Diseases
Anatomy
Pharm
Therapies
Airway
100

Destruction of alveolar walls without fibrosis

Emphysema

100

This structure normally paces the healthy heart


SA node 

100

indications for the use of acetylcysteine

Treatment of acetaminophen overdose and Treatment of excessive, viscous mucus secretions

100

A patient receiving cool mist therapy after extubation begins to develop stridor. What action would you recommend

Racemic epi

100

What are the advantages of nasal intubation 


2 Less retching and gagging
3 Less accidental extubation
4 Greater long-term comfort

200

These are features of Guillain-Barré


Ascending muscle weakness, hypercapnic respiratory failure due to respiratory muscle weakness

200

What major blood vessel carries oxygenated blood back to the heart?

Pulmonary Vein

200

This is a side effect of inhaled corticosteroids

Thrush 



200

This mode of ventilatory support is recommend for a hypoxemic patient with congestive heart failure


CPAP with 100% FIO2

200

These are injuries are seen with tracheostomy tubes for adults 

  1. Tracheomalacia
  2. Tracheal stenosis
300

This is the classic radiographic finding present in many end-stage interstitial lung diseases

honeycombing 

300

Accumulation of fluid in the pleural space is called:

Pleural effusion 

300

This causes the degranulation of mast cells in asthma patients

IGE antibodies 

300

The National Asthma Education and Prevention Program guidelines advocate the use of oral corticosteroids for which of the following?

Maintenance of mild to moderate persistent asthma

300

These are possible causes of obstruction with a tracheal airway


  1. The tube cuff has herniated over the tip of the tube.
  2. The tube is obstructed by a mucus plug or secretions
  3. The tube orifice is impinging on the tracheal wall.
400

These risk factors are associated with an increase in the incidence of pulmonary embolism 

  1. Advanced age
  2. Immobilization
  3. Multiple injuries from trauma
  4. Positive smoking history
400

These are methods used to displace the epiglottis during oral intubation with a mac and miller blade 

  1. Regardless of the blade used, the laryngoscope is lifted up and forward.
  2. The curved (MacIntosh) blade lifts the epiglottis indirectly.
  3. The straight (Miller) blade lifts the epiglottis directly.
400

These beta-2 agonist are associated with 12 to 24 hr of bronchodilation

Salmeterol

arformeterol 

formeterol

400

What would you recommend to assess this therapy for an asthmatic patient in severe distress with wheezing and dyspnea and started on albuterol via small-volume jet nebulizer

  1. Perform arterial blood gas analysis.
  2. Continuously monitor the SpO2.
  3. Assess breath sounds and vital signs before and after each treatment.
  4. Measure peak expiratory flow rate or forced expiratory volume in 1 sec before and after each treatment.
400

The removable inner cannula serves what purposes

1 Aid in routine tube cleaning and tracheostomy care
2 Provide a patent airway should it become obstructed

500

Which tests may help you differentiate between ILD and COPD  


  1. High-resolution CT
  2. Pulmonary function testing
  3. Arterial blood gas analysis
500

Which of the following blood test finding may be responsible for fluid overload?

Hypernatremia

500

These are side effects of beta-2-selective bronchodilators 

Tremor, Hypokalemia 

Insomnia, Dizziness 

Headache, Worsening ventilation/perfusion ratio 

500

We do these things when “weaning” a patient from a tracheostomy tube

1 Using progressively smaller tubes
2 Using a fenestrated tube
3 Using a tracheostomy button

500

When using capnometry to differentiate esophageal from tracheal placement, what condition can result in a false-negative finding (i.e., no CO2 present even when the tube is in the trachea)?

Cardiac arrest 

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