only
Which of the following is the most prominent source of pulmonary emboli?

a Fat
b Blood clots
c Bone marrow
d Air
e Malignant neoplasms
b Blood clots