Question 1

Management of the patient with bronchiectasis may include:
1) expectorants.
2) early childhood immunizations.
3) lung resection.
4) lung transplant.

Accepted Answer

A) 1, 3 
B) 3, 4 
C) 1, 2, 3 
D) 2, 3, 4 
A) 1, 3 
B) 3, 4 
C) 1, 2, 3 
D) 2, 3, 4 C

Question 2

Severe bronchiectasis is associated with:
1) vesicular breath sounds.
2) cor pulmonale.
3) distended neck veins.
4) polycythemia.

Accepted Answer

A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3 C

Question 3

Hemodynamic findings in a patient with severe bronchiectasis may show:
1) decreased CVP.
2) increased RAP.
3) normal cardiac output.
4) increased PVR.

Accepted Answer

A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3 C

Question 4

Which of the following pulmonary function testing values would be found in a patient with severe, obstructive bronchiectasis?
1) Decreased RV/TLC ratio
2) Increased PEFR
3) Increased FEF25%-75%
4) Decreased FEF25%-75%

Accepted Answer

A) 4 
B) 2, 3 
C) 1, 4 
D) 1, 2, 3 
A) 4 
B) 2, 3 
C) 1, 4 
D) 1, 2, 3

Question 5

Rigid and dilated bronchi are the key anatomic alterations found in which type of bronchiectasis?

Accepted Answer

A)  Varicose 
B)  Cystic 
C)  Emphysematous 
D)  Cylindrical 
A)  Varicose 
B)  Cystic 
C)  Emphysematous 
D)  Cylindrical

Question 6

In developed countries, the most common cause of acquired bronchiectasis is:

Accepted Answer

A)  emphysema. 
B)  lung abscess. 
C)  cystic fibrosis. 
D)  pulmonary fibrosis. 
A)  emphysema. 
B)  lung abscess. 
C)  cystic fibrosis. 
D)  pulmonary fibrosis.

Question 7

Congenital causes of bronchiectasis include:

Accepted Answer

A)  influenza. 
B)  cystic fibrosis. 
C)  COPD. 
D)  rheumatic disease. 
A)  influenza. 
B)  cystic fibrosis. 
C)  COPD. 
D)  rheumatic disease.

Question 8

Irregularly dilated and constricted bronchi are the key anatomic alterations found in which type of bronchiectasis?

Accepted Answer

A)  Cystic 
B)  Varicose 
C)  Cylindrical 
D)  Saccular 
A)  Cystic 
B)  Varicose 
C)  Cylindrical 
D)  Saccular

Question 9

Which of the following should a patient with bronchiectasis do to reduce the risk for the condition worsening?
1) Avoid air pollution.
2) Get an influenza vaccination.
3) Take an antibiotic every day.
4) Avoid smoking.

Accepted Answer

A) 3, 4 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 3, 4 
B) 1, 2, 4 
C) 2, 3, 4 
D) 1, 2, 3

Question 10

For religious reasons, a young couple has not given their 4-year-old daughter the usual childhood immunizations. She has been repeatedly hospitalized with pulmonary infections. What should the respiratory therapist caring for the child tell the parents that the child is at risk for developing?

Accepted Answer

A)  Chronic bronchitis 
B)  Asthma 
C)  Bronchiectasis 
D)  Left ventricular hypertrophy 
A)  Chronic bronchitis 
B)  Asthma 
C)  Bronchiectasis 
D)  Left ventricular hypertrophy

Question 11

A patient with long-standing bronchiectasis also has pneumonia. Which of the following hematology test results would be expected?
1) Decreased red blood cell (RBC) count
2) Decreased white blood cell (WBC) count
3) Elevated WBC count
4) Increased hemoglobin and hematocrit

Accepted Answer

A) 1, 2 
B) 3, 4 
C) 2, 4 
D) 1, 3, 4 
A) 1, 2 
B) 3, 4 
C) 2, 4 
D) 1, 3, 4

Question 12

Which of the following is the usual characteristic of the sputum of a patient with bronchiectasis?

