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Lung and Heart 6

Total questions: 29

Worksheet time: 15mins

Name
Class
Date
1.

A teenaged cystic fibrosis client presents to the clinic. The health care provider (HCP) knows that cystic fibrosis (CF) causes severe chronic respiratory disease in children. In addition, the HCP should also focus his or her assessment on which of the other body systems affected by CF?

a)

Central nervous system

b)

Renal

c)

Cardiac

d)

Pancreatic

2.

Respiratory acidosis can occur when:

a)

A runner has completed a very long marathon

b)

A person consumes excessive amounts of antacids

c)

A person’s breathing is shallow due to obstruction

d)

The kidneys secrete hydrogen ions

3.

A falling blood pH and a rising partial pressure of carbon dioxide due to pneumonia or emphysema indicates:

a)

Respiratory acidosis

b)

Metabolic alkalosis

c)

Respiratory alkalosis

d)

Metabolic acidosis

4.

What would be the most effective compensation for respiratory acidosis?

a)

The kidneys eliminating more bicarbonate ions

b)

The kidneys producing more bicarbonate ions

c)

The kidneys reabsorbing more hydrogen ions

d)

An increase in respiratory rate

5.

The production of yellowish-green, cloudy, thick sputum is often an indication of:

a)

Cancer tumor

b)

Emphysema

c)

Bacterial infection

d)

Damage of lung tissue due to smoking

6.

What does the term hemoptysis refer to?

a)

Bright red streaks of blood in frothy sputum

b)

Bloody exudate in the pleural cavity

c)

Thick, dark red sputum associated with pneumococcal infection

d)

Reddish-brown granular blood found in vomitus

7.

Orthopnea is:

a)

Difficulty breathing when lying down

b)

Waking up suddenly, coughing, and struggling for breath

c)

Noisy breathing with stridor or rhonchi

d)

Very deep, rapid respirations

8.

Signs and symptoms of acute sinusitis usually include:

a)

Severe localized pain in the facial bone and tenderness in the face

b)

Copious frothy sputum and dyspnea

c)

Fetid breath and sore throat

d)

Serous nasal discharge and chronic cough

9.

What are early signs and symptoms of infectious rhinitis?

a)

Purulent nasal discharge and periorbital pain

b)

Copious purulent sputum, particularly in the morning

c)

Harsh barking cough and wheezing

d)

Serous nasal discharge, congestion, and sneezing

10.

What is an early sign of bronchogenic carcinoma?

a)

Chronic cough

b)

Air trapping and overinflation of the lung

c)

Weight loss

d)

Bone pain

11.

Cigarette smoking predisposes to malignant neoplasms because smoking:

a)

Promotes malignant changes in all types of benign tumors in the lungs

b)

Can cause metaplasia and dysplasia in the epithelium

c)

Causes paraneoplastic syndrome

d)

Increases exposure to carbon monoxide in the lungs

12.

What is the pathophysiology of an acute attack of extrinsic asthma?

a)

Gradual degeneration and fibrosis

b)

A hypersensitivity reaction involving release of chemical mediators

c)

Continuous severe attacks unresponsive to medication

d)

Hyperresponsive mucosa

13.

Which of the following is typical of progressive emphysema?

a)

Tidal volume increases

b)

Forced expiratory volume increases

c)

Vital capacity increases

d)

Residual lung volume increases

14.

A group of common chronic respiratory disorders characterized by tissue degeneration and respiratory obstruction is called:

a)

CF

b)

COPD

c)

Mesothelioma

d)

MD

15.

What is the cause of chronic bronchitis?

a)

Deficit of enzymes, preventing tissue degeneration

b)

Chronic irritation, inflammation, and recurrent infection of the larger airways

c)

A genetic defect causing excessive production of mucus

d)

Hypersensitivity to parasympathetic stimulation in the bronchi

16.

Which of the following is a common source of a pulmonary embolus?

a)

Thrombus attached to atheromas in the aorta or iliac arteries

b)

A blood clot in the pulmonary vein

c)

Mural thrombus from the left ventricle

d)

Thrombus forming in the femoral veins

17.

Which of the following is a manifestation of a simple closed pneumothorax?

a)

Increased breath sounds on the affected side

b)

Asymmetrical chest movements

c)

Decreased respiratory rate

d)

Tracheal deviation toward the unaffected lung

18.

Severe acute respiratory syndrome (SARS) is caused by a/an:

a)

Mycoplasma

b)

Influenza virus

c)

Rhinovirus

d)

Coronavirus

19.

