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Lung and Heart 5

Total questions: 26

Worksheet time: 13mins

Name
Class
Date
1.

A 69-year-old male has Emphysema. Which of the following help to confirm the diagnosis?

a)

Chest x-ray, pulmonary function tests

b)

Chest x-ray, pulmonary function tests, pulse oximetry

c)

Snellen test, chest x-ray, pulmonary function tests

d)

Snellen test, chest x-ray, pulmonary function tests, pulse oximetry

2.

A 42-year-old male developed a Pneumothorax after acupuncture. How is the diagnosis confirmed?

a)

Supine expiratory chest x-ray

b)

Upright inspiratory chest x-ray

c)

Supine CT of the chest

d)

Upright expiratory chest x-ray

3.

A 92-year-old female has Asthma. How is the diagnosis confirmed?

a)

Pulmonary function tests

b)

Chest MRI

c)

Chest x-ray

d)

Chest CT

4.

A patient has a cough for longer than three weeks, green-yellow expectoration, hemoptysis, drenching night sweats, fatigue, weight loss, and fever. What diagnosis do you suspect?

a)

Bronchitis

b)

COPD

c)

Pulmonary tuberculosis

d)

Pneumonia

5.

A 69-year-old male has Emphysema. What are the symptoms and signs?

a)

Hemoptysis, chest pain, dyspnea, cough, weight loss, hoarseness

b)

Pursed lip breathing, prolonged expiratory period with grunting, dyspnea, barrel-shaped chest

c)

Loud snoring, snorting during sleep, restless sleep, daytime sleepiness, impaired concentration

d)

Productive cough for at least 3 months per year for 2+ years, cyanosis, dyspnea, wheezing

6.

A 72-year-old female has Obstructive Sleep Apnea. What are her symptoms?

a)

Productive cough for at least 3 months per year for 2+ years, cyanosis, dyspnea, wheezing

b)

Pursed lip breathing, prolonged expiratory period with grunting, dyspnea, barrel-shaped chest

c)

Chest pain, dyspnea, anxiety, diminished breath sounds, lung hyperresonance on affected side

d)

Loud snoring, snorting during sleep, restless sleep, unrefreshed sleep, fatigue

7.

A 92-year-old female has Asthma. Treatments can include

a)

Bronchodilators, mast cell stabilizers, corticosteroids

b)

Mast cell stabilizers, corticosteroids

c)

Bronchodilators, mast cell stabilizers, antibiotics, corticosteroids

d)

Bronchodilators, corticosteroids, antibiotics

8.

A 49-year-old male has Lung cancer. Which tests assist in confirming the diagnosis of lung cancer?

a)

Chest x-ray, CT of the chest, bronchoscopy

b)

Chest x-ray, bone scan, CT of the chest, bronchoscopy

c)

CT of the chest, bronchoscopy

d)

Bone scan, CT of the chest, bronchoscopy

9.

A 72-year-old female has Obstructive Sleep Apnea. What is the treatment of choice?

a)

Nasal strips

b)

Throat surgery

c)

Physical therapy

d)

Nasal CPAP

10.

A 67 year-old male has Bacterial Pneumonia. What are the symptoms and signs?

a)

productive cough for at least 3 months per year for 2+ years, cyanosis, Dyspnea, wheezing

b)

hemoptysis, chest pain, dyspnea, cough, weight loss, hoarseness

c)

chest pain, dyspnea, anxiety, diminished breath sounds, lung hyperresonance on affected side

d)

malaise, fever, exertional dyspnea, productive cough, rales, dullness to percussion over lung areas

11.

A 69 year-old male has Emphysema. Possible treatments include

a)

oxygen, bronchodilators, inhaled steroids

b)

bronchodilators, antibiotics

c)

antibiotics, bronchodilators, inhaled steroids

d)

bronchodilators, inhaled steroids

12.

A 92 year-old female has Asthma. What are the symptoms and signs?

a)

hemoptysis, chest pain, dyspnea, cough, weight loss, hoarseness

b)

dyspnea, expiratory wheezing, cough, use of accessory muscles of respiration

c)

pursed lip breathing, prolonged expiratory period with grunting, dyspnea, barrel-shaped chest

d)

productive cough for at least 3 months per year for 2+ years, cyanosis, Dyspnea, wheezing

13.

Chronic Obstructive Pulmonary disease (COPD) is managed with

a)

inhaled glucocorticosteroids, flu shots, phosphodiesterase-4 (PDE4) inhibitors

b)

bronchodilators, inhaled glucocorticosteroids, flu shots, phosphodiesterase-4 (PDE4) inhibitors

c)

bronchodilators, inhaled glucocorticosteroids

d)

carbamazepine (CBZ), phosphodiesterase-4 (PDE4) inhibitors

14.

A 67 year-old male has Pneumonia. How is the diagnosis confirmed?

a)

pulmonary function tests

b)

chest MRI

c)

chest ultra-sound

d)

chest x-ray

15.

A 49 year-old male has Lung cancer. What are the symptoms?

a)

productive cough for at least 3 months per year for 2+ years, cyanosis, Dyspnea, wheezing

b)

malaise, fever, exertional dyspnea, productive cough, rales, dullness to percussion over lung areas

c)

hemoptysis, chest pain, dyspnea, cough, weight loss, hoarseness

d)

chronic cough, copious and thick purulent sputum, wheezing, hemoptysis

16.

