Question 1

During the advanced stages of a fungal lung infection, which of the following is commonly seen on the chest radiograph?

Accepted Answer

A)  Hyperinflation 
B)  Spherical nodules 
C)  Right shift of the heart 
D)  Cavities 
A)  Hyperinflation 
B)  Spherical nodules 
C)  Right shift of the heart 
D)  Cavities D

Question 2

After cleaning out his chicken coop, a farmer has developed a fungal lung infection. What type of infection is it most likely to be?

Accepted Answer

A)  Coccidioidomycosis 
B)  Blastomycosis 
C)  Histoplasmosis 
D)  Cryptococcal infection 
A)  Coccidioidomycosis 
B)  Blastomycosis 
C)  Histoplasmosis 
D)  Cryptococcal infection C

Question 3

A patient lives in Chicago and has HIV and a weakened immune system. What fungal infection is the patient at risk of developing?

Accepted Answer

A)  Mycoplasma infection 
B)  Blastomycosis 
C)  Streptococcal infection 
D)  Disseminated histoplasmosis 
A)  Mycoplasma infection 
B)  Blastomycosis 
C)  Streptococcal infection 
D)  Disseminated histoplasmosis D

Question 4

What parts of the lungs are most commonly affected by a fungal infection?

Accepted Answer

A)  Mainstem bronchi 
B)  Lingula 
C)  Lower lobes 
D)  Upper lobes 
A)  Mainstem bronchi 
B)  Lingula 
C)  Lower lobes 
D)  Upper lobes

Question 5

Pulmonary function testing results on a patient with advanced fungal pneumonia will display all of the following EXCEPT:

Accepted Answer

A)  increased ERV. 
B)  decreased IRV. 
C)  decreased IC. 
D)  decreased TLC. 
A)  increased ERV. 
B)  decreased IRV. 
C)  decreased IC. 
D)  decreased TLC.

Question 6

In the Midwestern part of the United States, what is the most common fungal infection of the lungs?

Accepted Answer

A)  Cryptococcosis 
B)  Histoplasmosis 
C)  Blastomycosis 
D)  Coccidioidomycosis 
A)  Cryptococcosis 
B)  Histoplasmosis 
C)  Blastomycosis 
D)  Coccidioidomycosis

Question 7

Which type of fungal lung infection frequently results in productive cough with purulent sputum?

Accepted Answer

A)  Staphylococcal infection 
B)  Blastomycosis 
C)  Klebsiella infection 
D)  Histoplasmosis 
A)  Staphylococcal infection 
B)  Blastomycosis 
C)  Klebsiella infection 
D)  Histoplasmosis

Question 8

A patient with an advanced pulmonary fungal infection has cor pulmonale. How will this manifest itself?

Accepted Answer

A)  Distended neck veins 
B)  Poor skin turgor 
C)  Wheezy breath sounds 
D)  Asymmetrical chest movement when breathing 
A)  Distended neck veins 
B)  Poor skin turgor 
C)  Wheezy breath sounds 
D)  Asymmetrical chest movement when breathing

Question 9

Which of the following is NOT considered to cause an opportunistic fungal infection?

Accepted Answer

A)  Candida albicans 
B)  Aspergillus 
C)  Coccidioides immitis 
D)  Cryptococcus neoformans 
A)  Candida albicans 
B)  Aspergillus 
C)  Coccidioides immitis 
D)  Cryptococcus neoformans

Question 10

Fungal lung infections are usually spread by:

Accepted Answer

A)  inhaling spores. 
B)  blood. 
C)  contact with infected sputum. 
D)  inhaling infected droplets. 
A)  inhaling spores. 
B)  blood. 
C)  contact with infected sputum. 
D)  inhaling infected droplets.

Question 11

All of the following are identified as opportunistic yeast pathogens EXCEPT:

Accepted Answer

A)  Candida albicans. 
B)  Cryptococcus neoformans. 
C)  Aspergillus. 
D)  Mycoplasma. 
A)  Candida albicans. 
B)  Cryptococcus neoformans. 
C)  Aspergillus. 
D)  Mycoplasma.

