Question 1

The physical examination of a neonate with RSV will often reveal all of the following EXCEPT:

Accepted Answer

A)  change in point of maximum impulse (PMI). 
B)  excessive secretions. 
C)  expiratory grunting. 
D)  cyanosis. 
A)  change in point of maximum impulse (PMI). 
B)  excessive secretions. 
C)  expiratory grunting. 
D)  cyanosis. A

Question 2

Infants with RSV do NOT benefit from which of the following?

Accepted Answer

A)  Chest percussion and drainage (CPT & 
D)  
B)  High-flow nasal cannula therapy (HFN
C)  
C)  Bulb suctioning of the nares 
D)  Nebulized hypertonic saline 
A)  Chest percussion and drainage (CPT & 
D)  
B)  High-flow nasal cannula therapy (HFN
C)  
C)  Bulb suctioning of the nares 
D)  Nebulized hypertonic saline A

Question 3

An infant with RSV will show what clinical manifestations associated with the more negative intrapleural pressures needed during inspiration?
1) Seesaw breathing movement
2) Breath sounds reveal pleural friction rub
3) Inspiratory stridor
4) Cyanosis of the dependent abdominal areas

Accepted Answer

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

Question 4

Which of the following are major pathologic or structural changes associated with RSV?
1) Dilation and distortion of the airways
2) Inflammation of the peripheral airways
3) Alveolar hyperinflation
4) Pulmonary edema

Accepted Answer

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

Question 5

Anatomic alterations related to an RSV infection can lead to all of the following EXCEPT:

Accepted Answer

A)  pneumomediastinum. 
B)  partial airway obstruction. 
C)  decreased airway lumen. 
D)  complete airway obstruction. 
A)  pneumomediastinum. 
B)  partial airway obstruction. 
C)  decreased airway lumen. 
D)  complete airway obstruction.

Question 6

A chest radiograph was taken of a patient with RSV. What finding can be expected?

Accepted Answer

A)  Elevated diaphragms 
B)  "Steeple point" sign 
C)  Lobar atelectasis 
D)  Pneumothorax 
A)  Elevated diaphragms 
B)  "Steeple point" sign 
C)  Lobar atelectasis 
D)  Pneumothorax

Question 7

The diagnosis of RSV is most often confirmed with a sample obtained by:

Accepted Answer

A)  tracheal suctioning. 
B)  venipuncture. 
C)  arterial blood sampling. 
D)  urine specimen. 
E)  nasopharyngeal aspirate. 
A)  tracheal suctioning. 
B)  venipuncture. 
C)  arterial blood sampling. 
D)  urine specimen. 
E)  nasopharyngeal aspirate.

Question 8

Which of the following patients is least likely to experience a severe RSV infection?

Accepted Answer

A)  A 6-month-old recently diagnosed with cystic fibrosis 
B)  A 3-month-old who was born prematurely 
C)  A 2-year-old undergoing chemotherapy for leukemia 
D)  A 3-year-old with no siblings 
A)  A 6-month-old recently diagnosed with cystic fibrosis 
B)  A 3-month-old who was born prematurely 
C)  A 2-year-old undergoing chemotherapy for leukemia 
D)  A 3-year-old with no siblings

Question 9

A patient with an RSV is hypoxemic. What could cause this?
1) Atelectasis
2) Excessive airway fluid
3) Persistent pulmonary hypertension of the newborn (PPHN)
4) Consolidation

Accepted Answer

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

Question 10

Which of the following characteristics would put an adult at increased risk for a severe case of RSV?
1) Compromised immune system
2) History of asthma
3) Under 30 years of age
4) More than 65 years of age

Accepted Answer

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

Question 11

Several small children who attend the same day care facility have become sick with RSV. The owner of the day care can expect them to recover within:

Accepted Answer

A)  4 to 6 days. 
B)  3 to 8 days. 
C)  1 to 2 weeks. 
D)  greater than 3 weeks. 
A)  4 to 6 days. 
B)  3 to 8 days. 
C)  1 to 2 weeks. 
D)  greater than 3 weeks.

Question 12

Outbreaks of RSV are usually found in all of the following seasons of the year EXCEPT:

Accepted Answer

A)  spring. 
B)  summer. 
C)  fall. 
D)  winter. 
A)  spring. 
B)  summer. 
C)  fall. 
D)  winter.

Question 13

A respiratory syncytial virus (RSV) infection will cause which of the following anatomic alterations of the lungs?
1) Chemical pneumonitis of the small airways
2) Peribronchiolar mononuclear infiltration
3) Small airway epithelial necrosis
4) Edema of the epiglottis and upper airway

Accepted Answer

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

Question 14

What can be given to a premature baby in order to prevent an RSV infection?

Accepted Answer

A)  An inhaled corticosteroid agent 
B)  Ribavirin (Virazole) 
C)  Palivizumab (Synagis) 
D)  A sympathomimetic agent 
A)  An inhaled corticosteroid agent 
B)  Ribavirin (Virazole) 
C)  Palivizumab (Synagis) 
D)  A sympathomimetic agent

Question 15

Which of the following is no longer recommended in the management of a patient with RSV infection?

Accepted Answer

A)  Palivizumab (Synagis) 
B)  Bulb suctioning of the nares 
C)  Nebulized hypertonic saline 
D)  Ribavirin (Virazole) 
A)  Palivizumab (Synagis) 
B)  Bulb suctioning of the nares 
C)  Nebulized hypertonic saline 
D)  Ribavirin (Virazole)

Exam 37: Respiratory Syncytial Virus (Bronchiolitis or Pneumonitis)

The physical examination of a neonate with RSV will often reveal all of the following EXCEPT:

Infants with RSV do NOT benefit from which of the following?

An infant with RSV will show what clinical manifestations associated with the more negative intrapleural pressures needed during inspiration? 1) Seesaw breathing movement 2) Breath sounds reveal pleural friction rub 3) Inspiratory stridor 4) Cyanosis of the dependent abdominal areas

Which of the following are major pathologic or structural changes associated with RSV? 1) Dilation and distortion of the airways 2) Inflammation of the peripheral airways 3) Alveolar hyperinflation 4) Pulmonary edema

Anatomic alterations related to an RSV infection can lead to all of the following EXCEPT:

A chest radiograph was taken of a patient with RSV. What finding can be expected?

The diagnosis of RSV is most often confirmed with a sample obtained by:

Which of the following patients is least likely to experience a severe RSV infection?

A patient with an RSV is hypoxemic. What could cause this? 1) Atelectasis 2) Excessive airway fluid 3) Persistent pulmonary hypertension of the newborn (PPHN) 4) Consolidation

Which of the following characteristics would put an adult at increased risk for a severe case of RSV? 1) Compromised immune system 2) History of asthma 3) Under 30 years of age 4) More than 65 years of age

Several small children who attend the same day care facility have become sick with RSV. The owner of the day care can expect them to recover within:

Outbreaks of RSV are usually found in all of the following seasons of the year EXCEPT:

A respiratory syncytial virus (RSV) infection will cause which of the following anatomic alterations of the lungs? 1) Chemical pneumonitis of the small airways 2) Peribronchiolar mononuclear infiltration 3) Small airway epithelial necrosis 4) Edema of the epiglottis and upper airway

What can be given to a premature baby in order to prevent an RSV infection?

Which of the following is no longer recommended in the management of a patient with RSV infection?

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

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

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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