Question 1

A patient presents with pneumonia accompanied by foul-smelling breath, absent gag reflex, or recent loss of consciousness. What should be suspected?

Accepted Answer

A)  Aspiration pneumonia 
B)  Chlamydia pneumonia 
C)  Pneumococcal pneumonia 
D)  Tuberculosis 
A)  Aspiration pneumonia 
B)  Chlamydia pneumonia 
C)  Pneumococcal pneumonia 
D)  Tuberculosis A

Question 2

A 35-year-old man is admitted to the hospital and has been confirmed to have pneumococcal pneumonia. What test would it be wise to order at this time?

Accepted Answer

A)  Bronchial biopsy 
B)  CBC and electrolytes 
C)  HIV 
D)  Sputum culture and sensitivity 
A)  Bronchial biopsy 
B)  CBC and electrolytes 
C)  HIV 
D)  Sputum culture and sensitivity C

Question 3

A patient presents with high fever, teeth-chattering chills, pleuritic pain, and a cough producing rust-colored sputum. What pathogen should be suspected?

Accepted Answer

A)  Chlamydia pneumoniae 
B)  Legionella pneumoniae 
C)  Mycoplasma pneumoniae 
D)  Pneumococcal pneumoniae 
A)  Chlamydia pneumoniae 
B)  Legionella pneumoniae 
C)  Mycoplasma pneumoniae 
D)  Pneumococcal pneumoniae D

Question 4

Pneumococcal vaccines are indicated for which of the following individuals?
1) 65-year-old individual
2) Respiratory therapist
3) Individual with chronic heart disease
4) Individual with glaucoma

Accepted Answer

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

Question 5

ATS guidelines suggest using which of the following antibiotics if methicillin-resistant S. aureus is a concern?

Accepted Answer

A)  Cefazolin 
B)  Doxycycline 
C)  Penicillin 
D)  Vancomycin 
A)  Cefazolin 
B)  Doxycycline 
C)  Penicillin 
D)  Vancomycin

Question 6

Rapidly spreading multilobar consolidation is typical for what type of pneumonia?

Accepted Answer

A)  Klebsiella 
B)  Legionella 
C)  Pneumocystis jiroveci 
D)  Viral 
A)  Klebsiella 
B)  Legionella 
C)  Pneumocystis jiroveci 
D)  Viral

Question 7

Which of the following types of pneumonia suggests that the patient acquired it because of the reactivation of a latent infection, often in the setting of immunosuppression?

Accepted Answer

A)  Cytomegalovirus 
B)  Haemophilus influenzae 
C)  Histoplasmosis 
D)  Staphylococcus 
A)  Cytomegalovirus 
B)  Haemophilus influenzae 
C)  Histoplasmosis 
D)  Staphylococcus

Question 8

Which of the following organisms is associated with a poor prognosis in the patient with ventilator-related pneumonia despite optimal therapy?

Accepted Answer

A)  C. pneumoniae 
B)  Klebsiella 
C)  P. aeruginosa 
D)  S. pneumoniae 
A)  C. pneumoniae 
B)  Klebsiella 
C)  P. aeruginosa 
D)  S. pneumoniae

Question 9

What type of severe lung infection may result in the development of small lung cavities called pneumatoceles?

Accepted Answer

A)  Community-acquired pneumonia 
B)  Legionella pneumoniae 
C)  Staphylococcus aureus 
D)  Viral pneumonia 
A)  Community-acquired pneumonia 
B)  Legionella pneumoniae 
C)  Staphylococcus aureus 
D)  Viral pneumonia

Question 10

The chest radiograph is often of little help in the diagnosis of nosocomial pneumonia in mechanically ventilated patients in the ICU because these individuals often have other reasons for radiographic abnormalities.

Accepted Answer

A) True 
 B)False

Question 11

Which of the following would be associated with a fatal outcome in a patient with pneumonia who is mechanically ventilated?

Accepted Answer

A)  Heart rate of 110 beats/min 
B)  Multisystem organ failure 
C)  Presence of purulent sputum 
D)  Respiratory alkalosis 
A)  Heart rate of 110 beats/min 
B)  Multisystem organ failure 
C)  Presence of purulent sputum 
D)  Respiratory alkalosis

Question 12

Which of the following is true concerning pneumonia?