Question 12

The drug of choice for the treatment of fungal lung diseases is:

Accepted Answer

A)  penicillin (penicillin G). 
B)  tetracycline. 
C)  amphotericin B (Fungizone). 
D)  ketoconazole (Nizoral). 
A)  penicillin (penicillin G). 
B)  tetracycline. 
C)  amphotericin B (Fungizone). 
D)  ketoconazole (Nizoral).

Question 13

Anatomic alterations found in the lungs of patients with a fungal infection include:
1) fibrosis of lung parenchyma.
2) alveolar-capillary destruction.
3) hyperinflation.
4) mucosal edema.

Accepted Answer

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

Question 14

Fungal infection of the lungs is closest in similarity to:

Accepted Answer

A)  pleural disease. 
B)  interstitial lung disease. 
C)  tuberculosis. 
D)  bronchiectasis. 
A)  pleural disease. 
B)  interstitial lung disease. 
C)  tuberculosis. 
D)  bronchiectasis.

Question 15

A patient has an Aspergillus niger infection. What should be used to treat it?

Accepted Answer

A)  Fluconazole (Diflucan) 
B)  Ribavirin (Virazole) 
C)  Metronidazole (Flagyl) 
D)  Ketoconazole (Nizoral) 
A)  Fluconazole (Diflucan) 
B)  Ribavirin (Virazole) 
C)  Metronidazole (Flagyl) 
D)  Ketoconazole (Nizoral)

Question 16

What is considered to be the gold standard for the diagnosis of histoplasmosis?

Accepted Answer

A)  Fungal stain 
B)  Blood serum antigen levels 
C)  Chest x-ray 
D)  Fungal culture 
E)  Skin test 
A)  Fungal stain 
B)  Blood serum antigen levels 
C)  Chest x-ray 
D)  Fungal culture 
E)  Skin test

Question 17

Fungal diseases cause which type of pulmonary disorder?

Accepted Answer

A)  An acute restrictive disorder 
B)  A chronic restrictive disorder 
C)  An acute obstructive disorder 
D)  A chronic obstructive disorder 
A)  An acute restrictive disorder 
B)  A chronic restrictive disorder 
C)  An acute obstructive disorder 
D)  A chronic obstructive disorder

Question 18

A skin test is available to confirm which of the following fungal infections?

Accepted Answer

A)  Coccidioidomycosis 
B)  Blastomycosis 
C)  Tuberculosis 
D)  Pseudomonal infection 
A)  Coccidioidomycosis 
B)  Blastomycosis 
C)  Tuberculosis 
D)  Pseudomonal infection

Exam 19: Fungal Diseases of the Lung

During the advanced stages of a fungal lung infection, which of the following is commonly seen on the chest radiograph?

After cleaning out his chicken coop, a farmer has developed a fungal lung infection. What type of infection is it most likely to be?

A patient lives in Chicago and has HIV and a weakened immune system. What fungal infection is the patient at risk of developing?

What parts of the lungs are most commonly affected by a fungal infection?

Pulmonary function testing results on a patient with advanced fungal pneumonia will display all of the following EXCEPT:

In the Midwestern part of the United States, what is the most common fungal infection of the lungs?

Which type of fungal lung infection frequently results in productive cough with purulent sputum?

A patient with an advanced pulmonary fungal infection has cor pulmonale. How will this manifest itself?

Which of the following is NOT considered to cause an opportunistic fungal infection?

Fungal lung infections are usually spread by:

All of the following are identified as opportunistic yeast pathogens EXCEPT:

The drug of choice for the treatment of fungal lung diseases is:

Anatomic alterations found in the lungs of patients with a fungal infection include: 1) fibrosis of lung parenchyma. 2) alveolar-capillary destruction. 3) hyperinflation. 4) mucosal edema.

Fungal infection of the lungs is closest in similarity to:

A patient has an Aspergillus niger infection. What should be used to treat it?

What is considered to be the gold standard for the diagnosis of histoplasmosis?

Fungal diseases cause which type of pulmonary disorder?

A skin test is available to confirm which of the following fungal infections?

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

Tuberculosis

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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