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Pathophysiology Exam 1 Practice Q's (T/F Pulmonary)

Total questions: 68

Worksheet time: 34mins

Name
Class
Date
1.

Pulmonary embolism is caused by a thromboemboli originating from the pulmonary circulation.

a)

True

b)

False

2.

Pulmonary embolism is associated with high V/Q ratio and increase in arterial PCO2.

a)

True

b)

False

3.

Distal deep vein thrombosis originates from the iliac and femoral veins.

a)

True

b)

False

4.

Obesity and aging are risk factors for developing DVT.

a)

True

b)

False

5.

Myocardial infarction is a risk factor for DVT

a)

True

b)

False

6.

Anticoagulant prophylaxis is highly recommended before knee surgery

a)

True

b)

False

7.

Pulmonary function test is widely used to diagnose pulmonary embolism.

a)

True

b)

False

8.

Amniotic fluid during labor can cause PE.

a)

True

b)

False

9.

Digital clubbing is a symptom associated with obstructive lung diseases.

a)

True

b)

False

10.

Idiopathic pulmonary fibrosis is associated with repetitive microinjury of the lungs especially type II cells.

a)

True

b)

False

11.

Occupational hazards may contribute to the development of pulmonary fibrosis.

a)

True

b)

False

12.

Damage to the airway epithelial cells is associated with pulmonary fibrosis.

a)

True

b)

False

13.

In pulmonary fibrosis, there is a thickening of the interstitium and alteration in both ventilation and perfusion.

a)

True

b)

False

14.

In pulmonary fibrosis, there is an increase in both elastic recoil and compliance of the lungs.

a)

True

b)

False

15.

Emphysema is an example of restrictive lung disease.

a)

True

b)

False

16.

In emphysema, there is an increase in chest size due to lack of activity of elastase enzymes.

a)

True

b)

False

17.

Centriacinar emphysema is usually seen in patients with deficiency is alpha-1 antiprotenase enzyme.

a)

True

b)

False

18.

A patient with hyperinflation and high V/Q ratio symptoms is possibly an emphysema patient.

a)

True

b)

False

19.

Polycythemia is usually associated with pulmonary fibrosis.

a)

True

b)

False

20.

Risk factors for COPD include smoking, exposure to silica and genetic factors.

a)

True

b)

False

21.

Productive cough for 3 months over 2 years period is diagnostic for centriacinar emphysema.

a)

True

b)

False

22.

COPD is associated with inflammation.

a)

True

b)

False

23.

Resting hypoxemia in chronic bronchitis is caused by high V/Q ratio.

a)

True

b)

False

24.

Hypersecretion of mucus glands is associated with asthma and chronic bronchitis.

a)

True

b)

False

25.

In obstructive disorders, the rate of air flow is enhanced and FEV1 is reduced.

a)

True

b)

False

26.

In restrictive disorders, there is a decrease in both FEV1 and FVC.

a)

True

b)

False

27.

Bronchial hyper-responsiveness is a hallmark of asthma.

a)

True

b)

False

28.

Bronchial hyper-responsiveness is tested by administering antihistamines to patients.

a)

True

b)

False

29.

Bronchial hyper-responsiveness is caused by denudation of the airway epithelia and exposing the sensory nerves.

a)

True

b)

False

30.

Atopy is the only cause of asthma.

a)

True

b)

False

31.

Asthma may develop in adult patients independent on IgE production.

a)

True

b)

False

32.

Atelectasis is associated with low V/Q ratio and pulmonary vasoconstriction.

a)

True

b)

False

33.

In severe asthmatic case, the EPP site will be close to the upper cartilaginous airway.

a)

True

b)

False

34.

In emphysema, the EPP site is steeper than normal towards the alveoli.

a)

True

b)

False

35.

The airflow downstream from the EPP is effort-independent.

a)

True

b)

False

36.

The transpulmonary pressure at the EPP is equivalent to the intrapleural pressure.

a)

True

b)

False

37.

Increased elastic recoil facilitate lung inflation.

a)

True

b)

False

38.

Pneumothorax leads to lung collapse due to a sudden drop in the intrapleural pressure.

a)

True

b)

False

39.

Alveolar collapse in pneumothorax is caused by the negative pressure of the intrapleural space.

a)

True

b)

False

40.

Accumulation of air in the pleural sac induce alveolar collapse.

a)

True

b)

False

41.

Elastic recoil is equal and opposite in direction to the alveolar pressure.

a)

True

b)

False

42.

Compliance and elastic recoil maintain the alveolar stability by opposing each other.

a)

True

b)

False

43.

Compliance is a property that depends on the elastic tissue of the lungs and it decreases with age.

a)

True

b)

False

44.

Compliance is increased in both lung fibrosis and emphysema.

a)

True

b)

False

45.

Surface tension increase is responsible for the compliance of lung tissue.

a)

True

b)

False

46.

Increase in surface tension is associated with increase and elastic recoil of the lung tissue.

a)

True

b)

False

47.

Surfactants decrease elastic recoil.

a)

True

b)

False

48.

The concentration of lung surfactants is higher in alveoli with smaller radius.

a)

True

b)

False

49.

The change in lung volume during inflation and deflation is caused by the surface tension at the air and pulmonary fluids interface.

a)

True

b)

False

50.

The area of the hysteresis loop in the inflation-deflation lung curve will increase by eliminating the surface tension.

a)

True

b)

False

51.

The elastic recoil of the lungs and the chest wall are in opposite directions.

a)

True

b)

False

52.

The compliance of the lung is minimal near the vital capacity.

a)

True

b)

False

53.

Elastic recoil is a measure of the distensibility of the lungs.

a)

True

b)

False

54.

The volume of forced air in the tidal breath is higher that that of the FVC.

a)

True

b)

False

55.

FEV1 is a measure of the volume of inhaled air after 1 second.

a)

True

b)

False

56.

TLC is the most widely used maneuver in spirometry.

a)

True

b)

False

57.

Tidal volume is the sum of FVC and RV.

a)

True

b)

False

58.

Residual volume is essential for the alveolar stability.

a)

True

b)

False

59.

The NANC nervous supply to the lungs includes nitro oxide.

a)

True

b)

False

60.

The pulmonary veins carry oxygenated blood and are very close to the upper respiratory airways.

a)

True

b)

False

61.

The pulmonary artery carries deoxygenated blood and is close to the upper respiratory airways.

a)

True

b)

False

62.

The total surface area increases with the increase in airway generation.

a)

True

b)

False

63.

Laminar air flow exists in medium sized bronchi while turbulent air flow exists in terminal respiratory units.

a)

True

b)

False

64.

Both type I and II alveolar cells secrete surface active agents.

a)

True

b)

False

65.

Interstitial cells exist in the space between the alveoli and the blood capillaries.

a)

True

b)

False

66.

Alveolar macrophages are part of the innate immune response in the lungs.

a)

True

b)

False

67.

The higher the airway generation, the higher the surface area.

a)

True

b)

False

68.

The trachea and cartilaginous bronchi represent the very late airway generations.

a)

True

b)

False