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WorksheetsRehab 105 Long Quiz 1 - Endterms
Total questions: 50
Worksheet time: 53mins
Clinical diagnosis for Chronic Bronchitis.
persistent productive cough for at least 3 months for 3 successive years
persistent dry cough for at least 3 months for 2 successive years
persistent productive cough for at least 3 months for 2 successive years
persistent dry cough for at least 3 months for 3 successive years
Antibody mainly involved in the development of allergic responses.
IgG
IgE
IgA
IgM
A young child with newly diagnosed cystic fibrosis is being seen by a PT in the home. Which intervention should be considered for this patient?
teach the use of the acapella device in postural drainage positions to be performed od or bid
teach the child autogenic drainage for secretion removal to be performed od or bid
teach the parents secretion removal techniques to all segments of all lobes of both lungs od or bid
teach the child active cycle of breathing (ACBT) to be done od or bid to clear retained secretions
Alpha 1 antitrypsin is made in the:
pancreas
lungs
liver
kidney
In a patient with COPD, what can you hear upon auscultation?
wheezing
rales
stridor
amphoric
A 60 y/o patient presents with exertional dyspnea. Upon physical examination, the patient presents with (+) barrel chest and X Ray results shows a flattened diaphragm. What is the recommended type of breathing for this patient?
costal
diaphragmatic
abdominal
pursed lip
This type of emphysema is the most common type (95%) and is often associated with chronic bronchitis and bronchial inflammation.
panlobular
centrilobular
distal
irregular
Usually the first manifestation of emphysema.
pulmonary edema
tachypnea
dyspnea
orthopnea
Cardinal symptom of Chronic Bronchitis.
cardiac failure
cor pulmonale
recurrent infection
persistent productive cough
A 50-year old male, smoker, presented with cough, copious
sputum, and progressive dyspnea on exertion for the last two years. On physical examination, he has wheezes all over his lung fields, and cyanotic lips. Morphologic findings of the lungs in this condition will most likely show a/an:
Abnormally large alveoli separated by thin septa and deformed
respiratory bronchioles
Enlargement of the mucus-secreting glands of the bronchi and
hyperemia and edema of the mucus membranes.
Dilatation of bronchi and bronchioles caused by destruction of themuscle and elastic tissue.
Thickening of the basement membrane, edema and inflammatory infiltrate in the bronchial walls.
Permanent dilatation of bronchi & bronchioles caused by destruction of muscle and elastic tissue associated often with necrotizing inflammation (infection).
emphysema
asthma
bronchiectasis
chronic bronchitis
An elderly patient presents with sever COPD, GOLD stage 4. Which of the following physical examination findings would the therapist find?
kyphosis with an increased thoracic excursion
barreled chest with a decreased thoracic excursion
pectus excavatum with an increased thoracic excursion
pectus carinatum with decreased thoracic excursion
A 30 year-old female, has experienced multiple bouts of severe necrotizing pneumonia since childhood with Staphylococcus aureus and Pseudomonas sp. cultured from her sputum. She now has again productive cough of purulent sputum and her CXR reveals areas of consolidation in the right lower lobe. A bronchogram shows marked dilatation of the right lower lobe bronchi. Which of the following mechanism is the likely cause of her disease?
Damage to the mucosa by eosinophils
Recurrent inflammation with bronchial wall destruction
Diffuse infiltration by a mass along the right lower lobe bronchi
Defect resulting from CFTR mutation
The anatomic site affected are the bronchus except:
chronic bronchitis
bronchiectasis
emphysema
asthma
Blue bloaters except:
weight gain
young age
chronic cough
weight loss
Upon physical examination is a patient with COPD, all are possible findings except:
hyperinflation
use of accessory muscles of respiration
increased breath sounds
wheezing
FEV1/FVC < 0.7 and FEV1 > or equal to 50% but < 80% predicted. What stage or severity of COPD according to GOLD classification?
I or mild
II or moderate
III or severe
IV or very severe
Drug of choice for a patient with Lung Abscess.
penicillin
amoxicillin
clindamycin
ciprofolxacin
In a patient with Lung Abscess, what breath sounds can be heard upon ausculatation?
ronchi
wheezing
amphoric
crackles
Medium dose ICS-LABA and relieved by low dose ICDS-formoterol. The patient is in what step according to GINA guidelines?
