Exam 39: Assisting in Pulmonary Medicine

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Peak flow meters are an effective method of assessing the status of patients with asthma, because during an asthma attack, the individual has difficulty inhaling a large volume of air.

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(True/False)

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Question 1

Correct Answer:

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FALSE

A 28-year-old patient recently diagnosed with asthma needs reinforcement on how to use his rescue inhaler accurately. List and explain four important steps in the use of an MDI that should be included in patient teaching.

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(Essay)

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Question 2

Correct Answer:

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answers may include the following:
1. Shake the canister vigorously and place it into the mouthpiece device.
2. Open your mouth and hold the inhaler approximately 1 inch away. (If the patient places the mouthpiece in the mouth, the gas propellant causes the drug to bounce off the back of the throat, and much of it will be lost around the mouth.)
3. Exhale normally, and while beginning to inhale slowly, depress the canister, releasing a metered dose of medication.
4. Continue to breathe in until the lungs are full; hold the breath to a count of 10, if possible, and then breathe out normally.
5. If a second dose is prescribed, wait at least 1 minute between puffs.
6. Some inhalers come attached to spacers or can be adapted to meet the needs of children or older patients who have difficulty managing the technique. When the canister is depressed, the medication stays in the spacer, and the patient can take more time to inhale the particles.

The physician may order either oxygen therapy or bronchodilators if a patient's pulse ox is below 92%.

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(True/False)

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Question 3

Correct Answer:

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TRUE

A serious inflammation of the lungs can be caused by

(Multiple Choice)

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Question 4

Patients with emphysema do best on a high-calorie diet, to compensate for the extra effort needed just to breathe.

(True/False)

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Question 5

Which of the following characteristics best describes the right lung?

(Multiple Choice)

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Question 6

A blood test to help diagnose tuberculosis is

(Multiple Choice)

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Question 7

Pneumonia is most often seen in young children and the elderly.

(True/False)

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Question 8

The PFT of a patient with emphysema shows an increase in residual volume over time.

(True/False)

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Question 9

What is the most common cause of viral pneumonia?

(Multiple Choice)

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Question 10

To obtain a useful evaluation of pulmonary function in a patient with asthma, you must administer the test when the patient

(Multiple Choice)

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Question 11

Antibiotics are prescribed for URIs if there is evidence of a secondary bacterial infection.

(True/False)

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Question 12

The exchange of carbon dioxide and oxygen between lung tissue and the bloodstream occurs in the

(Multiple Choice)

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Question 13

A surgical procedure that creates an opening in the throat for breathing is called a(n) __________.

(Short Answer)

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Question 14

An individual with emphysema suffers from __________, which requires the person to sit upright to breathe.

(Short Answer)

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Question 15

The primary means by which Mycobacterium tuberculosis is spread is direct contact with contaminated items.

(True/False)

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Question 16

The symptoms of an asthma attack include

(Multiple Choice)

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Question 17

Carly Appleton, a 16-year-old patient with asthma, needs instruction on performing peak flow readings at home. She has never used a peak flow meter and doesn't understand why the doctor wants her to treat asthma symptoms based on meter readings. Explain the purpose of the meter and the steps for its use.

(Essay)

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Question 18

The CDC recommends that active pulmonary TB be treated with a single antibiotic for 6 months.

(True/False)

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Question 19

Clubbing of the fingers in a patient with emphysema is caused by

(Multiple Choice)

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Question 20

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Exam 39: Assisting in Pulmonary Medicine

Peak flow meters are an effective method of assessing the status of patients with asthma, because during an asthma attack, the individual has difficulty inhaling a large volume of air.

A 28-year-old patient recently diagnosed with asthma needs reinforcement on how to use his rescue inhaler accurately. List and explain four important steps in the use of an MDI that should be included in patient teaching.

The physician may order either oxygen therapy or bronchodilators if a patient's pulse ox is below 92%.

A serious inflammation of the lungs can be caused by

Patients with emphysema do best on a high-calorie diet, to compensate for the extra effort needed just to breathe.

Which of the following characteristics best describes the right lung?

A blood test to help diagnose tuberculosis is

Pneumonia is most often seen in young children and the elderly.

The PFT of a patient with emphysema shows an increase in residual volume over time.

What is the most common cause of viral pneumonia?

To obtain a useful evaluation of pulmonary function in a patient with asthma, you must administer the test when the patient

Antibiotics are prescribed for URIs if there is evidence of a secondary bacterial infection.

The exchange of carbon dioxide and oxygen between lung tissue and the bloodstream occurs in the

A surgical procedure that creates an opening in the throat for breathing is called a(n) __________.

An individual with emphysema suffers from __________, which requires the person to sit upright to breathe.

The primary means by which Mycobacterium tuberculosis is spread is direct contact with contaminated items.

The symptoms of an asthma attack include

The CDC recommends that active pulmonary TB be treated with a single antibiotic for 6 months.

Clubbing of the fingers in a patient with emphysema is caused by

Competency-Based Education and the Medical Assistant Student

The Medical Assistant and the Healthcare Team

Professional Behavior in the Workplace

Therapeutic Communications

Medicine and Law

Medicine and Ethics

Technology and Written Communication in the Medical Office

Telephone Techniques

Scheduling Appointments and Patient Processing

Daily Operations in the Ambulatory Care Setting

The Health Record

Basics of Diagnostic Coding

Basics of Procedural Coding

Basics of Health Insurance

Medical Billing and Reimbursement

Patient Accounts, Collections, and Practice Management

Banking Services and Procedures

Supervision and Human Resources Management

Medical Practice Marketing and Customer Service

Infection Control

Patient Assessment

Patient Education

Nutrition and Health Promotion

Vital Signs

Assisting with the Primary Physical Examination

Principles of Pharmacology

Pharmacology Math

Administering Medications

Safety and Emergency Practices

Assisting in Ophthalmology and Otolaryngology

Assisting in Dermatology

Assisting in Gastroenterology

Assisting in Urology and Male Reproduction

Assisting in Obstetrics and Gynecology

Assisting in Pediatrics

Assisting in Orthopedic Medicine

Assisting in Neurology and Mental Health

Assisting in Endocrinology

Assisting in Cardiology

Assisting in Geriatrics

Principles of Electrocardiography

Assisting with Diagnostic Imaging

Assisting in the Clinical Laboratory

Assisting in the Analysis of Urine

Assisting in Blood Collection

Assisting in the Analysis of Blood

Assisting in Microbiology and Immunology

Surgical Supplies and Instruments

Surgical Asepsis and Assisting with Surgical Procedures

Career Development and Life Skills

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