CXR Interpretation
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100

This CXR shows which disease process?

Pneumonia

100

Which disease show NO muscle strength improvement after rest?

a.    Guillain Barre

b.    Myasthenia Gravis

c.    Sarcoidosis

d.    Hypersensitivity pneumonitis


a.    Guillain Barre

100

Which disease is characterized by the accumulation of fluid in the pleural space?

Pleural Effusion

100

Reduced or absent airflow and reduced or absent respiratory effort are characteristics of:

a. CSA

b. OSA

c. Wed Drowning

d. Dry Drowning

a. CSA

100

True or False: Antibiotics are indicated for the treatment of epiglottitis?

True

200

Which disease process does this CXR show?


Pleural effusion (both lungs)

200

Which disease is caused by a mutation on chromosome 7 of the CFTR gene?

Cystic Fibrosis

200

EZ PAP would be most beneficial with which of the following patients?

a. Pulmonary edema

b. ARDS

c. Pleural effusion

d. Atelectasis

d. Atelectasis

200

A 5-year-old in the emergency department has stridor and hazy subglottic edema on her neck X-Ray.  Which disease is most likely present?

Croup

200

Which of the following diseases is characterized by acute, diffuse, inflammatory lung injury, leading to increased vascular permeability and loss of lung volume?

a.    Acute respiratory distress syndrome

b.    COPD

c.    Interstitial lung disease

d.    Scleroderma

a.    Acute respiratory distress syndrome

300

Which disease process is shown in this CXR?


Atelectasis (right lobe)

300

What disease process are the following symptoms associated with: blood-streaked sputum, sputum acid-fast bacilli positive, cavitating lesions on CXR?

a. RSV pneumonia

b. Tuberculosis

c. PE

d. Bacterial pneumonia

b. Tuberculosis

300

Which of the following is considered a true dead space disease?

a. Pulmonary Embolism

b. Pulmonary Edema

c. Pleural Effusion

d. Pneumonia

a. Pulmonary Embolism

300

Which of the following disease processes are a contraindication for positive pressure ventilation?

a.    Untreated pleural effusion

b.    Untreated Pulmonary embolism

c.    Untreated pneumothorax

d.    Untreated pulmonary edema


c.    Untreated pneumothorax

400

What disease process is shown in this CXR?


COPD (emphysema, chronic bronchitis)

400

Your asthmatic patient reports slightly worsening asthma symptoms ever since spring started.  She is currently only taking an albuterol MDI prn.  What pharmacotherapy would you recommend adding to her home regimen for long-term control and maintenance?

a.    Dornase alpha 

b.    Solumedrol

c.    Theophylline

d.    Levalbuterol


c.    Theophylline

400

Which of the following diseases is typically managed with corticosteroids?

a. Pulmonary Edema

b. ILD

c. CSA

d. Pleural Effusion

b. ILD

400

Your patient presents to the emergency room with shortness of breath and chest congestion. Patient has a history of CHF and kidney failure, and has not taken his Lasix recently. Patient appears to be in marked respiratory distress and is showing signs of increased WOB. 

Breath Sounds: Rhonchi bilaterally with pink frothy secretions  

Spo2 90% on 4L/min NC

Which treatment option would be most beneficial for this patient?

a.    Immediate thoracentesis

b.    Non-invasive positive pressure ventilation

c.    Increase the nasal cannula to 6 L/min

d.    Administer a bronchodilator 


b.    Non-invasive positive pressure ventilation

400

What common fungal pneumonia is prevalent in soils enriched with bird excrement

a.    Coccidiomycosis

b.    Tuberculosis

c.    Pseudomonas

d.    Histoplasmosis


d.    Histoplasmosis

500

What disease process is shown in this CXR?


Pulmonary Edema

500

Which of the following patients should receive IV corticosteroids to improve symptoms?

a. Patient in moderate respiratory distress after receiving albuterol X3

b. Patient in moderate respiratory distress coughing up pink frothy sputum

c. Patient in moderate respiratory distress with soot and burn marks by their mouth

d. Patient in respiratory distress and ascending paralysis

a. Patient in moderate respiratory distress after receiving albuterol X3

500

The needle should be inserted above the rib between the 7th-8th intercostal space, midaxillary line, for which of the following:

a. Chest tube

b. Thoracentesis

c. Bronchoscopy

d. Escharotomy

b. Thoracentesis

500

What is the overlying cause of RDS?

Insufficient/inactive surfactant

500

COPD consists of which diseases? (select all that apply)

a.    Bronchiectasis

b.    Asthma

c.    Chronic bronchitis

d.    Emphysema

e.    Cystic Fibrosis


C & D

Chronic bronchitis & Emphysema

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