Question 1

The respiratory therapist is educating a patient just diagnosed with tuberculosis. Which of the following statements should the therapist tell the patient regarding tuberculosis?

Accepted Answer

A)  Take the medication with a glass of water 1/2 hour before meals. 
B)  If you skip a dose of medication, double up at the next dose. 
C)  Don't take the medication if you have a fever or flulike symptoms. 
D)  Make sure to take the full prescribed course of therapy. 
A)  Take the medication with a glass of water 1/2 hour before meals. 
B)  If you skip a dose of medication, double up at the next dose. 
C)  Don't take the medication if you have a fever or flulike symptoms. 
D)  Make sure to take the full prescribed course of therapy. D

Question 2

A patient has postprimary TB. What are the major pathologic or structural changes associated with it?
1) Cavity formation
2) Laryngeal edema
3) Dilated and distorted bronchi
4) Fibrosis of lung parenchyma

Accepted Answer

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

Question 3

A first-line agent used to treat a TB infection is:

Accepted Answer

A)  gentamycin. 
B)  penicillin. 
C)  streptomycin. 
D)  isoniazid. 
A)  gentamycin. 
B)  penicillin. 
C)  streptomycin. 
D)  isoniazid. D

Question 4

A negative tuberculin test would be demonstrated by an induration (wheal) of what size?

Accepted Answer

A)  4 mm or less 
B)  6 mm or less 
C)  8 mm or greater 
D)  10 mm or greater 
A)  4 mm or less 
B)  6 mm or less 
C)  8 mm or greater 
D)  10 mm or greater

Question 5

Mycobacterium tuberculosis is particularly damaging to the lungs because of the:

Accepted Answer

A)  healing of a tubercle. 
B)  formation of micropulmonary emboli. 
C)  increased mucus production. 
D)  irreversible bronchospasm that it causes. 
A)  healing of a tubercle. 
B)  formation of micropulmonary emboli. 
C)  increased mucus production. 
D)  irreversible bronchospasm that it causes.

Question 6

Risk factors predisposing a person to TB include all of the following EXCEPT:

Accepted Answer

A)  having HIV/AIDS. 
B)  being immunosuppressed. 
C)  African American or Hispanic heritage. 
D)  malnutrition. 
A)  having HIV/AIDS. 
B)  being immunosuppressed. 
C)  African American or Hispanic heritage. 
D)  malnutrition.

Question 7

What medication is used to treat a person who has converted to a positive TB skin test but does not have active disease?

Accepted Answer

A)  Virazole 
B)  Isoniazid 
C)  Rifampin 
D)  Tetracycline 
A)  Virazole 
B)  Isoniazid 
C)  Rifampin 
D)  Tetracycline

Question 8

A patient has been found to have tuberculosis (TB) in several organs of the body. What term is used to describe this situation?

Accepted Answer

A)  Primary TB 
B)  Postprimary TB 
C)  Disseminated TB 
D)  Multiorgan TB 
A)  Primary TB 
B)  Postprimary TB 
C)  Disseminated TB 
D)  Multiorgan TB

Question 9

The preferred stain that is used to identify the TB organism is called:

Accepted Answer

A)  Gram stain. 
B)  fluorescent acid-fast stain. 
C)  Ziehl-Neelsen. 
D)  gentian violet. 
A)  Gram stain. 
B)  fluorescent acid-fast stain. 
C)  Ziehl-Neelsen. 
D)  gentian violet.

Question 10

A patient who has an uncontrolled tuberculosis infection will show all of the following signs EXCEPT:

Accepted Answer

A)  weight loss. 
B)  high fever. 
C)  bloody sputum. 
D)  night sweats. 
A)  weight loss. 
B)  high fever. 
C)  bloody sputum. 
D)  night sweats.

Question 11

Mycobacterium tuberculosis is most readily transmitted through:

Accepted Answer

A)  drinking milk from or the milking of infected cows. 
B)  shaking hands and then rubbing your eye. 
C)  coughing. 
D)  accidental direct inoculation. 
A)  drinking milk from or the milking of infected cows. 
B)  shaking hands and then rubbing your eye. 
C)  coughing. 
D)  accidental direct inoculation.

Question 12

Pulmonary function testing results on a patient with an advanced case of TB will display all of the following EXCEPT:

Accepted Answer

A)  increased RV. 
B)  decreased IRV. 
C)  decreased VC. 
D)  decreased TLC. 
A)  increased RV. 
B)  decreased IRV. 
C)  decreased VC. 
D)  decreased TLC.

Question 13

A respiratory therapist has a positive TB skin test after having contact with a patient with active TB. Which of the following actions would MOST likely be taken regarding the positive skin test?

