Exam 17: Lung Abscess

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Which of the following can occur when tissue necrosis occurs in a lung abscess? 1) Fluid can rupture into a bronchus. 2) Broncholithiasis can occur. 3) Bronchospasm can close off the affected bronchi. 4) Fluid can rupture into the intrapleural space.

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B

Which of the following conditions can result in a lung abscess? 1) Penetrating chest wound 2) Septic embolism 3) Aspirated foreign body 4) Bronchogenic cyst

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D

Following a cerebrovascular accident, a patient lying in the supine position aspirated gastric contents. In what area(s) of the lungs would a lung abscess be most likely to develop? 1) Posterior segments of the upper lobes 2) Apical segments of the upper lobes 3) Superior segments of the lower lobes 4) Anterior segments of both lower lobes

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B

The respiratory therapist heard a pleural friction rub while performing a chest assessment on a patient with a lung abscess. What does this likely indicate?

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What is the recommended treatment for a lung abscess caused by methicillin-resistant Staphylococcus aureus (MRSA)?

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During the early stages of a lung abscess, the pathologic process is identical to that of:

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All of the following are parasites associated with lung abscesses EXCEPT:

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What is the term for the fibrinous membrane that surrounds a lung abscess?

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A patient with an abscess has produced a large volume of brown-colored, putrid sputum. What type of microorganism would most likely result in brown, putrid sputum production?

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What is the standard treatment for a lung abscess caused by an anaerobic pathogen?

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In the early stages of a lung abscess, a patient would most likely have a:

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Which of the following are predisposing factors to aspiration of oropharyngeal secretions and/or gastric contents into the lower respiratory tract? 1) General anesthesia 2) Head trauma 3) Seizure disorder 4) Alcohol abuse

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An unconscious patient aspirated gastric contents. Which of the following anaerobic microorganisms would likely now be found in her lower respiratory tract? 1) Legionella pneumophila 2) Pseudomonas aeruginosa 3) Peptococci 4) Bacteroides fragilis

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