Question 1

Approximately how many Americans are affected by COPD?

Accepted Answer

A) 4 million 
B) 8 million 
C) 16 million 
D) 32 million 
A) 4 million 
B) 8 million 
C) 16 million 
D) 32 million C

Question 2

What classification of drug would the leukotriene inhibitors fall under?

Accepted Answer

A) antiinflammatory 
B) corticosteroid 
C) long-acting bronchodilator 
D) short-acting bronchodilator 
A) antiinflammatory 
B) corticosteroid 
C) long-acting bronchodilator 
D) short-acting bronchodilator A

Question 3

What is the benefit of pulmonary rehabilitation in patients with moderate to severe COPD?

Accepted Answer

A) improves exercise tolerance 
B) improves FEV1 
C) improves lung function 
D) improves survival 
A) improves exercise tolerance 
B) improves FEV1 
C) improves lung function 
D) improves survival A

Question 4

Which factor is associated with a decrease in the plasma levels of theophylline in an asthmatic patient?

Accepted Answer

A) cigarette smoking 
B) heart failure 
C) hepatic disease 
D) viral infections 
A) cigarette smoking 
B) heart failure 
C) hepatic disease 
D) viral infections

Question 5

What is the approximate cost of COPD to the U.S. health system?

Accepted Answer

A) $12 billion 
B) $24 billion 
C) $32 billion 
D) $46 billion 
A) $12 billion 
B) $24 billion 
C) $32 billion 
D) $46 billion

Question 6

What percentage of all cases of COPD is caused by an $\alpha$1-antitrypsin deficiency?

Accepted Answer

A) 2% to 3% 
B) 10% to 15% 
C) 25% to 40% 
D) 50% to 75% 
A) 2% to 3% 
B) 10% to 15% 
C) 25% to 40% 
D) 50% to 75%

Question 7

Which of the following tests is recommended as part of the initial assessment of asthma?

Accepted Answer

A) arterial blood gas 
B) chest radiograph 
C) spirometry 
D)  $\dot { V } / \dot { Q }$ scan 
A) arterial blood gas 
B) chest radiograph 
C) spirometry 
D)  $\dot { V } / \dot { Q }$ scan

Question 8

It is not clear whether your patient has COPD or asthma. Which of the following characteristics is most closely associated with the diagnosis of asthma?

Accepted Answer

A) daily phlegm production 
B) diminished vascularity on the chest radiograph 
C) low diffusion capacity 
D) normalization of the FEV1 after use of a bronchodilator 
A) daily phlegm production 
B) diminished vascularity on the chest radiograph 
C) low diffusion capacity 
D) normalization of the FEV1 after use of a bronchodilator

Question 9

A patient is admitted to the emergency department with an acute asthma exacerbation. Based on the following blood gas results, how severe is the asthma attack? pH 7.35, PaO2 58 mm Hg, PaCO2 46 mm Hg, HCO3- 18 mEq/L, SaO2 89%

Accepted Answer

A) mild 
B) moderate 
C) severe 
A) mild 
B) moderate 
C) severe

Question 10

Where does COPD rank among the leading causes of death in the United States?

Accepted Answer

A) first 
B) second 
C) third 
D) fourth 
A) first 
B) second 
C) third 
D) fourth

Question 11

Which of the following medications is indicated for REGULAR use in patients with stable COPD?

Accepted Answer

A) antibiotics 
B) $\beta$2-agonists 
C) corticosteroids 
D) methylxanthines 
A) antibiotics 
B) $\beta$2-agonists 
C) corticosteroids 
D) methylxanthines

Question 12

Which of the following pulmonary function improvements have been associated with lung volume-reduction surgery (LVRS) in patients with emphysema?
I.improved exercise endurance
II.improved FEV1
III.improved quality of life
IV.improved survival

Accepted Answer

A) I, III, and IV 
B) II and IV 
C) III only 
D) I, II, III, and IV 
A) I, III, and IV 
B) II and IV 
C) III only 
D) I, II, III, and IV

Question 13

What may be the drug of choice for managing atopic asthma in children?

Accepted Answer

A) albuterol 
B) cromolyn 
C) salmeterol 
D) theophylline 
A) albuterol 
B) cromolyn 
C) salmeterol 
D) theophylline

Question 14

What medication would likely be the least often ordered during the emergency department management of an acute asthma attack?

Accepted Answer

A) $\beta$2-agonists 
B) corticosteroids 
C) methylxanthines 
D) oxygen 
A) $\beta$2-agonists 
B) corticosteroids 
C) methylxanthines 
D) oxygen

Question 15

Which of the following medications is generally only used if the patient still has debilitating symptoms from stable COPD, despite inhaled bronchodilator therapy?

