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    Chest Week 2 Quiz

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    Fadia Sharmin
    This document contains a chest exam with multiple choice questions covering topics like occupational lung diseases, pneumoconiosis, asthma, and pulmonary function tests. The correct answers are provided. An arterial blood gas result is also given, showing a primary respiratory alkalosis that is fully compensated by a metabolic acidosis. Spirometry measures are interpreted, showing obstructive ventilatory impairment in one case. Emphysema is associated with decreased flow on forced expiration due to loss of elastic recoil. Pulmonary fibrosis patients would breathe shallowly and rapidly.

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    Chest Week 2 Quiz

    Uploaded by

    Fadia Sharmin
    90 views4 pages
    This document contains a chest exam with multiple choice questions covering topics like occupational lung diseases, pneumoconiosis, asthma, and pulmonary function tests. The correct answers are provided. An arterial blood gas result is also given, showing a primary respiratory alkalosis that is fully compensated by a metabolic acidosis. Spirometry measures are interpreted, showing obstructive ventilatory impairment in one case. Emphysema is associated with decreased flow on forced expiration due to loss of elastic recoil. Pulmonary fibrosis patients would breathe shallowly and rapidly.

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    This document contains a chest exam with multiple choice questions covering topics like occupational lung diseases, pneumoconiosis, asthma, and pulmonary function tests. The correct answers are provided. An arterial blood gas result is also given, showing a primary respiratory alkalosis that is fully compensated by a metabolic acidosis. Spirometry measures are interpreted, showing obstructive ventilatory impairment in one case. Emphysema is associated with decreased flow on forced expiration due to loss of elastic recoil. Pulmonary fibrosis patients would breathe shallowly and rapidly.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    90 views4 pages

    Chest Week 2 Quiz

    Uploaded by

    Fadia Sharmin
    This document contains a chest exam with multiple choice questions covering topics like occupational lung diseases, pneumoconiosis, asthma, and pulmonary function tests. The correct answers are provided. An arterial blood gas result is also given, showing a primary respiratory alkalosis that is fully compensated by a metabolic acidosis. Spirometry measures are interpreted, showing obstructive ventilatory impairment in one case. Emphysema is associated with decreased flow on forced expiration due to loss of elastic recoil. Pulmonary fibrosis patients would breathe shallowly and rapidly.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    Chest Week 2

    1.
    a)
    b)
    c)
    d)

    What is the most important test for diagnosis of occupational lung disease?
    Computed Tomography
    Pulmonary Function Test
    Chest Radiography
    Bronchoscopy

    2.
    a)
    b)
    c)
    d)

    Pneumoconiosis can be caused by the following except:


    Asbestos
    Zinc
    Silica
    Coal

    3.
    a)
    b)
    c)
    d)

    Which of the following can cause Industrial Bronchitis?


    Grain worker
    Plastic manufacturing
    Cotton worker
    Glass industry

    4.
    a)
    b)
    c)
    d)

    All of the following are the manifestation of silicosis except:


    Clubbing of finger
    Shortness of breath while exercising
    Bluish skin at ear lobes or lips sometimes
    Loss of appetite

    5.
    a)
    b)
    c)
    d)

    Histopathologic features of asthma are true except


    Airway remodeling
    Mucous gland hypertrophy
    Edema of bronchial mucosa
    Inflammatory cell infiltration

    6.
    a)
    b)
    c)
    d)

    What is the type of breath sound in asthma patient during the attack?
    Bronchial breath sound
    Vesicular breath sound
    Harsh vesicular breath sound
    Harsh vesicular breath sound with prolonged expiration

    7.
    a)
    b)
    c)
    d)

    What is one of the complications of asthma?


    Fracture ribs
    Osteoporosis
    Pulmonary hypertension
    Cardiovascular disease

    8.
    a)
    b)
    c)
    d)

    What may be presented in blood picture of patient suffering asthma?


    Anemia
    Monocytosis
    Eosinophlia
    Crushmans spirals

    9.
    a)
    b)
    c)
    d)

    All of the following are bronchodilators except


    Beta agonist
    Anticholinergic
    Leukotriene modifier
    Methylzanthines

    10.Which of the following is not treatment of Status Asthmaticus?


    a) Fluids
    b) Beta agonist
    c) Anticholinergic
    d) Aminophylline
    11.

    Text
    pH
    HCO3
    PaCO2

    Value
    7.43
    20 mEq/L
    31 mmHg

    Normal
    7.35-7.45
    22-26 mEq/L
    35-45 mmHg

    Interpret the above table of arterial blood gases.


    i.
    Primary mechanism:
    ii.
    Compensatory mechanism:
    iii.
    Level of compensation:
    12.Spirometry can be used to measure:
    a) Residual volume
    b) Functional residual capacity
    c) Vital capacity
    d) Total lung capacity
    13.Which of the following are indications for spirometry?
    a) 45 yo and smoker
    b) 45 yo and past smoker
    c) Patient with chronic cough
    d) Exposure to lung irritants
    e) All of the above
    14.How many acceptable spirograms should be obtained to have valid
    results?
    a) 1
    b) 2
    c) 3
    d) 4
    15.Your patient has a normal FVC, FEV1/FVC of 0.6, and a g percent increase
    in FEV1 with bronchodilators. What disease process is occurring?
    a) None- the values are normal
    b) Obstructive ventilator impairment
    c) Reversible airway disease
    d) Restrictive lung disease

    16.Who would be most likely to show increased lung compliance?


    a) An infant with insufficient surfactant production
    b) A person with pulmonary fibrosis
    c) A healthy 90 year old
    d) A person with bronchitis
    17.An individual with emphysema:
    a) Would show decreased flow on forced expiration largely due to loss of
    elastic recoil of lung
    b) Would have elevated FEV1/FVC ratio
    c) Would have less compliant lungs than is considered normal
    d) Would have smaller (more negative) pleural pressure than normal TLC
    18.Who would be most likely to breathe shallowly and rapidly?
    a) Someone in the middle of an asthmatic attack
    b) Someone with bronchitis
    c) Someone with pulmonary fibrosis
    d) Someone with emphysema

    1.
    2.
    3.
    4.
    5.
    6.
    7.
    8.

    C
    B
    A
    A
    B
    D
    A
    C

    12.
    13.
    14.
    15.
    16.
    17.
    18.

    C
    D
    C
    B
    C
    A
    C

    9. C
    10. C
    11. pH is normal
    HCO3- concentration is low (metabolic acidosis)
    CO2 tension is low (respiratory alkalosis)
    The pH is at the high end of normal (toward the alkalotic side), but the
    bicarbonate and CO2 levels indicate something abnormal is happening.
    Because the body generally doesn't overcompensate, the alkalotic factor is
    the primary culprit. Here, there is a respiratory alkalosis, fully compensated
    by metabolic acidosis.

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