A 47 year-old female has Chronic Bronchitis. What confirms the diagnosis?

a)

chest x-ray, pulmonary function test, physical examination

b)

tympanometry, pulmonary function test, physical examination

c)

chest x-ray, pulmonary function test, tympanometry

d)

pulmonary function test, physical examination

17.

A 42 year-old male developed a Pneumothorax after acupuncture. What are the symptoms and signs?

a)

productive cough for at least 3 months per year for 2+ years, cyanosis, Dyspnea, wheezing

b)

chest pain, dyspnea, anxiety, diminished breath sounds, lung hyperresonance on affected side

c)

malaise, fever, exertional dyspnea, productive cough, rales, dullness to percussion over lung areas

d)

pursed lip breathing, prolonged expiratory period with grunting, dyspnea, barrel-shaped chest

18.

Ramon is a 10-year-old with difficulty breathing at night and no problems during the day. He reports chest tightness and difficulty exhaling. His mother reports a history of mild hay fever for the past three years, and he gets heat rashes in summer. He avoids strawberries due to rashes and lives in a 100-year-old home with old carpets. Exam shows a normal chest, spine, diaphragm movement, and clear breath and heart sounds. What is the presumptive diagnosis?

a)

COPD

b)

Bronchitis

c)

Asthma

d)

Pneumonia

19.

Emilio is a 38-year-old with a 2–3 pack per day smoking habit. He has breathing problems, chronic cough, excess mucus production, and shortness of breath. He does not report hemoptysis. He has a hacking cough and chest sounds full of rales. Exam reveals a barrel chest, dorsal kyphosis, clubbed fingers, and minimal diaphragmatic movement. Chest auscultation shows rales, rhonchi, and decreased breath sounds bilaterally. What are the possible diagnoses?

a)

COPD, pink puffer type; Emphysema, Chronic bronchitis

b)

Emphysema, Chronic bronchitis

c)

COPD, pink puffer type; Lung cancer, Emphysema, Chronic bronchitis

d)

COPD, blue bloater type; Lung cancer, Emphysema, Chronic bronchitis

20.

Mildred is 97 years old and normally active. After getting the flu despite a flu shot, she develops chills, fever, muscle aches, a productive cough with rust-colored sputum, chest pain, shortness of breath, and mild confusion. Her WBC is 14,500 with 65% neutrophils and 10% bands. Chest x-ray shows left lower lobe consolidation and pleural fluid. Sputum gram stain reveals gram-positive diplococci. What is the most likely diagnosis?

a)

Acute bronchitis

b)

Acute uremia

c)

Acute Viral pneumonia

d)

Acute pneumococcal pneumonia

21.

Amy is a 52-year-old woman with a history of smoking and chronic bronchitis. She has persistent cough, exertional dyspnea, peripheral edema, cyanosis, and coarse rhonchi in all lung fields. She has a heart murmur consistent with aortic stenosis. What is the presumptive diagnosis?

a)

Pulmonary hypertension

b)

Primary lung cancer

c)

COPD, blue bloater type, and Heart Failure

d)

COPD, pink puffer type, and Heart Failure

22.

Marjorie is a 37-year-old bank teller who has smoked 2 packs of cigarettes per day for 20 years. She has had a chronic cough for 5 years, recently worsening. She has coughed up blood twice and lost 15 pounds in 3 months without a change in diet or activity. What is the most likely diagnosis?

a)

Asthma

b)

COPD

c)

Chronic bronchitis

d)

Lung Cancer

23.

Amy is a 52-year-old bank manager with a history of heavy smoking, recurrent childhood bronchitis, and mild aortic stenosis. She currently has a persistent cough and exertional shortness of breath. She is mildly cyanotic, has peripheral edema, and exam reveals coarse rhonchi in all lung fields and a holosystolic murmur over the aortic valve. What are the appropriate medical treatments?

a)

Radiation therapy, bronchodilators, antibiotics

b)

Respiratory treatments, bronchodilators, antibiotics

c)

Radiation therapy, bronchodilators

d)

Bronchodilators, antibiotics

24.

Billy is a 4-year-old who wakes up at 3 AM with a sore throat. His symptoms worsen despite hydration and baby aspirin. After three days, he is diagnosed with acute pharyngitis and tonsillitis. He is started on penicillin VK, but the next day he has worsened throat pain, drooling, and a honking sound when breathing. What is the most likely diagnosis?

a)

Acute tonsillitis

b)

Acute pharyngitis

c)

Acute epiglottitis

d)

Acute bronchitis

25.

A 32-year-old female presents to the emergency room with worsening shortness of breath that began one day ago and occurs at rest and with exertion. She developed a non-productive, paroxysmal cough 5 days ago that lasts 10–30 minutes per episode. She denies nasal or sinus congestion. Physical exam reveals BP 155/85, HR 84 bpm, RR 30/min, temp 99.5°F, diffuse end-expiratory wheezes, and hyper-resonance on percussion. No rales or rhonchi are noted. What is the most likely diagnosis?

a)

Asthma

b)

Pneumothorax

c)

COPD

d)

Bronchitis

26.

A 50-year-old male has had a productive cough with purulent sputum for 5 days. The cough worsens with exertion and does not improve with rest. He has shortness of breath and chest pain but no weight loss. He chews tobacco and drinks alcohol regularly. On physical exam: BP 132/83 mmHg, HR 105 bpm, RR 28/min, T 101.7°F. Dullness to percussion and decreased breath sounds are noted over the left base, with bronchovesicular sounds and egophony. No wheezes or rales are heard. What is the most likely diagnosis?

a)

Bronchitis

b)

COPD

c)

Lobar pneumonia

d)

Lung Cancer