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RES 235 FINAL EXAM QUESTIONS AND CORRECT ANSWERS
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Which of the following terms is used to describe coughing up blood-streaked sputum?
A)Hematemesis B)Hemoptysis C)Hemolysis D)Hemostasis B)Hemoptysis
What change in the patient's respiratory breathing pattern is commonly seen with significant fever?
A)Slower rate B)More rapid rate C)More prolonged expiratory time D)More prolonged inspiratory time B)More rapid rate
Which of the following is most commonly associated with tripodding?
A)Severe pulmonary hyperinflation
B)Congestive heart disease C)Pneumonia D)Pulmonary fibrosis A)Severe pulmonary hyperinflation
Which of the following are common causes of tachypnea?
- Hypoxemia
- Exercise
- Narcotic overdose
- Metabolic acidosis
A)2, 3, and 4 only B)1, 2, and 4 only C)2 and 3 only D)1 and 4 only B)1, 2, and 4 only
Which of the following may cause the trachea to shift to the right?
A)Right-sided tension pneumothorax B)Right-sided large pleural effusion C)Right upper lobe atelectasis D)Left lower lobe pneumonia C)Right upper lobe atelectasis
D)Increased intracranial pressure D)Increased intracranial pressure
What breathing pattern is associated with severe atelectasis?
A)Rapid and deep B)Rapid and shallow C)Slow and shallow D)Slow and deep B)Rapid and shallow
What breathing pattern is associated with diabetic ketoacidosis?
A)Kussmaul breathing B)Apneustic breathing C)Biot's breathing D)Apnea A)Kussmaul breathing
During auscultation of a patient's chest, you hear abnormal discontinuous "bubbling" sounds at the lung bases. Which of the following chart entries best describes this finding?
A)"Bronchial sounds heard at lung bases." B)"Wheezes heard at lung bases."
C)"Crackles heard at lung bases." D)"Rhonchi heard at lung bases." C)"Crackles heard at lung bases."
What does the presence of stridor indicate?
A)Lower airway obstruction B)Increased secretions in the large airways C)Upper airway obstruction D)Bronchial spasm C)Upper airway obstruction
Which of the following can cause decreased breath sounds?
- Air or fluid in the pleural space
- Hyperinflation of lung tissue
- Mucus plugging of the airways
- Shallow or slow breathing
A)2 and 4 only B)1, 2, and 3 only C)1, 2, 3, and 4 D)2, 3, and 4 only C)1, 2, 3, and 4
Blunting of the costophrenic angles seen on the posteroanterior or lateral chest film typically indicates:
A)emphysema. B)excess pleural fluid. C)obesity. D)rib fractures. B)excess pleural fluid.
Which chest x-ray view is best used to identify excess pleural fluid?
A)Posteroanterior B)Anteroposterior C)Lateral decubitus D)Apical lordotic C)Lateral decubitus
An air-fluid level in the pleural space typically indicates:
A)tension pneumothorax. B)hydropneumothorax. C)pleural effusion. D)an aerobic infection. B)hydropneumothorax.
Which of the following statements is false regarding the recognition and treatment of a tension pneumothorax as seen on the chest radiograph?
A)The hemidiaphragm on the affected side will be pushed downward. B)The mediastinum will be pushed toward the unaffected side. C)It requires immediate insertion of a chest tube. D)The patient should be intubated. D)The patient should be intubated.
What term is used to describe the predominance of edema in the hilar regions of both lungs with progressively less edema in the more peripheral areas of the lungs as seen on the chest film?
A)Bat's wing B)Hilar wings C)Butterfly wings D)Heart wings A)Bat's wing
Which of the following statements best describe the typical findings on a chest radiograph for a patient with interstitial lung disease?
