Show:
Basic Assessment
Basic Assessment II
CXRs/ABGs
Multiple Multiples
100

Kussmaul breathing is typically seen in a patient with: a)Increased airway resistance b)Decreased V/Q ratio c)Diabetic ketoacidosis d)Emphysema

What is c)Diabetic ketoacidosis

100

Patients use purse-lip breathing because it: a)Speeds up the respiratory rate b)Increases airway secretions c)Stabilizes the airways d)Increases air trapping on exhalation

What is c)Stabilizes the airways

100
You suspect your patient has a pleural effusion. What test would be the best at confirming this?
What is a lateral decubitus
100

What findings are typical for a patient with COPD? SELECT ALL THAT APPLY

I.    Digital clubbing

II.    Chronic hypoxemia

III.    Barrel chest

IV.    Non-pleuritic chest pain


I, II, and III

200

Your patient has a tracheal shift to the right with Hyperresonance on percussion on the left upper lobe. This patient most likely has: a)A right pneumothorax b)A left pneumothorax c)A right pleural effusion d)A left pleural effusion

What is b)A left pneumothorax

200

When doing your physical assessment you notice tactile fremitus and upon auscultation you hear rhonchi. What disease is this associated with? a)Pneumonia b)Asthma c)Pulmonary edema d)Pulmonary embolism

What is a)Pneumonia

200
The radiography report describes a fluffy infiltrate. What disease process does this point to?
What is pulmonary edema
200

Your patient has obstructive lung disease. In response to this, which of the following are typically found?

1.   Decreased lung compliance

2.   Increased ventilatory rate

3.   Increased tidal volume

4.   Decreased ventilator rate


3 and 4

300

Which of the following labs would point to a patient having a decreased capacity to carry oxygen (select all that apply)? I.Increased RBC’s II.Decreased Hemoglobin III.Increased Hematocrit IV.Decreased Hematocrit

What is II.Decreased Hemoglobin IV.Decreased Hematocrit

300

Your patient has fine inspiratory crackles on auscultation, is coughing up pink, frothy sputum, and has a decrease in compliance. These symptoms are all consistent with:

What is pulmonary edema

300
When reading your patients CXR, you notice blunting of the costraphrenic angles. This finding is consistent with what disease process?
What is a pleural effusion
300

Which of the following are related to an increase in the total oxygen delivery?

a)    An increase in blood oxygen saturation

b)    A decrease in Hemoglobin

c)    A decrease in cardiac output

d)    A decrease in PaO2


a)    An increase in blood oxygen saturation

400

A showing of abnormal blood flow on a V/Q scan is indicative of what? a)Pneumonia b)Pneumothorax c)Pulmonary edema d)Pulmonary embolism

What is d)Pulmonary embolism

400

Your patients AP diameter is 1:1. This is consistent with: a)Kyphoscoliosis b)Barrel Chest c)Pectus Excavatum d)Pectus Carinatum

What is b)Barrel Chest

400
Interpret the following blood gas: pH 7.2 PaCO2 72 PaO2 64 HCO3- 26
What is uncompensated respiratory acidosis
400

Gram staining is done to (SELECT ALL THAT APPLY):

1. classify organisms as gram positive or gram negative.

2. identify tuberculosis organisms.

3. speed up the organism culturing process.

4. help guide antibiotic therapy.


1 and 4

500

A normal V/Q ratio in a healthy patient is:

What is 0.8 or 4:5

500

Pulsus Paradoxus is associated with what disease process?

What is asthma

500
Interpret the following blood gas: pH 7.5 PaCO2 50 PaO2 80 HCO3- 30
What is partially compensated metabolic alkalosis
500

Common causes of metabolic alkalosis include (SELECT ALL THAT APPLY):

1.   diuretic therapy.

2.   vomiting.

3.   excessive sodium bicarbonate administration (antacids).

4.   gastric suctioning.


1, 2, 3, and 4