2
3
4
5
Patient X present with chronic asthma. Upon physical examination, all are possible findings except:
tachycardia
overinflation of chest with poor movement of diaphragm
tachypnea with prolonged expiration
bradypnea with prolonged expiration
Symptoms present as presentation of daily asthmatic symptoms during the day and > 1 per week at night. What classification of asthma?
mild intermittent
mild persistent
moderate persistent
severe persistent
Form of Asthma primarily seen in children caused by Type-1 hypersensitivity to inhaled agents.
allergic
intrinsic
occupational
asthma-copd overlap
In a patient with hyperinflated lungs, X-Ray findings will present with an:
increased lateral costal expansion
increased subcostal angle
decreased inspiration:expiration (I:E) ration
decreased mediate percussion
Pink puffers except:
weight loss
little or no cough and expectoration
advanced age
sever hypoxia
In 99% of CF, death is caused by:
pneumothorax
cor pulmonale
respiratory failure
hemothorax
In a person with CF, thick secretions in the pancrease can lead to except:
infections
DM
malnourishment
decrease in growth
Complications for Sleep Apnea Syndrome except:
cardiac arrhythmias
pulmonary hypertension
cor pulmonale
left sided heart failure
Principal treatment for Sarcoidosis.
immunosuppression therapy
antibiotic therapy
steroid injections
plasmapharesis
Most common cause of obstructive airway disease among individuals up to 30 years of age.
chronic Bronchitis
emphysema
cystic Fibrosis
sarcoidosis
In Cystic Fibrosis, these organs are commonly affected except:
lungs
brain
liver
pancreas
Emulsifies fats and aids in digestion.
trypsin
bile
amylase
pepsin
Chest radiography results present with hyperinflation, segmental infiltration and pronounced upper lobes.
bronchiectasis
cystic fibrosis
sarcoidosis
emphysema
Patient presents with respiratory tract involvement, glomerulonephritis and a positive ANCA test.
goodpasture's syndrome
wegeners granulomatosis
histiocytosis x
sarcoidosis
Can result to honeycombing of the lungs except:
bronchiectasis
idiopathic pulmonary fibrosis
histiocytosis x
sarcoidosis
Patient presents with bulging of the eyes, increased urine output, increased thirst and bone lesions.
histiocytosis x
cystic fibrosis
wegener's granulomatosis
emphysema
Type of sleep apnea wherein nasal CPAP is the most common treatment.
central
obstructive
mixed
NOTA
Patient presents with coughing up of blood, difficulty of breathing and a history of respiratory illness.
sarcoidosis
goodpasture's syndrome
emphysema
cystic fibrosis
Cornerstone of treatment for Bronchiectasis.
steroids
surgical therapy
antibiotics
mucus mobilizing agents
There is a presence of bilateral alveolar infiltrates, hypoxemia and restrictive pattern on pulmonary function testing can be found upon diagnosis.
goodpasture's syndrome
wegeners granulomatosis
histiocytosis x
sarcoidosis
Patient commonly presents with a non-productive cough, exertional dyspnea, weight loss and fever.
idiopathic pulmonary fibrosis
silicosis
occupational lung disease
asbestosis
In the first 24 hours of life, which of the following clinical features are present in patients with Cystic Fibrosis?
meconium ileus
productive cough
failure to thrive
biliary cirrhosis
Upon pulmonary function test in a patient with Cystic Fibrosis, the results present with except:
limited FEV
elevated RV
depressed RV
NOTA
Which of the following is the standard for detecting Bronchiectasis?
biopsy
chest x ray PA and lateral view
MRI
high solution ct scan
In this stage of CF, therapy is aimed at suppressing infection.
early
late
end
NOTA
Childhood poliomyelitis is the major known cause of:
cystic fibrosis
kyphoscoliosis
histiocytosis x
sarcoidosis
In COPD, what age group presents with chronic cough and symptoms suggestive of an upper respiratory infection ?
teenagers
adults
elderly
middle age
Common bronchodilators in COPD except:
albuterol
ipatropium bromide
theophyline-type agents
propranolol
Key factor in treating asthma.
control of airway inflammation
mucus mobilization
breathing techniques
patient education
Patient presents with a chronic productive cough, recurrent pneumonias, pleuitic pain, digital clubbing, cyanosis and progressive dyspnea.
asthma
bronchiectasis
emphysema
chronic bronchitis
