Exam 12: Chronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and Emphysema

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Which of the following clinical manifestations would be expected in a patient with emphysema? 1) Polycythemia 2) Barrel chest 3) Pursed-lip breathing 4) Normal percussion note

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B

Which of the following clinical manifestations are associated with late-stage chronic bronchitis? 1) Rhonchi 2) Cor pulmonale 3) Digital clubbing 4) Stocky, overweight build

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D

According to the GOLD report, which of the following is the greatest worldwide risk factor for COPD?

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D

What is the term for the inward movement of the lateral chest wall during inspiration?

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The management of COPD may include: 1) annual influenza immunization. 2) bronchopulmonary hygiene procedures. 3) bronchodilators. 4) smoking cessation.

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Emphysema may be caused by all of the following EXCEPT:

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In the United States, the primary factor leading to the development of COPD is:

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Which of the following are pathologic alterations found with emphysema? 1) Air trapping and hyperinflation 2) Mucus plugs 3) Decreased surface area for gas exchange 4) Weakened respiratory bronchioles

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According to GOLD, at what age can the initial diagnosis of COPD be made?

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Which of the following is true of the diffusing capacity test (DLCO) findings in a patient with COPD?

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Which of the following terms is (are) commonly applied to a patient with emphysema? 1) Pink puffer 2) Blue bloater 3) Type A COPD 4) Type B COPD

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Which of the following are used to confirm the diagnosis of COPD? 1) Presence of a chronic cough 2) Chronic exposure to environmental smoke 3) FEV1/FVC ratio greater than 0.70 4) FEV1 <80%

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Which of the following are clinical findings associated with chronic bronchitis? 1) Cyanosis 2) Purulent sputum 3) Right heart failure 4) Elevated CO2 level

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The genetic reference to a person with a normal level of a?-antitrypsin is _____ phenotype.

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Which of the following statements accurately describe(s) emphysema? 1) It is characterized by alveolar wall destruction. 2) It is most closely associated with cystic fibrosis. 3) It is reversible and preventable. 4) It is characterized by thick secretions and mucus plugging.

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A genetically linked cause of panlobular emphysema is:

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Which of the following are anatomic alterations found with chronic bronchitis? 1) Increased size of submucosal bronchial glands 2) Destruction of pulmonary capillaries 3) Chronic bronchial wall inflammation and thickening 4) Bronchospasm

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