Question 1

Which airways are most susceptible to airway obstruction in patients with COPD?

Accepted Answer

A) large 
B) medium 
C) small 
A) large 
B) medium 
C) small

Question 2

Your patient has bronchiectasis. Which of the following therapies is most needed?

Accepted Answer

A) antibiotics 
B) bronchodilators 
C) incentive spirometry 
D) oxygen 
A) antibiotics 
B) bronchodilators 
C) incentive spirometry 
D) oxygen

Question 3

Which of the following problems is associated with intravenous augmentation of synthetic $\alpha$1-antitrypsin for the patient with genetic emphysema?

Accepted Answer

A) bronchospasm 
B) expense 
C) headache 
D) nausea 
A) bronchospasm 
B) expense 
C) headache 
D) nausea

Question 4

What pathophysiologic characteristic of asthma has been most recently emphasized in the description and subsequent treatment of this disease?

Accepted Answer

A) hyperactivity of the airways 
B) hyperinflation of the lung parenchyma 
C) inflammation of the airways 
D) mucus plugging of the airways 
A) hyperactivity of the airways 
B) hyperinflation of the lung parenchyma 
C) inflammation of the airways 
D) mucus plugging of the airways

Question 5

Which of the following asthma medications is not usually administered during pregnancy?

Accepted Answer

A) albuterol 
B) cromalyn 
C) ipratropium bromide 
D) theophylline 
A) albuterol 
B) cromalyn 
C) ipratropium bromide 
D) theophylline

Question 6

Identify the hallmark symptom of bronchiectasis.

Accepted Answer

A) evidence of cystic spaces and tram tracks on the chest radiograph 
B) hemoptysis 
C) large amounts of purulent sputum 
D) variable dyspnea 
A) evidence of cystic spaces and tram tracks on the chest radiograph 
B) hemoptysis 
C) large amounts of purulent sputum 
D) variable dyspnea

Question 7

Which of the following is NOT typically found in a patient with COPD?

Accepted Answer

A) airway inflammation 
B) at least partially reversible airway obstruction 
C) progressive airway obstruction 
D) restrictive disease 
A) airway inflammation 
B) at least partially reversible airway obstruction 
C) progressive airway obstruction 
D) restrictive disease

Question 8

What finding of the arterial blood gas suggests a more severe attack of asthma and impending respiratory failure?

Accepted Answer

A)  $\mathrm { PCO } _ { 2 } \quad 32 \mathrm {~mm} \mathrm { Hg }$ 
B)  $\mathrm { PaCO } _ { 2 } \quad 42 \mathrm {~mm} \mathrm { Hg }$ 
C)  $\mathrm { pH } \quad 7.5$ 
D)  $\mathrm { PO } _ { 2 } \quad 59 \mathrm {~mm} \mathrm { Hg }$ 
A)  $\mathrm { PCO } _ { 2 } \quad 32 \mathrm {~mm} \mathrm { Hg }$ 
B)  $\mathrm { PaCO } _ { 2 } \quad 42 \mathrm {~mm} \mathrm { Hg }$ 
C)  $\mathrm { pH } \quad 7.5$ 
D)  $\mathrm { PO } _ { 2 } \quad 59 \mathrm {~mm} \mathrm { Hg }$

Question 9

Identify the drug whose regular use in the treatment of asthma may worsen control or even increase the risk of death by asthma.

Accepted Answer

A) anticholinergic 
B) antiinflammatory 
C) $\beta$2-agonists 
D) corticosteroid 
A) anticholinergic 
B) antiinflammatory 
C) $\beta$2-agonists 
D) corticosteroid

Question 10

What treatment for patients with COPD has been shown to improve long-term survival?

Accepted Answer

A) bronchodilators 
B) corticosteroids 
C) mechanical ventilation 
D) oxygen 
A) bronchodilators 
B) corticosteroids 
C) mechanical ventilation 
D) oxygen

Question 11

Emphysema is defined as:

Accepted Answer

A) chronic productive cough 
B) conducting airway enlargement 
C) destruction of alveolar walls without fibrosis 
D) hemoptysis associated with productive cough and alveolar-capillary membrane destruction 
A) chronic productive cough 
B) conducting airway enlargement 
C) destruction of alveolar walls without fibrosis 
D) hemoptysis associated with productive cough and alveolar-capillary membrane destruction

Question 12

What is the critical $\alpha$1-antitrypsin level below which lung elastin is attacked and broken down?

Accepted Answer

A) 60 mg/dl 
B) 80 mg/dl 
C) 100 mg/dl 
D) 150 mg/dl 
A) 60 mg/dl 
B) 80 mg/dl 
C) 100 mg/dl 
D) 150 mg/dl

Question 13

What treatment strategy is most controversial for a patient with asthma?

Accepted Answer

A) antibiotic therapy 
B) anticholinergic therapy 
C) environmental control 
D) immunotherapy 
A) antibiotic therapy 
B) anticholinergic therapy 
C) environmental control 
D) immunotherapy

Question 14

Which of the following signs associated with COPD is considered a late manifestation?

Accepted Answer

A) accessory muscle usage 
B) frequent coughing 
C) shortness of breath 
D) wheezing 
A) accessory muscle usage 
B) frequent coughing 
C) shortness of breath 
D) wheezing

Question 15

Which of the following has been identified as the most common cause of occupational asthma?

Accepted Answer

A) $\alpha$1-antitrypsin deficiency 
B) IgE abnormality 
C) nitric oxide deficiency 
D) toluene diisocyanate 
A) $\alpha$1-antitrypsin deficiency 
B) IgE abnormality 
C) nitric oxide deficiency 
D) toluene diisocyanate

Question 16

Of the following common causes of asthma, which is the least likely to cause exercise-induced asthma?

Accepted Answer

A) long distance cycling 
B) running cross country 
C) skiing and snowboarding 
D) swimming indoors 
A) long distance cycling 
B) running cross country 
C) skiing and snowboarding 
D) swimming indoors

Question 17

Which medication is an anticholinergic bronchodilator?

Accepted Answer

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

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

Which airways are most susceptible to airway obstruction in patients with COPD?

Your patient has bronchiectasis. Which of the following therapies is most needed?

Which of the following problems is associated with intravenous augmentation of synthetic α\alphaα 1-antitrypsin for the patient with genetic emphysema?

What pathophysiologic characteristic of asthma has been most recently emphasized in the description and subsequent treatment of this disease?

Which of the following asthma medications is not usually administered during pregnancy?

Identify the hallmark symptom of bronchiectasis.

Which of the following is NOT typically found in a patient with COPD?

What finding of the arterial blood gas suggests a more severe attack of asthma and impending respiratory failure?

Identify the drug whose regular use in the treatment of asthma may worsen control or even increase the risk of death by asthma.

What treatment for patients with COPD has been shown to improve long-term survival?

Emphysema is defined as:

What is the critical α\alphaα 1-antitrypsin level below which lung elastin is attacked and broken down?

What treatment strategy is most controversial for a patient with asthma?

Which of the following signs associated with COPD is considered a late manifestation?

Which of the following has been identified as the most common cause of occupational asthma?

Of the following common causes of asthma, which is the least likely to cause exercise-induced asthma?

Which medication is an anticholinergic bronchodilator?

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

Which of the following problems is associated with intravenous augmentation of synthetic $\alpha$ ₁-antitrypsin for the patient with genetic emphysema?

What is the critical $\alpha$ ₁-antitrypsin level below which lung elastin is attacked and broken down?