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Rehab 105 Long Quiz 1 - Endterms

Total questions: 50

Worksheet time: 53mins

Name
Class
Date
1.

Clinical diagnosis for Chronic Bronchitis.

a)

persistent productive cough for at least 3 months for 3 successive years

b)

persistent dry cough for at least 3 months for 2 successive years

c)

persistent productive cough for at least 3 months for 2 successive years

d)

persistent dry cough for at least 3 months for 3 successive years

2.

Antibody mainly involved in the development of allergic responses.

a)

IgG

b)

IgE

c)

IgA

d)

IgM

3.

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?

a)

teach the use of the acapella device in postural drainage positions to be performed od or bid

b)

teach the child autogenic drainage for secretion removal to be performed od or bid

c)

teach the parents secretion removal techniques to all segments of all lobes of both lungs od or bid

d)

teach the child active cycle of breathing (ACBT) to be done od or bid to clear retained secretions

4.

Alpha 1 antitrypsin is made in the:

a)

pancreas

b)

lungs

c)

liver

d)

kidney

5.

In a patient with COPD, what can you hear upon auscultation?

a)

wheezing

b)

rales

c)

stridor

d)

amphoric

6.

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?

a)

costal

b)

diaphragmatic

c)

abdominal

d)

pursed lip

7.

This type of emphysema is the most common type (95%) and is often associated with chronic bronchitis and bronchial inflammation.

a)

panlobular

b)

centrilobular

c)

distal

d)

irregular

8.

Usually the first manifestation of emphysema.

a)

pulmonary edema

b)

tachypnea

c)

dyspnea

d)

orthopnea

9.

Cardinal symptom of Chronic Bronchitis.

a)

cardiac failure

b)

cor pulmonale

c)

recurrent infection

d)

persistent productive cough

10.

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:

a)

Abnormally large alveoli separated by thin septa and deformed

respiratory bronchioles

b)

Enlargement of the mucus-secreting glands of the bronchi and

hyperemia and edema of the mucus membranes.

c)

Dilatation of bronchi and bronchioles caused by destruction of themuscle and elastic tissue.

d)

Thickening of the basement membrane, edema and inflammatory infiltrate in the bronchial walls.

11.

Permanent dilatation of bronchi & bronchioles caused by destruction of muscle and elastic tissue associated often with necrotizing inflammation (infection).

a)

emphysema

b)

asthma

c)

bronchiectasis

d)

chronic bronchitis

12.

An elderly patient presents with sever COPD, GOLD stage 4. Which of the following physical examination findings would the therapist find?

a)

kyphosis with an increased thoracic excursion

b)

barreled chest with a decreased thoracic excursion

c)

pectus excavatum with an increased thoracic excursion

d)

pectus carinatum with decreased thoracic excursion

13.

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?

a)

Damage to the mucosa by eosinophils

b)

Recurrent inflammation with bronchial wall destruction

c)

Diffuse infiltration by a mass along the right lower lobe bronchi

d)

Defect resulting from CFTR mutation

14.

The anatomic site affected are the bronchus except:

a)

chronic bronchitis

b)

bronchiectasis

c)

emphysema

d)

asthma

15.

Blue bloaters except:

a)

weight gain

b)

young age

c)

chronic cough

d)

weight loss

16.

Upon physical examination is a patient with COPD, all are possible findings except:

a)

hyperinflation

b)

use of accessory muscles of respiration

c)

increased breath sounds

d)

wheezing

17.

FEV1/FVC < 0.7 and FEV1 > or equal to 50% but < 80% predicted. What stage or severity of COPD according to GOLD classification?

a)

I or mild

b)

II or moderate

c)

III or severe

d)

IV or very severe

18.

Drug of choice for a patient with Lung Abscess.

a)

penicillin

b)

amoxicillin

c)

clindamycin

d)

ciprofolxacin

19.

In a patient with Lung Abscess, what breath sounds can be heard upon ausculatation?

a)

ronchi

b)

wheezing

c)

amphoric

d)

crackles

20.

Medium dose ICS-LABA and relieved by low dose ICDS-formoterol. The patient is in what step according to GINA guidelines?

a)

2

b)

3

c)

4

d)

5

21.

Patient X present with chronic asthma. Upon physical examination, all are possible findings except:

a)

tachycardia

b)

overinflation of chest with poor movement of diaphragm

c)

tachypnea with prolonged expiration

d)

bradypnea with prolonged expiration

22.

Symptoms present as presentation of daily asthmatic symptoms during the day and > 1 per week at night. What classification of asthma?

a)

mild intermittent

b)

mild persistent

c)

moderate persistent

d)

severe persistent

23.

Form of Asthma primarily seen in children caused by Type-1 hypersensitivity to inhaled agents.

a)

allergic

b)

intrinsic

c)

occupational

d)

asthma-copd overlap

24.