Accepted Answer

A)  The therapist will be started on a 1-year course of isoniazid prophylactically. 
B)  The test will be followed with monthly chest x-rays to detect changes in the lung parenchyma. 
C)  The therapist will be on paid administrative leave for 3 months until it is ensured that she is noncontagious. 
D)  The therapist will be required to wear a mask at work for 3 months until it is established that she is noncontagious. 
A)  The therapist will be started on a 1-year course of isoniazid prophylactically. 
B)  The test will be followed with monthly chest x-rays to detect changes in the lung parenchyma. 
C)  The therapist will be on paid administrative leave for 3 months until it is ensured that she is noncontagious. 
D)  The therapist will be required to wear a mask at work for 3 months until it is established that she is noncontagious.

Question 14

Which of the following clinical manifestations are associated with TB?
1) Dull percussion note
2) Bronchospasm
3) Hyperresonant percussion note
4) Crackles

Accepted Answer

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

Question 15

In which of the following ways is tuberculosis generally NOT spread?

Accepted Answer

A)  Inhaling droplets of aerosol from an infected person 
B)  Drinking unpasteurized milk from cattle infected with the pathogen 
C)  Laceration with contact of infected secretions during postmortem autopsy 
D)  Sharing utensils and glassware with an infected person 
A)  Inhaling droplets of aerosol from an infected person 
B)  Drinking unpasteurized milk from cattle infected with the pathogen 
C)  Laceration with contact of infected secretions during postmortem autopsy 
D)  Sharing utensils and glassware with an infected person

Question 16

A patient with an advanced case of TB may have which of the following radiologic findings?
1) Bronchial tumors
2) Hyperlucent lung fields
3) Retraction of lung segments
4) Right-sided heart enlargement

Accepted Answer

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

Question 17

When a person has TB spread throughout the body, it is found in all of the following EXCEPT:

Accepted Answer

A)  upper lobes. 
B)  kidneys. 
C)  brain. 
D)  lower lobes. 
A)  upper lobes. 
B)  kidneys. 
C)  brain. 
D)  lower lobes.

Question 18

Nontuberculous mycobacteria such as Mycobacterium avium and Mycobacterium kansasii are associated with which one of the following diseases?

Accepted Answer

A)  COPD 
B)  Bronchiectasis 
C)  Status asthmaticus 
D)  Cystic fibrosis 
A)  COPD 
B)  Bronchiectasis 
C)  Status asthmaticus 
D)  Cystic fibrosis

Exam 18: Tuberculosis

The respiratory therapist is educating a patient just diagnosed with tuberculosis. Which of the following statements should the therapist tell the patient regarding tuberculosis?

A patient has postprimary TB. What are the major pathologic or structural changes associated with it? 1) Cavity formation 2) Laryngeal edema 3) Dilated and distorted bronchi 4) Fibrosis of lung parenchyma

A first-line agent used to treat a TB infection is:

A negative tuberculin test would be demonstrated by an induration (wheal) of what size?

Mycobacterium tuberculosis is particularly damaging to the lungs because of the:

Risk factors predisposing a person to TB include all of the following EXCEPT:

What medication is used to treat a person who has converted to a positive TB skin test but does not have active disease?

A patient has been found to have tuberculosis (TB) in several organs of the body. What term is used to describe this situation?

The preferred stain that is used to identify the TB organism is called:

A patient who has an uncontrolled tuberculosis infection will show all of the following signs EXCEPT:

Mycobacterium tuberculosis is most readily transmitted through:

Pulmonary function testing results on a patient with an advanced case of TB will display all of the following EXCEPT:

A respiratory therapist has a positive TB skin test after having contact with a patient with active TB. Which of the following actions would MOST likely be taken regarding the positive skin test?

Which of the following clinical manifestations are associated with TB? 1) Dull percussion note 2) Bronchospasm 3) Hyperresonant percussion note 4) Crackles

In which of the following ways is tuberculosis generally NOT spread?

A patient with an advanced case of TB may have which of the following radiologic findings? 1) Bronchial tumors 2) Hyperlucent lung fields 3) Retraction of lung segments 4) Right-sided heart enlargement

When a person has TB spread throughout the body, it is found in all of the following EXCEPT:

Nontuberculous mycobacteria such as Mycobacterium avium and Mycobacterium kansasii are associated with which one of the following diseases?

The Patient Interview

The Physical Examination and Its Basis in Physiology

Pulmonary Function Study Assessments

Arterial Blood Gas Assessments

Oxygenation Assessments

Cardiovascular System Assessments

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program and the Role of the Respiratory Therapist

Respiratory Failure and the Mechanical Ventilation Protocol

Recording Skills: The Basis for Data Collection, Organization, Assessment Skill

Chronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and Emphysema

Asthma

Bronchiectasis

Cystic Fibrosis

Pneumonia

Lung Abscess

Fungal Diseases of the Lung

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Interstitial Lung Diseases

Cancer of the Lung

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Sleep Apnea

Clinical Manifestations Common with Newborn and Early Childhood Respiratory Dis

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndromes

Respiratory Syncytial Virus (Bronchiolitis or Pneumonitis)

Bronchopulmonary Dysplasia

Congenital Diaphragmatic Hernia

Congenital Heart Diseases

Croup Syndrome: Laryngotracheobronchitis and Acute Epiglottitis

Near Drowning/Wet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Atelectasis

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