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Comprehensive final review #1 Flashcards | StudBud
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Comprehensive final review #1
Comprehensive final review #1
45 terms
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StudBud Administration
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Test your knowledge on respiratory care interviews and chest X-rays
Flashcards
45 cards
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Questions
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Answers
1
Which of the following terms is used to describe coughing up blood-streaked sputum?
homeostasis
Hematemesis
hemolysis
hemoptysis
2
What classification of hypoxemia would an SpO2 of 88% on room air be?
Moderate
normal
mild
severe
3
What is a common clinical finding with small pleural effusions?
arrhythmias
dyspnea
tachycardia
air bronchograms
4
Normal PaCO2 is considered to be:
25-35 mmHg
35-45mmHg
45-60 mmHg
60-80 mmHg
5
The chest radiographic findings in which of the following ILDs is calcification along the pleura?
asbestosis
berylliosis
IPF
sarcoidosis
6
What is a normal tidal volume for a normal adult?
7-9 mL/kg
10-12 mL/kg
9-11 mL/kg
4-6 mL/kg
7
The disease seen in ILD is primarily what type of process?
Airway constrictive
obstructive
Supralyaryngeal
Restrictive
8
Which of the following is closest to core body temperature?
axillary
rectal
oral
forehead
9
For there to be a successful interview, the respiratory therapist must:
reassure the patient
use medical terminology to show knowledge of the subject matter
be an active listener
provide leading questions to guide the patient
10
Which chest radiographic view is of the best quality?
Lordotic
AP
Lateral
PA
11
What is the most likely symptom of a pt with pulmonary disease when in distress?
distressed facial expressions
retractions of the intercostal space
Tachypnea
dyspnea
12
The respiratory care practitioner is conducting a pt interview. The main purpose is to:
Gather objective data from the pt
Review data with the pt
Fill out the history form or checklist
Gather subjective data from the pt
13
Which of the following should an RT evaluate about sputum in a pt with bronchiectasis?
odor
color
consistency
frequency of cough
14
Which is not likely to be seen in an ABG of a pt with acute ventilatory failure?
Alkalotic pH
Acidic pH
Increased PaCO2
Normal bicarb
15
Which of the following would be found in a stable pt with long standing obstructive lung disease?
low HCO3 and low CO2
High HCO3 and low CO2
High HCO3 and high CO2
Low HCO3 and high CO2
16
For most chest X-ray studies, what is usually done?
The patient is told to pant and to provide a middle lung volume
Patient exhales entirely
Separate inspiratory and expiratory films are taken
Patient inhales fully
17
Which of the following is an example of a leading question?
When did your breathing change?
Where is your pain located
is your breathing better now?
How is your breathing now?
18
What ventilatory pattern occurs when the compliance of the lungs decreases?
Rate increases and VT decreases
Rate and VT increase
Rate decreases while VT decreases
No change
19
Which of the following is not related to metabolic acidosis?
renal failure
shallow breathing from a sedative overdose
diabetic ketoacidosis
lactic acidosis
20
Which of the following is true of a chest X-ray?
Lateral decubitus fims are shot with the pt lying supine
PA films artificially increase the size of the heart shadow
AP films are typically taken in the radiology dept
Lateral films are shot through one side of an upright patient
21
A 50-yr old pt has a pulse rate by palpation of 120 bpm. What is this called?
An error since a stethoscope was not used
Within the normal range for an adult
Bradycardia
tacycardia
22
Which disorders is categorized because of similarities in their clinical presentations, plain CXR, and phys features?
ILD
IRDS
CHF
sudden acute respiratory distress syndrome
23
According to the GOLD report, which of the following is the greatest worldwide risk factor for COPD?
exposure to fungal spores
cigarettes smoking
exposure to influenza viruses
genetic presisposition
24
Which of the following is found almost universally in pts with ILD?
bronchoconstriction
deceased compliance
airway dilation
compensatory cytokine release
25
If both mother and father are carriers of the CF gene, what are the chances that their child will be a carrier?
0%
25%
100%
50%
26
What is the most common cause of a hemothorax?
surgery
malignancy
pulmonary embolism
Chest trauma
27
What is it called when there is bilateral shadowing around the hilum?
heart wings
Hilar wings
Dragonfly wing
Bat's wing
28
What classic radiographic finding presents in many end-stage ILDs?
severe hyperinflation
prominent bibasilar infiltrates
cystic pattern called honeycombing
pleural disease uncommon
29
Which of the following is most commonly associated with tripodding?
CHF
pneumonia
severy pulmonary hyperinflation
pulmonary fibrosis
30
Which of the following is least likely to cause tachycardia?
hypothermia
hypotension
Severe pain
Fever
31
What is the primary tool used to diagnose a pneumothorax?
computed tomography
VQ scanning
PET scan
chest xray
32
What external factors should an RT consider and provide during a patient interview?
comfortable setting for the patient and interviewer
ensure privacy during discussions
Minimize or prevent interruptions
Interviewer is the same sex as the patient prevent bias
33
Which of the following can cause a trachea to deviate to the same side as a lung problem?
a right-side pneumothorax
a right-side pleural effusion
a tumor or mass
atelectasis in the right upper lobe
34
A 50-yr old would be said to have hypotension when:
RR of 25
HR of 55
BP of 85/55
BP of 130/90
35
Which of the following is not expected in a patient with emphysema?
polycythemia
barrel chest
normal percussion notes
pursed-lip breathing
36
What does an anion gap of 17 indicate?
respiratory alkalosis
mixed acidosis
metabolic alkalosis
Metabolic acidosis
37
Which symptom is not associated with asthma?
wheeze
cough
chest tightness
fever
38
What osculatory finding is most consistent with the diagnosis of ILD?
monophonic expiratory wheezes
polyphonic expiratory wheezes
fine bilateral inspiratory crackles
coarse inspiratory and expiratory crackles
39
The chest X-ray shows blunting of the pt's costophrenic angles. What does this suggest?
pleural fluid
Under exposure of the film
Lung cancer
The pt needs to breathe deeper
40
What is the likely diagnosis of a pt with chronic cough, exertion dyspnea, and focal honeycomb changes on HRCT?
sarcoidoisis
idiopathic pulmonary fibrosis
asbestosis
coal worker's pneumoconiosis
41
What anatomical position is most likely to show the presence of a small pleural effusion?
Apical regions
Costophrenic angles
Fissures
Subdiaphragmatic region
42
Which of the following is not associated with cystic fibrosis?
atelectasis
thick, tenacious mucus
bronchospasm
hyperinflation of the alveoli
43
Scleroderma, rheumatoid arthritis, & systemic erythematous are all examples of what type disease group?
hypersensitivity pneumonitis
asbestosis-associated illnesses
pneumoconiosis
connective tissue diseases
44
Which of the following PFT tests is most likely to be normal in a pt with IPF?
FEV1/FVC
FVC
FEV1
DLCO
45
What is the primary pathologic change that occurs in ILD?
bronchoconstriction of medium to small airways
alveolar capillary membrane structure replaced by fibrotic tissue
bronchial submucosal gland hypertrophy
increased sputum production