A)Unilateral upper lobe infiltrates B)Diffuse bilateral infiltrates C)Diffuse pulmonary hyperinflation
True
Stress, anxiety, and hypothermia can cause increased heart rate. True False False
Exercise can cause increase heart rate. True False True
RBC, Hgb, HCT, and WBC are found on a CBP panel. True False False
Choose all of the following that are normal values for electrolytes. 1.Na- 120-130 meq/l 2.K- 4-5 meq/l 3.Cl- 90-100 meq/l 4.Creatine- 0.6-1.5 g/dl 5.BUN- 8-25 mg/100ml
A)1, 3, and 4 B)2, 3, and 4 C)2, 4, and 5 D)1, 2, and 4 C)2, 4, and 5
Which of the following positions would a patient have to sit if they were suffering from these conditions: heart problem, CHF, and Pulmonary Edema
A)Supine B)Prone C)Eupnea D)Orthopnea D)Orthopnea
Choose the best definition diaphoresis.
A)no sweating B)a state of profuse/heavy sweating C)minimal sweating D)cool and clammy B)a state of profuse/heavy sweating
Increased respiratory rate and depth with irregular periods of apnea is described as
A)Biots breathing B)Cheyne Stokes breathing C)Eupnia D)Kussmauls A)Biots breathing
Metabolic acidosis, renal failure, diabetic ketoacidosis causes what type of breathing pattern.
A)Kussmauls B)Cheyne-Stokes C)Biot's D)Apneustic A)Kussmauls
Choose the lung abnormalities that would pull the trachea toward the pathology: 1.Pneumonectomy 2.Enlarged lymph nodes 3.Diaphragmatic paralysis 4.Large mediastinal mass 5.Neck or thyroid tumors
A)1, 3, 4
B)1 and 3 only C)2, 3, and 5 only D)2 and 4 only B)1 and 3 only
Dark pattern is described as ________________.
A)Abnormal finding on x-ray B)is used to described as fluid on the xray C)Normal for the lungs D)is used to describe consolidation C)Normal for the lungs
Which of the following are considered accessory muscles of respiration? I. Sternomastoids II. Pectoralis major III. Trapezius IV. Abdominals
A)I, II B)II, III, IV C)I, II, III D)I, II, IV C)I, II, III
Choose the correct term for #
A)Larynx B)Esophagus C)Laryngopharynx D)Trachea D)Trachea
Choose the correct term for #
A)Larynx B)Esophagus C)Laryngopharynx D)Trachea A)Larynx
Choose the correct term for #
A)Larynx B)Esophagus C)Laryngopharynx D)Epiglottis D)Epiglottis
Choose the best description for the following chest xray
A)Decrease lung volume B)Pulmonary infiltrates C)blunting of the costophrenic angles D)Hyperexpansion of a COPD patient D)Hyperexpansion of a COPD patient
Choose the best description for the following chest xray
A)Pneumothorax B)Pulmonary infiltrates C)blunting of the costophrenic angles D)Pneumonia A)Pneumothorax
Choose the best description for the following chest xray
A)Pleural effusion B)Pulmonary infiltrates C)Air bronchograms D)Pneumonia C)Air bronchograms
D)wedge shaped infiltrate D)wedge shaped infiltrate
Choose the term best used to describe a patient's xray who has been diagnosed with a pulmonary edema.
A)butterfly pattern B)Ground Glass Appearance C)Honeycomb pattern D)wedge shaped infiltrate A)butterfly pattern
A high hematocrit is known as which of the following terms
A)Polycythemia B)anemia C)Leukopenia D)Leukocytosis A)Polycythemia
Which of the following diseases will have polycythemia?
A)Pneumonia B)OSA
C)CHF
D)COPD patient D)COPD patient
Which type of xray film will show the heart image enhanced?
A)PA B)AP C)Right Lateral D)Left Lateral B)AP
Which of the following is the most common type of interstitial lung disease?
A)Asbestosis B)Silicosis C)Sarcoidosis D)Scleroderma C)Sarcoidosis
If the patient had a massive pleural effusion on the left side you would see the trachea pushed to the right. True False
