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112 Multiple choice questions

  1. Prickling sensations around the mouth or extremeties ("circumoral"/"peripheral" paresthesia). Twitching leading to tetany.
  2. Vena cava filter insertion, anti-coagulants, morphine, diuretics, fibrinolytics. Stockings.
  3. A ground glass appearance in the lungs. There is bilateral consolidation.
  4. This ailment is treated with early morning & bedtime chest percussion.
  5. High CA in urine. Positive Kveim-Silzbach Test.
  6. Nodules of inflamed tissue. Multisystemic. Effects 20-40 y.o. Resolves in 2 yrs.
  7. Sudden onset of dyspnea, tachypnea, crackles. Elevated temp if thrombophlebitis caused the clot.
  8. S/S: Pleural friction rub, sharp stabbing pain, bed rest. Thoracentesis.
  9. There is hole from the outside of the body which goes to the inside of the body, into the intrapleural space.
  10. Substernal pain, arthralgia of wrists, ankles, elbows, erythema nodosum (sub q skin noduls w/eruptions), uveitis/glaucoma, large spleen, hepatitis, nerve palsies, meningitis. Blindness.
  11. There are two types of this: 1) Ventilatory Failure. 2) Oxygenation Failure.
  12. Large Cell.
  13. Breathe into a paper bag. This causes CO2 to increase.
  14. The term for interference w/respiration leading to cardiopulmonary arrest & death.
  15. Squamous cell/epidermoid.
  16. Negative pressure room.
  17. D/T reduced alveolar ventilation (the lungs are unable to remove the CO2 and the kidneys can't keep up either.).
  18. Anti-neoplastics.
  19. Fiber optic bronch. Xray.
  20. D/t: Exposure to zirconium, beryllium. Genetics, senstivity to bacteria, fungi, pine pollen.
  21. This happens when there is too much CO2 in the blood.
  22. Staff must wear a respirator w/high efficiency particulate air filter.
  23. There is a hole which goes from the lung to the intrapleural space.
  24. 1) Acute. 2) Chronic.
  25. Deficiency in alpha 1-antitrypsin, smoking.
  26. Nurses give pain meds to treat pain because pain prevent Pts from deep breathing, and lack of deep breathing leads to this.
  27. This person is called a "Pink Puffer".
  28. Small Cell.
  29. A result of blunt chest trauma.
  30. 3 types: 1) Cylindrical/fusiform. 2) Varicose. 3) Saccular/cystic.
  31. Low CA diet, corticosteroids, cytotoxics, high calorie nutritious diet, no exposure to sunlight for Pts w/hyper CA.
  32. Inflammation of the alveolar spaces. Increases in alveolar fluid.
  33. Blood accumulates in the pleural space d/t: 1) A rib lacerating lung tissue. 2) A rib lacerating an artery. 3) A rupture of a pulmonary blood vessel.
  34. Xrays show dilated pulmonary arteries & the diaphragm elevated on the effected side.
  35. Fluffy infiltrates, nodular lesions, spontaneous pneumothorax.
  36. An undissolved substance obstructs the flow of blood: Fat, air, thrombus, clot.
  37. Destruction of the walls of the bronchi.
  38. Ppl who recover from this may have zero or little lung damage.
  39. Contraceptives.
  40. This is one of 3 types of COPD. "Pink Puffer". Recurrent pulmonary inflammation damages then destroys alveolar walls L/T large spaces when they collapse.
  41. 90% of HIV Pts get it. It kills them.
  42. This disease is due to acid fast bacilli.
  43. This is one of three types of COPD. Bronchial lining overreact, causing episodic spasms and inflammation and severe restriction of the airways.
  44. Check Patient for a Homan's SIgn (pn in calf d/t a clot).
  45. 25% of COPD Pts get this condition.
  46. In this disease, an x-ray of the chest shows active or calcified lesions.
  47. Empyema (pus, blood, chyle, and necrotic tissue in the pleural space).
  48. Not enough CO2 in the blood.
  49. Also called 'Pleuritis'.
  50. Bacteria invade the alveoli then spread via the lymph system & into the circulatory system.
  51. There are 4 types of these.
  52. Squamous cell/epidermoid.
  53. Pus, blood, chyle, and necrotic tissue in the pleural space.
  54. Normal flora found in ppl. In immunosuppressed Pts it goes gangbusters.
  55. This is due to a bleb rupture.
  56. Night sweats & fever.
  57. A clot starts in the venous system, travels to the R side of the heart, into the pulmonary artery, and obstructs small vessels & causes pulm. htn. & in infarction.
  58. This can occur from an airway disease, suppressed breathing, obstruction (ie: Obesity, COPD, etc.), illegal drugs.
  59. A buildup of air in the pleural space.
  60. Gram negative bacteria causes bronchopneumonia & inflammation. Occurs in late Summer & early Fall. Mild to 15% mortality Fluorescent. Dopamine.
