Exam 17: Diseases of the Respiratory System

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A 1-year-old male was admitted with barking cough,stridor,and hoarseness.The patient was up-to-date on all vaccinations and had achieved normal developmental milestones.Patient was treated for acute laryngotracheobronchitis and recovered. Discharge Diagnosis: Acute laryngotracheobronchitis.

(Multiple Choice)
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Suspected H1N1 influenza: __________

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Which of the following is NOT categorized with high-risk potential for contracting pneumonia?

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A patient is admitted with SOB.The chest X-ray shows pneumonia with possible empyema formation in the left pleural cavity.A therapeutic thoracentesis of the left pleural cavity is performed to drain the empyema.Cultures are positive for Klebsiella. Discharge Diagnosis: Klebsiella pneumonia with empyema.What codes are applicable?

(Short Answer)
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A patient is admitted with hypoxemia and acute respiratory failure.The patient has COPD and is being treated for an acute exacerbation.The patient is intubated in the ER and is transferred to ICU and maintained on mechanical ventilation for 24 hours.The patient has a history of chronic diastolic congestive heart failure.

(Multiple Choice)
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Asthmatic bronchitis: __________

(Short Answer)
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Idiopathic pulmonary fibrosis: __________

(Short Answer)
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The condition where fluid accumulates in the lungs is called ____________________.

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What is the definition of infection?

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Which of the following is a symptom of pneumonia?

(Multiple Choice)
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Patient is admitted with shortness of breath and fever that has been present for 2 to 3 weeks and has gotten progressively worse.CT scan showed evidence of bronchiolitis obliterans organizing pneumonia (BOOP).Patient was started on prednisone and discharged when symptoms had resolved. Final Diagnoses: BOOP.

(Multiple Choice)
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The most common cause of pneumonia is ____.

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Infant was seen in the ER with diagnosis of acute bronchiolitis due to RSV.The infant has been exposed to tobacco smoke.

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A pneumothorax that occurs as a result of a procedure is a(n)____ pneumothorax.

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Aspiration pneumonia with MRSA pneumonia: __________

(Essay)
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Patient was admitted with cough and fever.Patient is HIV positive.Physician documents that the BAL (right main bronchus)confirmed Pneumocystis carinii pneumonia.

(Multiple Choice)
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Match the following Z codes to the correct meaning. -Aftercare following lung transplant

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____ is a lower respiratory tract or bronchial tree infection that is characterized by cough,sputum production,and wheezing.

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Patient is admitted with acute on chronic respiratory failure due to emphysema.Patient is dependent on oxygen and has had numerous admissions for pneumonia.Patient is treated with continuous BIPAP for 48 hours and is a DNR/DNI.No infection is identified,and deterioration in respiratory status is thought to be a progression of his emphysema.Patient was made comfort care and was discharged to at-home hospice care the following day. Final Diagnoses: End-stage emphysema. Chronic respiratory failure with hypoxia. Procedure: BIPAP.

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Acute bronchiolitis due to RSV: __________

(Short Answer)
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