Accepted Answer

A) antibiotics 
B) $\beta$2-agonists 
C) corticosteroids 
D) methylxanthines 
A) antibiotics 
B) $\beta$2-agonists 
C) corticosteroids 
D) methylxanthines

Question 16

Which bronchodilator is commonly used in the hospital management of acute asthma exacerbation but is not the first-line bronchodilator?

Accepted Answer

A) albuterol 
B) ipratropium bromide 
C) salmeterol 
D) terbutaline 
A) albuterol 
B) ipratropium bromide 
C) salmeterol 
D) terbutaline

Question 17

Which of the following symptoms is NOT a classic symptom of asthma?

Accepted Answer

A) cough 
B) shortness of breath 
C) chest tightness 
D) chest pain 
A) cough 
B) shortness of breath 
C) chest tightness 
D) chest pain

Question 18

An asthma patient's best effort produces a PEFR of 55% of personal best. What is indicated at this time?

Accepted Answer

A) Patient should lie down and try to relax. 
B) Patient should probably seek medical attention now. 
C) Patient should retry the PEFR maneuver. 
D) Patient should take his or her controller medications. 
A) Patient should lie down and try to relax. 
B) Patient should probably seek medical attention now. 
C) Patient should retry the PEFR maneuver. 
D) Patient should take his or her controller medications.

Question 19

Which complaint is most closely associated with the diagnosis of chronic bronchitis?

Accepted Answer

A) airway enlargement 
B) chronic productive cough 
C) dyspnea on exertion 
D) hemoptysis 
A) airway enlargement 
B) chronic productive cough 
C) dyspnea on exertion 
D) hemoptysis

Question 20

Approximately how many individuals died of COPD in the United States in 2000?

Accepted Answer

A) 120,000 
B) 210,000 
C) 550,000 
D) 1,000,000 
A) 120,000 
B) 210,000 
C) 550,000 
D) 1,000,000

Exam 23: Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Approximately how many Americans are affected by COPD?

What classification of drug would the leukotriene inhibitors fall under?

What is the benefit of pulmonary rehabilitation in patients with moderate to severe COPD?

Which factor is associated with a decrease in the plasma levels of theophylline in an asthmatic patient?

What is the approximate cost of COPD to the U.S. health system?

What percentage of all cases of COPD is caused by an α\alphaα 1-antitrypsin deficiency?

Which of the following tests is recommended as part of the initial assessment of asthma?

It is not clear whether your patient has COPD or asthma. Which of the following characteristics is most closely associated with the diagnosis of asthma?

A patient is admitted to the emergency department with an acute asthma exacerbation. Based on the following blood gas results, how severe is the asthma attack? pH 7.35, PaO2 58 mm Hg, PaCO2 46 mm Hg, HCO3- 18 mEq/L, SaO2 89%

Where does COPD rank among the leading causes of death in the United States?

Which of the following medications is indicated for REGULAR use in patients with stable COPD?

Which of the following pulmonary function improvements have been associated with lung volume-reduction surgery (LVRS) in patients with emphysema? I.improved exercise endurance II.improved FEV1 III.improved quality of life IV.improved survival

What may be the drug of choice for managing atopic asthma in children?

What medication would likely be the least often ordered during the emergency department management of an acute asthma attack?

Which of the following medications is generally only used if the patient still has debilitating symptoms from stable COPD, despite inhaled bronchodilator therapy?

Which bronchodilator is commonly used in the hospital management of acute asthma exacerbation but is not the first-line bronchodilator?

Which of the following symptoms is NOT a classic symptom of asthma?

An asthma patient's best effort produces a PEFR of 55% of personal best. What is indicated at this time?

Which complaint is most closely associated with the diagnosis of chronic bronchitis?

Approximately how many individuals died of COPD in the United States in 2000?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

Filters

What percentage of all cases of COPD is caused by an $\alpha$ ₁-antitrypsin deficiency?

A patient is admitted to the emergency department with an acute asthma exacerbation. Based on the following blood gas results, how severe is the asthma attack? pH 7.35, PaO₂ 58 mm Hg, PaCO₂ 46 mm Hg, HCO₃^- 18 mEq/L, SaO₂ 89%

Which of the following pulmonary function improvements have been associated with lung volume-reduction surgery (LVRS) in patients with emphysema? I.improved exercise endurance II.improved FEV₁ III.improved quality of life IV.improved survival