Accepted Answer

A)  It is usually sweet or musky smelling. 
B)  When examined microscopically there are Kirshman's spirals. 
C)  It contains eosinophils. 
D)  It is usually voluminous and tends to settle into several different layers. 
A)  It is usually sweet or musky smelling. 
B)  When examined microscopically there are Kirshman's spirals. 
C)  It contains eosinophils. 
D)  It is usually voluminous and tends to settle into several different layers.

Question 13

The preferred imaging method to diagnose a patient's with noncystic fibrosis bronchiectasis is:

Accepted Answer

A)  posterior-anterior radiograph (x-ray). 
B)  anterior-posterior radiograph (x-ray). 
C)  high-resolution computed tomography (HR-CT). 
D)  bronchogram. 
A)  posterior-anterior radiograph (x-ray). 
B)  anterior-posterior radiograph (x-ray). 
C)  high-resolution computed tomography (HR-CT). 
D)  bronchogram.

Question 14

Which of the following is the term used to describe the parallel or curved opacity lines of varying length caused by branchial wall thickening that are seen in patients with cylindrical bronchiectasis?

Accepted Answer

A)  Tram-lines 
B)  Infiltrates 
C)  Reid lines 
D)  Tubular lines 
A)  Tram-lines 
B)  Infiltrates 
C)  Reid lines 
D)  Tubular lines

Question 15

Which of the following is the hallmark of bronchiectasis?

Accepted Answer

A)  Chronic cough with production of large quantities of foul-smelling sputum 
B)  Bronchospasm 
C)  Decreased DLCO with normal to decreased expiratory flowrates on pulmonary function 
D)  Dyspnea on exertion 
A)  Chronic cough with production of large quantities of foul-smelling sputum 
B)  Bronchospasm 
C)  Decreased DLCO with normal to decreased expiratory flowrates on pulmonary function 
D)  Dyspnea on exertion

Question 16

A mother brought her 2-year-old son to the physician. He has been coughing up secretions and having wheezy breathing ever since choking on food 6 months ago. The physician diagnosed the boy with bronchiectasis. What could be the cause?

Accepted Answer

A)  Cystic fibrosis 
B)  Measles 
C)  Asthma 
D)  Aspiration 
A)  Cystic fibrosis 
B)  Measles 
C)  Asthma 
D)  Aspiration

Question 17

One of the main challenges in caring for a patient with bronchiectasis is:

Accepted Answer

A)  contending with bronchospasm. 
B)  removing excessive bronchopulmonary secretions. 
C)  returning the FRC to within normal limits. 
D)  maximizing gas exchange across the alveolar-capillary membrane. 
E)  rehydrating dried secretions. 
A)  contending with bronchospasm. 
B)  removing excessive bronchopulmonary secretions. 
C)  returning the FRC to within normal limits. 
D)  maximizing gas exchange across the alveolar-capillary membrane. 
E)  rehydrating dried secretions.

Question 18

Patients with bronchiectasis can have which of the following anatomic alterations?
1) Hyperinflation
2) Pulmonary embolism
3) Consolidation
4) Pneumothorax

Accepted Answer

A) 1, 3 
B) 1, 4 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1, 3 
B) 1, 4 
C) 2, 3, 4 
D) 1, 2, 3

Question 19

A patient with severe bronchiectasis may show:
1) distended neck veins.
2) pitting edema.
3) enlarged and tender liver.
4) S3 heart sound.

Accepted Answer

A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3

Question 20

Which form of bronchiectasis causes the greatest amount of damage to the tracheobronchial tree?

Accepted Answer

A)  Triphasic 
B)  Varicose 
C)  Cystic 
D)  Fusiform 
A)  Triphasic 
B)  Varicose 
C)  Cystic 
D)  Fusiform

Exam 16: Bronchiectasis

Management of the patient with bronchiectasis may include: 1) expectorants. 2) early childhood immunizations. 3) lung resection. 4) lung transplant.