Primary atypical pneumonia (PAP) is caused by:

a)

Klebsiella oxytoca

b)

Candida albicans

c)

Streptococcus pneumoniae

d)

Mycoplasma pneumoniae

20.

A 7-month-old infant is brought to the clinic by her mother. The child has had a cough for two days with heavy breathing since the morning. The child has had a fever for two days. The maximum temperature taken at home was 101°F rectally. The child also has a runny nose. Her mother gave OTC cough medicine which did not provide any relief. When the child cries the breathing sounds worsen. The child attends day care and many of the children there also have had coughs with a runny nose. The mother also has had cold symptoms for about five days. The child's solid and liquid diet decreased since the cough began. Her sleep is interrupted by coughing. Her immunizations are up to date and she has no known allergies to food and medications or the environment. Her current temperature is 100.2°F and the pulse oximeter reads at 95% on room air. The child is alert. She is well hydrated. The tympanic membrane is normal. She has a normal respiratory rate. She has a barking cough. When she inhales she has a high-pitched sound. Abdominal palpation reveals a soft, nontender, and nondistended abdomen. A chest x-ray reveals a steeple sign. What is the most likely diagnosis for the cough?

a)

Croup and bronchiolitis

b)

Croup

c)

Epiglottitis

d)

Bronchiolitis

21.

A 33-year-old male patient has the chief complaint of facial pain for the previous five days. He reports a headache and tooth pain that worsen when bending down. He confirms having had a cold two weeks ago with rhinorrhea with clear drainage, mild sore throat, ear pressure, and a mild headache. After one week the symptoms cleared and he felt healthy. Then some of the symptoms returned about five days later with facial pain, headache in the morning, tooth pain, and blood-streaked nasal discharge. He has a history of seasonal allergic rhinitis. The HEENT exam shows clear sclera, clear and intact tympanic membranes, tenderness of the sinuses, erythematous and swollen nares without discharge, cobblestoning in the throat but without erythema. He is taking Advil which has provided no relief. What is the most likely diagnosis for the facial pain?

a)

Acute sinus infection

b)

Vasomotor rhinitis

c)

Upper respiratory tract infection

d)

Allergic rhinitis

22.

A 70-year-old male retired patient presents with "just not feeling right" for the past three days. Last week he had lunch with his daughter who had an upper respiratory tract infection. He developed a cold and was treated with Mucinex DM, which helped. Since last week, he has had increased fatigue with difficulty accomplishing his usual morning routine of taking a short walk. Yesterday, he forgot a scheduled lunch with his daughter and also forgot to take his medications. He denies any changes in vision and hearing. He denies headaches and muscle pain. He denies fever. He denies chest pain, cough, or palpitations but does report shortness of breath. He denies chills and fever. His appetite, bowel habits, and urination are normal. He drinks 4–6 ounces of wine per day and does not smoke. He has a history of hypertension and osteoarthritis, both controlled with medication. Respiratory exam shows no fremitus; mild dullness to percussion in right lower lobe; basilar crackles and expiratory wheezes in right lung; respiratory rate of 30; heart rate of 100. What is the most likely diagnosis?

a)

Acute bronchitis

b)

Influenza

c)

Pneumonia

d)

COPD

23.

A 69-year-old patient has been diagnosed with Pulmonary Tuberculosis. As TB is a bacterial infection, how long will antibiotics be taken?

a)

Five days

b)

6–9 months

c)

1–2 weeks

d)

15 months

24.

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)

COPD

b)

Pneumonia

c)

Bronchitis

d)

Pulmonary tuberculosis

25.

A 69-year-old patient has been diagnosed with Pulmonary Tuberculosis. How was that diagnosis confirmed?

a)

Skin and blood tests

b)

Urine analysis

c)

Pulmonary function tests

d)

Bronchoscopy

26.

How is the diagnosis of Chronic Obstructive Pulmonary Disease (COPD) confirmed?

a)

Pulmonary function test

b)

Physical exam

c)

History

d)

X-ray

27.

Chronic Obstructive Pulmonary Disease (COPD) is often a mix of which two diseases?

a)

Bronchitis and pneumonia

b)

Bronchitis and emphysema

c)

Bronchitis and sleep apnea

d)

Bronchitis and bronchiectasis

28.

A 69-year-old patient has been diagnosed with Pulmonary Tuberculosis. How was that diagnosis confirmed?

a)

Skin and blood tests

b)

Urine analysis

c)

Bronchoscopy

d)

Pulmonary function tests

29.

A 47-year-old female has Chronic Bronchitis. What are the symptoms and signs?

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 the lung areas

c)

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

d)

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