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EMT Chapter 15 Review

Total questions: 18

Worksheet time: 10mins

Name
Class
Date
1.

In order for efficient pulmonary gas exchange to occur:

a)

There must be low quantities of pulmonary surfactant to allow for full alveolar expansion

b)

The pulmonary capillaries must be completely constricted and the alveoli must be collapsed

c)

Oxygen and carbon dioxide must be able to freely diffuse across the alveolar-capillary membrane

d)

The percentage of inhaled carbon dioxide must exceed the percentage of inhaled oxygen

2.

You are assisting an asthma patient with his prescribed meter-dose inhaler. After the patient takes a deep breath and depressed the inhaler, you should:

a)

Advise him to exhale forcefully to ensure medication absorption

b)

Immediately reapply the oxygen mask and reassess his condition

c)

Allow him to breathe room air and assess his oxygen saturation

d)

Instruct him to hold his breath for as long as he comfortably can

3.

His parents tell you that their son has had a chest infection for the past two days and when they took him to their family doctor, they were told it was likely due to the respiratory syncytial virus (RSV). They have kept him well hydrated, but the infection seems to have gotten worse. On auscultation, you hear decreased air entry bilaterally with fine expiratory wheezes and the occasional coarse wet crackle. Based on this information, your patient is most likely suffering from:

a)

epiglottitis

b)

pertussis

c)

croup

d)

bronchiolitis

4.

“PASTE” is an alternate assessment tool for ___________.

a)

seizure patients

b)

cardiac patients

c)

respiratory patients

d)

stroke patients

5.

Which of the following is MOST characteristic of adequate breathing?

a)

20 breaths/min with shallow movement of the chest wall and pallor

b)

30 breaths/min with supraclavicular retractions and clammy skin

c)

24 breaths/min with bilaterally equal breath sounds and pink skin

d)

22 breaths/min with an irregular pattern of breathing and cyanosis

6.

Your patient has a chronic respiratory condition. His stimulus to breathe is triggered by low oxygen levels in the blood. This is known as the ___________.

a)

hypoxic drive

b)

COPD drive

c)

alternate drive

d)

CO2 drive

7.

Which of the following is a genetic disorder that predisposes the patient to repeated lung infections?

a)

Cystic fibrosis

b)

Celiac sprue

c)

Multiple sclerosis

d)

Severe acute respiratory syndrome

8.

Asthma is caused by a response of the:

a)

respiratory system.

b)

Cardiovascular system.

c)

immune system.

d)

endocrine system.

9.

You are attending to a 3-year-old male patient who is presenting with severe shortness of breath. His parents report that he has had a cough and cold with a low grade fever for the past two days. They became worried today, as his level of distress has increased dramatically. On assessment, the patient is sitting upright and making high-pitched noises with each breath. Based on this information, the patient is most likely suffering from:

a)

inflammation of the lower respiratory tract and bronchospasm

b)

inflammation of the bronchioles

c)

bacterial infection of the epiglottis

d)

viral infection of the upper respiratory tract

10.

Treatment with continuous positive airway pressure (CPAP) would MOST likely be contraindicated in which of the following situations?

a)

Difficulty breathing, two-word dyspnea, and tachycardia

b)

Shortness of breath and a blood pressure of 76/56 mm Hg

c)

Pulmonary edema, history of hypertension, and anxiety

d)

Conscious and alert patient with an oxygen saturation of 85%

11.

You are attending to a 54-year-old female patient in a homeless shelter. The patient tells you that she had the flu a couple of weeks ago, and she has not gotten over it. She has been tired and keeps waking up at night, sweating. She has been coughing up green sputum occasionally and has been experiencing episodes of chest pain that get worse when she breathes. Based on this information, your patient is most likely suffering from:

a)

chronic obstructive pulmonary disease (COPD).

b)

pneumonia.

c)

influenza Type A.

d)

tuberculosis.

12.

A pleural effusion is MOST accurately defined as:

a)

fluid accumulation outside the lung

b)

diffuse collapsing of the alveoli

c)

a bacterial infection of the lung tissue

d)

a unilaterally collapsed lung

13.

A 30-year-old male presents with acute shortness of breath, widespread hives, and facial swelling. He denies any past medical history and takes no medications. During your assessment, you hear wheezing over all the lung fields. His blood pressure is 90/50 mm Hg and his heart rate is 110 beats/min. In addition to giving him high-flow oxygen, the MOST important treatment for this patient is:

a)

a beta-antagonist.

b)

an antihistamine.

c)

epinephrine

d)

albuterol

14.

A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient's condition?

a)

Exacerbation of his COPD

b)

Spontaneous pneumothorax

c)

Rupture of the diaphragm

d)

Acute pulmonary embolism

15.

When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. This means that the patient has:

a)

diminished breath sounds

b)

an absence of breath sounds

c)

abnormal breath sounds

d)

normal breath sounds

16.

Which of the following must be assessed in every respiratory patient?

a)

Lung sounds

b)

Blood glucose levels

c)

Orthostatic vital signs

d)

Distal pulse, motor, sensation

17.

In what area of the lungs does respiration occur?

a)

Alveoli

b)

Capillaries

c)

Bronchi

d)

Trachea

18.

Crackles (rales) are caused by _________.

a)

mucus in the larger airways

b)

narrowing of the upper airways

c)

air passing through fluid

d)

severe bronchoconstriction