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WorksheetsLung and Heart 6
Total questions: 29
Worksheet time: 15mins
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?
Central nervous system
Renal
Cardiac
Pancreatic
Respiratory acidosis can occur when:
A runner has completed a very long marathon
A person consumes excessive amounts of antacids
A person’s breathing is shallow due to obstruction
The kidneys secrete hydrogen ions
A falling blood pH and a rising partial pressure of carbon dioxide due to pneumonia or emphysema indicates:
Respiratory acidosis
Metabolic alkalosis
Respiratory alkalosis
Metabolic acidosis
What would be the most effective compensation for respiratory acidosis?
The kidneys eliminating more bicarbonate ions
The kidneys producing more bicarbonate ions
The kidneys reabsorbing more hydrogen ions
An increase in respiratory rate
The production of yellowish-green, cloudy, thick sputum is often an indication of:
Cancer tumor
Emphysema
Bacterial infection
Damage of lung tissue due to smoking
What does the term hemoptysis refer to?
Bright red streaks of blood in frothy sputum
Bloody exudate in the pleural cavity
Thick, dark red sputum associated with pneumococcal infection
Reddish-brown granular blood found in vomitus
Orthopnea is:
Difficulty breathing when lying down
Waking up suddenly, coughing, and struggling for breath
Noisy breathing with stridor or rhonchi
Very deep, rapid respirations
Signs and symptoms of acute sinusitis usually include:
Severe localized pain in the facial bone and tenderness in the face
Copious frothy sputum and dyspnea
Fetid breath and sore throat
Serous nasal discharge and chronic cough
What are early signs and symptoms of infectious rhinitis?
Purulent nasal discharge and periorbital pain
Copious purulent sputum, particularly in the morning
Harsh barking cough and wheezing
Serous nasal discharge, congestion, and sneezing
What is an early sign of bronchogenic carcinoma?
Chronic cough
Air trapping and overinflation of the lung
Weight loss
Bone pain
Cigarette smoking predisposes to malignant neoplasms because smoking:
Promotes malignant changes in all types of benign tumors in the lungs
Can cause metaplasia and dysplasia in the epithelium
Causes paraneoplastic syndrome
Increases exposure to carbon monoxide in the lungs
What is the pathophysiology of an acute attack of extrinsic asthma?
Gradual degeneration and fibrosis
A hypersensitivity reaction involving release of chemical mediators
Continuous severe attacks unresponsive to medication
Hyperresponsive mucosa
Which of the following is typical of progressive emphysema?
Tidal volume increases
Forced expiratory volume increases
Vital capacity increases
Residual lung volume increases
A group of common chronic respiratory disorders characterized by tissue degeneration and respiratory obstruction is called:
CF
COPD
Mesothelioma
MD
What is the cause of chronic bronchitis?
Deficit of enzymes, preventing tissue degeneration
Chronic irritation, inflammation, and recurrent infection of the larger airways
A genetic defect causing excessive production of mucus
Hypersensitivity to parasympathetic stimulation in the bronchi
Which of the following is a common source of a pulmonary embolus?
Thrombus attached to atheromas in the aorta or iliac arteries
A blood clot in the pulmonary vein
Mural thrombus from the left ventricle
Thrombus forming in the femoral veins
Which of the following is a manifestation of a simple closed pneumothorax?
Increased breath sounds on the affected side
Asymmetrical chest movements
Decreased respiratory rate
Tracheal deviation toward the unaffected lung
Severe acute respiratory syndrome (SARS) is caused by a/an:
Mycoplasma
Influenza virus
Rhinovirus
Coronavirus
Primary atypical pneumonia (PAP) is caused by:
Klebsiella oxytoca
Candida albicans
Streptococcus pneumoniae
Mycoplasma pneumoniae
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?
Croup and bronchiolitis
Croup
Epiglottitis
Bronchiolitis
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?
Acute sinus infection
Vasomotor rhinitis
Upper respiratory tract infection
Allergic rhinitis
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?
Acute bronchitis
Influenza
Pneumonia
COPD
A 69-year-old patient has been diagnosed with Pulmonary Tuberculosis. As TB is a bacterial infection, how long will antibiotics be taken?
Five days
6–9 months
1–2 weeks
15 months
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?
COPD
Pneumonia
Bronchitis
Pulmonary tuberculosis
A 69-year-old patient has been diagnosed with Pulmonary Tuberculosis. How was that diagnosis confirmed?
Skin and blood tests
Urine analysis
Pulmonary function tests
Bronchoscopy
How is the diagnosis of Chronic Obstructive Pulmonary Disease (COPD) confirmed?
Pulmonary function test
Physical exam
History
X-ray
Chronic Obstructive Pulmonary Disease (COPD) is often a mix of which two diseases?
Bronchitis and pneumonia
Bronchitis and emphysema
Bronchitis and sleep apnea
Bronchitis and bronchiectasis
A 69-year-old patient has been diagnosed with Pulmonary Tuberculosis. How was that diagnosis confirmed?
Skin and blood tests
Urine analysis
Bronchoscopy
Pulmonary function tests
A 47-year-old female has Chronic Bronchitis. What are the symptoms and signs?
Productive cough for at least 3 months per year for 2+ years, cyanosis, dyspnea, wheezing
Malaise, fever, exertional dyspnea, productive cough, rales, dullness to percussion over the lung areas
Hemoptysis, chest pain, dyspnea, cough, weight loss, hoarseness
Pursed lip breathing, prolonged expiratory period with grunting, dyspnea, barrel-shaped chest