  61. This disease is d/t an increased PVR which leads to an increase in R ventricular pressure.
  62. Lactate dehydrogenase levels.
  63. This is an all around failure of the respiratory system.
  64. Interventions: CPAP, bronchodilators, intubation, dialysis (to remove the illegal drugs that are causing the reduced ventilation), coughing, deep breathing, intubation.
  65. Adenocarcinoma.
  66. This is one of three types of COPD. It develops from irritants & infections.
  67. Asthma.
  68. Collapse of the lung from a loss of negative intrapleural pressure d/t a hole poking thru & air getting in.
  69. This occurs when blood flows to lung tissue that's experiencing reduced ventilation, or ventilation to lung tissue that's experiencing reduced blood flow, or shunting from the R side of the heart to the L side of the heart.
  70. Encourage >3L of fluid intake/day, pursed lip breathing, incentive spirometer. Use only low flow oxygen as Pts are hypercapnic & have a hypoxic resp. drive. Intubation may become necessary.
  71. This disease requires oxygen therapy of 24%-40%.
  72. When the Resp. System can't supply the body w/the O2 it needs or it can't remove CO2.
  73. Unregulated cell growth & division L/T a tumor.
  74. Having post-op Pts cough, deep breathe, hold a pillow over their chest while they cough/deep breathe, get 'em walking, use an incentive spirometer prevents this from occuring.
  75. Drink 3L of fluid/day. Perform pursed lipped breathing.
  76. When Pt coughs up several cupfuls of foul smelling gunk they are suffering from this.
  77. Increases mucous production, impairs airway clearance, causes irreversible narrowing of the small airways. CO2 is retained.
  78. A fracture of a long, flat bone.
  79. Also known as 'Pleurisy'
  80. This disease of the lungs causes the enlargement of the R ventricle of the heart.
  81. Asia. 2003. Corona virus. It is atypical pneumonia.
  82. Finger clubbing, hyperinflation, tachycardia, R sided heart failure w/JVD.
  83. Is now called 'Pneumocystis jirovecii".
  84. S/S: Unilateral diminshed breath sounds, sharp pain
  85. This is due to alveolar hypoventilation.
  86. Xray of the chest shows a mediastinal shift.
  87. Finish the entire course of meds (6-18 months!).
  88. Limit fluid intake to to 1-2L/day. Low Na diet to trt this disease/condition.
  89. A disorder in which fluid builds up in the lungs causing them to stiffen.
  90. Emphysema
  91. This disease paralyzes the resp. muscles.
  92. In this disease, 3-6 wks after invasion, cell mediated immunity contains then arrests the disease.
  93. "Incomplete expansion of the lung/alveoli clusters ("lobules") or lung segments. This may in turn cause a partial or a complete collapse of the lung."
  94. Elimination of CO2 by the lungs exceeds production of CO2 at the cellular level.
  95. Deep, rapid breathing is the cardinal sign (+40 resp./min.) w/dizziness. PACO2 is less than 35 mm Hg. Increased pH. Bicarb is normal.
  96. pH is below normal. CO2 is higher than 45 mm Hg.
  97. Expirational wheezes.
  98. Thoracentesis.
  99. Inflammation of the membranes which envelop the lungs/line the inside of the thoracic cage (the visceral and parietal pleurae).
  100. This occurs when the PaO2 is >50 mm Hg, PaCO2 is 50 mm Hg or more, and pH is 7.25 or less.
  101. In this disease, when the infection reactivates, necrotic tissue turns cheesy,undergoes fibrosis, or form cavities lined w/multiplying tubercule which spreads thru the lungs & into the tracheobronchial tree.
  102. This resp. condition is usually found in the lower lobes.
  103. Chronic Bronchitis.
  104. "Chronic abnormal dilation of the bronchi."
  105. S/S: Spasms of the wrists & feet ("carpopedal spasms").
  106. An excess of fluid in the pleural space.
  107. Fluid: 3L/day, steroids, Vit C, diet: High protein/calories, Vit C., low flow O2, intubation. alpha-1 antitrypsin therapy.
  108. This condition is D/T: Gas inhalation, gastric juices in lungs, obstruction, or recurrent lung infections that are poorly treated.
  109. Intervention: Chest tube to a water seal drainage. Or, a needle thoracotomy.
  110. Coagulation issues.
  111. pH is normal. Bicarb is below normal.
  112. This is d/t: Anxiety, asthma. Lots of resps blow off CO2 faster than the body can make CO2. A decrease in CO2 causes the blood to be less acidic and more alkalinic, thus the 'alkalosis' is caused by respirations.