Severe bronchiectasis is associated with: 1) vesicular breath sounds. 2) cor pulmonale. 3) distended neck veins. 4) polycythemia.

Hemodynamic findings in a patient with severe bronchiectasis may show: 1) decreased CVP. 2) increased RAP. 3) normal cardiac output. 4) increased PVR.

Which of the following pulmonary function testing values would be found in a patient with severe, obstructive bronchiectasis? 1) Decreased RV/TLC ratio 2) Increased PEFR 3) Increased FEF25%-75% 4) Decreased FEF25%-75%

Rigid and dilated bronchi are the key anatomic alterations found in which type of bronchiectasis?

In developed countries, the most common cause of acquired bronchiectasis is:

Congenital causes of bronchiectasis include:

Irregularly dilated and constricted bronchi are the key anatomic alterations found in which type of bronchiectasis?

Which of the following should a patient with bronchiectasis do to reduce the risk for the condition worsening? 1) Avoid air pollution. 2) Get an influenza vaccination. 3) Take an antibiotic every day. 4) Avoid smoking.

For religious reasons, a young couple has not given their 4-year-old daughter the usual childhood immunizations. She has been repeatedly hospitalized with pulmonary infections. What should the respiratory therapist caring for the child tell the parents that the child is at risk for developing?

A patient with long-standing bronchiectasis also has pneumonia. Which of the following hematology test results would be expected? 1) Decreased red blood cell (RBC) count 2) Decreased white blood cell (WBC) count 3) Elevated WBC count 4) Increased hemoglobin and hematocrit

Which of the following is the usual characteristic of the sputum of a patient with bronchiectasis?

The preferred imaging method to diagnose a patient's with noncystic fibrosis bronchiectasis is:

Which of the following is the term used to describe the parallel or curved opacity lines of varying length caused by branchial wall thickening that are seen in patients with cylindrical bronchiectasis?

Which of the following is the hallmark of bronchiectasis?

A mother brought her 2-year-old son to the physician. He has been coughing up secretions and having wheezy breathing ever since choking on food 6 months ago. The physician diagnosed the boy with bronchiectasis. What could be the cause?

One of the main challenges in caring for a patient with bronchiectasis is:

Patients with bronchiectasis can have which of the following anatomic alterations? 1) Hyperinflation 2) Pulmonary embolism 3) Consolidation 4) Pneumothorax

A patient with severe bronchiectasis may show: 1) distended neck veins. 2) pitting edema. 3) enlarged and tender liver. 4) S3 heart sound.

Which form of bronchiectasis causes the greatest amount of damage to the tracheobronchial tree?

The Patient Interview

The Physical Examination

The Pathophysiologic Basis for Common Clinical Manifestations

Pulmonary Function Testing

Blood Gas Assessment

Assessment of Oxygenation

Assessment of the Cardiovascular System

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program

Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols

Recording Skills and Intra-Professional Communication

Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema

Asthma

Cystic Fibrosis

Atelectasis

Pneumonia, Lung Abscess Formation, and Important Fungal Diseases

Tuberculosis

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Cancer of the Lung, Prevention and Palliation

Interstitial Lung Diseases

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Sleep Apnea

Newborn Assessment and Management

Pediatric Assessment, Protocols, and Pals Management

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndrome

Respiratory Syncytial Virus Infection Bronchiolitis

Chronic Lung Disease of Infancy

Congenital Diaphragmatic Hernia

Congenital Heart Disease

Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis

Near Drowningwet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Filters

Which of the following pulmonary function testing values would be found in a patient with severe, obstructive bronchiectasis? 1) Decreased RV/TLC ratio 2) Increased PEFR 3) Increased FEF_25%-75% 4) Decreased FEF_25%-75%

A patient with severe bronchiectasis may show: 1) distended neck veins. 2) pitting edema. 3) enlarged and tender liver. 4) S₃ heart sound.