PFT
What is a normal FVC time?
A. 3-5 sec
B. 4-6 sec
C. 2-4 sec
D. as long as the patient can take
Albuterol is available in which of the following forms?
I syrup
II nebulizer solution
III MDI
IV oral tablet
V DPI
A. II II V
B. III IV V
C. I II III IV V
D. II and III only
C. all
Signs of PNA on CXR may include
A. hyperlucency
B. Consolidation of affected area
C. Flattened diaphragm
D. groundglass appearance.
B. Consolidation of affected area
A patient displays the following physical findings: prolonged expiratory times, and increased AP chest diameter, use of accessory muscles, depressed hemidiaphragms and diminished BS. This suggests:
A. bronchial obstruction with atelectasis
B. diffuse interstitial fibrosis
C. COPD
D. Acute upper airway obstruction
C. COPD
A HR of 160 beats per minute is considered normal for which of the following patients?
A. a 3 year old child
B. a 1 year old child
C. it is not normal
D. a neonate at birth
D. A neonate at birth
A low FEV1/FVC ratio is obstructive/restrictive?
What about a normal FEV1/FVC ratio?
Obstructive...they air trap and can't get the air out. Would explain the decrease.
restrictive.. restrictive diseases don't have this issue.
Long Acting Beta2 agonists are indicated for:
A. mucus reduction
B. tx infections
C. Long acting beta adrenergic
D. indicated for acute asthma attacks
name TWO:
C. LABA
Salmeterol, formoterol, oladaterol, arformoterol
A 3 year old child enters the ER in mild respiratory distress. The mother of the child suspects that the child has aspirated a coin. What should the RCP recommend?
A. lateral CXR
B. PA CXR
C. CT scan of stomach
D. lateral radiograph of neck and upper airway
D. lateral radiograph of neck and upper airway
While palpating the chest of a patient, you notice the trachea is shifted to the right, flatness to percussion on the right side, and increased tactile fremitus. This is consistent with which of the following?
A. pneumothorax on left lung
B. pulmonary fibrosis in left lung
C. pleural effusion of right lung
D. atelectasis of right lung
D. atelectasis of right lung
In inspecting an elderly female patient, you note that her spine has an abnormal AP curvature of the upper spine which results in hunchback appearance. Which would you use when charting this observation?
A. Kyphoscoliosis
B. Pectus carniatum
C. Scoliosis
D. Kyphosis
FEF 200-1200 measures flows in the medium to small/larger airways.
and FEF 25-75% measures flows in the larger/medium to small airways.
finish the sentences
larger
medium to small
All of the following are side effects that should be monitored in your patients when using sympathomimetic aerosol except:
a. muscle tremor
b. bradycardia
c. tachycardia
d. insomnia
B. Bradycardia
A recent post-op patient is being treated with incentive spirometry, The patients IC has decreased over the past few days and their dyspnea is increasing. The CXR shows consolidation in the lung bases with no shift of the trachea. Which of the following has likely developed?
A. Pleural effusion
B. PNA
C. Atelectasis
D. Pneumothorax
B. PNA
During a chest physical exam, it is noted there is decreased tactile fremitus on the R side. This could be due to:
A. PNA on R side
B. Pneumothorax on the right side
C. Atelectasis on the R side
D. Severe asthma on the R side
B. Pneumothorax on the R side
A patient enters the emergency department and on initial examination, the RCP observes paradoxical respirations. Which of the following should they suspect?
A. Pulmonary edema
B. PNA
C. flail chest
D. pleural effusion
C. flail chest
Residual Volume (RV) is measured by
1. Helium dilution
2. Spirometry
3. Body plethysmography
4.Nitrogen Washout
A. 3 only
B. 2 only
C. all the above
D. 1,3,4
D. 1,3,4
It cannot directly be measured with spirometry
You are ordered to extubate a mechanically ventilated patient who has recently undergone open heart surgery. On post-extubation assessment, you note that the patient has stridor with mild retractions. Pharmacologically, you would recommend:
A. alpha adrenergic
b. anticholinergic
C. sympatholytic
D. B2 adrenergic
Name the med you would give
A. Alpha adrenergic
Racemic Epi
While reviewing CXR, it shows there is a shift in the trachea and mediastinum to the L side. There is also a complete opacification on the L side as well. This indicates:
A. diffuse pulmonary emphysema
B. R side pleural effusion
C. a pneumothorax of R lung
D. Atelectasis of L lung
D. Atelectasis of L lung
A patient coughs up dark, yellow sputum after an IPPB tx, Which of the following statements is true in regards to sputum?
A. Normal
B. hemoptysis
C. found in pts with PNA.
D. pulmonary edema
C. found in pts with PNA
crackles (rales) are generally heard in the patient with:
A. pneumothorax
B PNA
C. pulmonary edema
D. Pleural effusion
C. pulmonary edema
FEV1/FVC <65% indicates no/mild/significant airway obstruction.
A normal FVC rules out restrictive/obstructive diseases?
a decreased expiratory flow is consistent with restrictive/obstructive diseases?
Restrictive lung diseases are consistent with decreased/increased lung volumes, and the expiratory flow is usually decreased/normal
significant
restrictive disease
obstructive disease
decreased/normal
Which is the only B-agonist formulation that is a single isomer and is approved by the FDA for aerosol deliver?
A. Albuterol
B.tiotropium
C. Salmeterol
D. Levalbuterol
D. Levalbuterol
CXR of a 47 male pt. you note the heart is shifted to the right. What is the most likely cause of this finding?
A. atelectasis L side
B. tension pneumothorax on L side
C. tension pneumo on R side
D. Pleural effusion on R side
B. tension pneumothorax on L side
While palpating the chest , the RCP determines there is decreased tactile fremitus over the RLL . This may be the result of:
A. Pleural effusion
B. PNA
C. asthma
D. emphysema
A. pleural effusion
As you enter the patient's room to administer a neb tx, you notice the pt. is breathing rapidly and is in distress. You notice the following during the physical examination: reduced chest expansion, a hyperresonant percussion note on the L side, absence of BS on the L and a tracheal shift to the R. This suggests:
A. L side pneumothorax
B. R side pneumothorax
C. Pleural effusion
D. L side consolidation
A. left sided pneumothorax