Pathology
A sweat chloride test can be used to diagnose which of the following conditions?
A. Muscular dystrophy
B.Amyotrophic lateral sclerosis
C. Poliomyelitis
D. CF
D. Cystic Fibrosis
pH 7.17 /CO2 77/ PaO2 54/ HCO3 25
A. Acute ventilatory failure on chronic ventilatory failure
B. Acute alveolar hyperventilation (respiratory alkalosis)
C. Acute ventilatory (respiratory) failure
D. Acute alveolar ventilation superimposed on chronic ventilatory failure.
C. Acute ventilatory (respiratory) failure
A lab method used to confirm the identity of microbes and the antibiotics that these microbes are sensitive to is known as:
A. Gram stain
B. WBC
C. Culture & sensitivity
D. Acid fast stain
C. culture and sensitivity
All of the following are opioids except which:
A. codeine
b. valium
c. fentora
d. demerol
B. Valium
Wheezing is:
A. Produced by bronchospasm
B. Usually heard as high pitched sound
C. A cardinal finding of asthma
D. All the above
D. All of the above
What type of WBC would most likely be elevated if a patient had an acute viral infection?
A. Monocytes
B. neutrophil
C. Eosinophil
D.Lymphocyte
pH 7.23/ CO2 54 torr/ PaO2 81 torr/ HCO3 25 mEq/L/ B.E. -1
Interpret!
Uncompensated (acute) respiratory acidosis
A new patient was admitted and has been diagnosed with PNA. The patient has an SPO2 of 87% on 2L NC. Which of the following would cause the patient to be hypoxemic?
1. Capillary shunting
2. Diffusion defect
3. alveolar consolidation
4. hypoventilation
A. 1 and 2
B. 2 and 3
C. 1 and 3
D. All
C. 1 and 3
Glucocorticoids inhibit all but which of the following cells of inflammation?
A. RBC
B. macrophages
C. Lymphocytes
D. Mast cells
A. RBC
What change in the patient's VS is expected as a result of fever?
A. Decrease BP
B. Increase RR
C. Increase in BP
D. Decrease in HR
B. Increase RR
A 56 y.o male patient has been admitted and diagnosed with Guillain-Barre syndrome. In order to determine the patient's need for ventilatory support, which of the values is the most critical to monitor?
A. Residual Vol
B. Inspiratory capacity
C. Peak Inspiratory flow
D. Expiratory reserve volume
B. Inspiratory Capacity.
7.54pH/38 PaCO2/83(Po2)/ 33 HCO3
interpret!
Metabolic alkalosis (acute)
A 16 year old patient has been admitted and shows signs of poor body development. Upon assessment, you notice digital clubbing, hyperresonance to percussion, productive cough. It has been reported that the patient has foul smelling stools. Which of these is this consistent with?
A. ARDS
B. HF
C. acute bronchitis
D. cystic fibrosis
D. CF
Which of the following minimizes local side effects associated with the use of ICS?
A. Spacer device
B. Rinse mouth after tx
C. Prescribe the lowest effective dose
D. All of the above
D. All the above
What clinical condition is most closely associated with harsh bronchial breath sounds over the infected region?
A. PNA
B. Pneumothorax
C. Emphysema
D. Asthma
A. Pna
Which of the following conditions is most likely to produce an abnormal white shadow on the CXR?
A. Pneumothorax
B. PNA
C. Emphysema
D. Asthma
B. PNA
It is determined that the P50 for a pt. is 42 mmhg. Which of the following conditions could this patient be experiencing?
A. Low fever
B. Exposure to CO
C. Acute acidosis
D. Decreased PaCO2
While reviewing the CXR of the 57 y.o male patient, you noted blunting of the L costophrenic angle. It also states in the patient's chart that he has a hx of CHF. Which of the following best describes this finding?
A. There is a pneumothorax on the L side
B. There is a Pleural effusion on L side.
C. There is pulmonary edema in L lung.
D. There is PNA in LLL
B. There is a pleural effusion on the L side
Mucomyst should NOT be aerosolized with which of the following due to incompatibility?
A. Tetracycline
B. Erythromycin
C. Amphotericin B.
D. All the above
Bonus: It may be delivered via what routes?
and can be delivered oral, aerosol, or topical route.
Which of the following represents normal Albumin level?
A. 6.0g/dL
B. 4.0 g/dL
C. 3.0g/dL
D. 7.5g/dL
B. 4.0 g/dL
While reviewing the chart of a patient with a lobar PNA, the RCP notices the RR for the last 24h has been between 28-42/min on a 50% venti mask. Which of the following most likely caused the increased RR?
A. Hypothermia
B. Hypoxemia
C. Weakened diaphragm
D. Hyperalkemia
B. Hypoxemia
What are some hazards/complications of an ABG?
Bleeding, hematoma, infection, air/blood embolism, spasm, occlusion, damage to vessel.
You are asked to assess a 39 y.o man that was admitted through the ED with an abrupt onset of fever and chills. He has bilateral rhonchi with a productive cough and his SPO2 is 88% on RA. What should you recommend?
A. Intubate and provide mechanical ventilation with 40% O2.
B. Provide noninvasive positive pressure ventilation using a full face mask.
C. Implement postural drainage and percussion with directed coughing.
D. Provide O2 therapy, give antibiotic, obtain sputum sample for Culture and Sensitivity
D. Provide O2 Therapy, give antibiotic, obtain sputum sample for Culture and Sensitivity.
Your patient presents with post-extubation stridor. You recommend racemic epinephrine for its:
A. saba effect
b. laba effect
c. B1 adrenergic effect
D. alpha adrenergic vasoconstriction effect.
D. alpha adrenergic vasoconstriction effect
Which of the following describe an intrapulmonary shunt?
A. Ventilation in excess of perfusion
B. perfusion is completely absent
C. Lung regions with poorly ventilated alveoli but properly perfused with blood.
D. Lung regions with well-ventilated alveoli but poorly perfused with blood.
C. Lung regions with poorly ventilated alveoli but properly perfused with blood