In a patient with hyperinflated lungs, X-Ray findings will present with an:

a)

increased lateral costal expansion

b)

increased subcostal angle

c)

decreased inspiration:expiration (I:E) ration

d)

decreased mediate percussion

25.

Pink puffers except:

a)

weight loss

b)

little or no cough and expectoration

c)

advanced age

d)

sever hypoxia

26.

In 99% of CF, death is caused by:

a)

pneumothorax

b)

cor pulmonale

c)

respiratory failure

d)

hemothorax

27.

In a person with CF, thick secretions in the pancrease can lead to except:

a)

infections

b)

DM

c)

malnourishment

d)

decrease in growth

28.

Complications for Sleep Apnea Syndrome except:

a)

cardiac arrhythmias

b)

pulmonary hypertension

c)

cor pulmonale

d)

left sided heart failure

29.

Principal treatment for Sarcoidosis.

a)

immunosuppression therapy

b)

antibiotic therapy

c)

steroid injections

d)

plasmapharesis

30.

Most common cause of obstructive airway disease among individuals up to 30 years of age.

a)

chronic Bronchitis

b)

emphysema

c)

cystic Fibrosis

d)

sarcoidosis

31.

In Cystic Fibrosis, these organs are commonly affected except:

a)

lungs

b)

brain

c)

liver

d)

pancreas

32.

Emulsifies fats and aids in digestion.

a)

trypsin

b)

bile

c)

amylase

d)

pepsin

33.

Chest radiography results present with hyperinflation, segmental infiltration and pronounced upper lobes.

a)

bronchiectasis

b)

cystic fibrosis

c)

sarcoidosis

d)

emphysema

34.

Patient presents with respiratory tract involvement, glomerulonephritis and a positive ANCA test.

a)

goodpasture's syndrome

b)

wegeners granulomatosis

c)

histiocytosis x

d)

sarcoidosis

35.

Can result to honeycombing of the lungs except:

a)

bronchiectasis

b)

idiopathic pulmonary fibrosis

c)

histiocytosis x

d)

sarcoidosis

36.

Patient presents with bulging of the eyes, increased urine output, increased thirst and bone lesions.

a)

histiocytosis x

b)

cystic fibrosis

c)

wegener's granulomatosis

d)

emphysema

37.

Type of sleep apnea wherein nasal CPAP is the most common treatment.

a)

central

b)

obstructive

c)

mixed

d)

NOTA

38.

Patient presents with coughing up of blood, difficulty of breathing and a history of respiratory illness.

a)

sarcoidosis

b)

goodpasture's syndrome

c)

emphysema

d)

cystic fibrosis

39.

Cornerstone of treatment for Bronchiectasis.

a)

steroids

b)

surgical therapy

c)

antibiotics

d)

mucus mobilizing agents

40.

There is a presence of bilateral alveolar infiltrates, hypoxemia and restrictive pattern on pulmonary function testing can be found upon diagnosis.

a)

goodpasture's syndrome

b)

wegeners granulomatosis

c)

histiocytosis x

d)

sarcoidosis

41.

Patient commonly presents with a non-productive cough, exertional dyspnea, weight loss and fever.

a)

idiopathic pulmonary fibrosis

b)

silicosis

c)

occupational lung disease

d)

asbestosis

42.

In the first 24 hours of life, which of the following clinical features are present in patients with Cystic Fibrosis?

a)

meconium ileus

b)

productive cough

c)

failure to thrive

d)

biliary cirrhosis

43.

Upon pulmonary function test in a patient with Cystic Fibrosis, the results present with except:

a)

limited FEV

b)

elevated RV

c)

depressed RV

d)

NOTA

44.

Which of the following is the standard for detecting Bronchiectasis?

a)

biopsy

b)

chest x ray PA and lateral view

c)

MRI

d)

high solution ct scan

45.

In this stage of CF, therapy is aimed at suppressing infection.

a)

early

b)

late

c)

end

d)

NOTA

46.

Childhood poliomyelitis is the major known cause of:

a)

cystic fibrosis

b)

kyphoscoliosis

c)

histiocytosis x

d)

sarcoidosis

47.

In COPD, what age group presents with chronic cough and symptoms suggestive of an upper respiratory infection ?

a)

teenagers

b)

adults

c)

elderly

d)

middle age

48.

Common bronchodilators in COPD except:

a)

albuterol

b)

ipatropium bromide

c)

theophyline-type agents

d)

propranolol

49.

Key factor in treating asthma.

a)

control of airway inflammation

b)

mucus mobilization

c)

breathing techniques

d)

patient education

50.

Patient presents with a chronic productive cough, recurrent pneumonias, pleuitic pain, digital clubbing, cyanosis and progressive dyspnea.

a)

asthma

b)

bronchiectasis

c)

emphysema

d)

chronic bronchitis