Accepted Answer

A)  Patients with community-acquired pneumonia most often require hospitalization. 
B)  Community-acquired pneumonias are most often antibiotic-resistant strains. 
C)  Pneumonia is the number one cause of death in the United States. 
D)  Pneumonia is the sixth leading cause of death in the United States. 
A)  Patients with community-acquired pneumonia most often require hospitalization. 
B)  Community-acquired pneumonias are most often antibiotic-resistant strains. 
C)  Pneumonia is the number one cause of death in the United States. 
D)  Pneumonia is the sixth leading cause of death in the United States.

Question 13

What is the most common identified cause of community-acquired pneumonia?

Accepted Answer

A)  Haemophilus influenzae 
B)  Legionella pneumophila 
C)  Staphylococcus aureus 
D)  Streptococcus pneumoniae 
A)  Haemophilus influenzae 
B)  Legionella pneumophila 
C)  Staphylococcus aureus 
D)  Streptococcus pneumoniae

Question 14

Which of the following individuals should be immunized against influenza?
1) 65-year-old individual
2) Respiratory therapist
3) Individual with chronic heart disease
4) Individual with glaucoma

Accepted Answer

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

Question 15

What antibiotic is the drug of choice for the patient with nonresistant S. pneumoniae?

Accepted Answer

A)  Ampicillin 
B)  Azithromycin 
C)  Penicillin 
D)  Vancomycin 
A)  Ampicillin 
B)  Azithromycin 
C)  Penicillin 
D)  Vancomycin

Question 16

Which of the following symptoms is typical for pneumococcal pneumonia?

Accepted Answer

A)  Foul-smelling sputum 
B)  Low-grade fever 
C)  Minimal sputum production 
D)  Pleuritic chest pain 
A)  Foul-smelling sputum 
B)  Low-grade fever 
C)  Minimal sputum production 
D)  Pleuritic chest pain

Question 17

A 26 year-old seasonal worker from South America came to the ER with a history of a dry, hacking blood-tinged cough, fever, chills, and loss of appetite. The chest x-ray showed cavitary lesion in the right upper lobe. After a week in the hospital, the sputum culture shows the present of acid-fast stained organisms. Which of the following medications would you recommend for this patient at this time?
1) Ceftizoxime
2) Isoniazid
3) Rifampin
4) Ethambutol

Accepted Answer

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

Question 18

If an HIV-infected patient has an adverse reaction to the treatment of choice for Pneumocystis jiroveci pneumonia, what treatment should be instituted?

Accepted Answer

A)  Amphotericin B 
B)  Pentamidine 
C)  Trimethoprim-sulfamethoxazole 
D)  Vancomycin 
A)  Amphotericin B 
B)  Pentamidine 
C)  Trimethoprim-sulfamethoxazole 
D)  Vancomycin

Question 19

All of the following are extra-pulmonary manifestations for TB, except:

Accepted Answer

A)  hectic fever. 
B)  hepatomegaly. 
C)  bronchioectasis. 
D)  weight loss. 
A)  hectic fever. 
B)  hepatomegaly. 
C)  bronchioectasis. 
D)  weight loss.

Question 20

Which of the following types of pneumonia suggests that the patient acquired it through inhalation of infectious particles?

Accepted Answer

A)  Cytomegalovirus 
B)  Haemophilus influenzae 
C)  Histoplasmosis 
D)  Staphylococcus 
A)  Cytomegalovirus 
B)  Haemophilus influenzae 
C)  Histoplasmosis 
D)  Staphylococcus

Exam 24: Pulmonary Infections

A patient presents with pneumonia accompanied by foul-smelling breath, absent gag reflex, or recent loss of consciousness. What should be suspected?

A 35-year-old man is admitted to the hospital and has been confirmed to have pneumococcal pneumonia. What test would it be wise to order at this time?

A patient presents with high fever, teeth-chattering chills, pleuritic pain, and a cough producing rust-colored sputum. What pathogen should be suspected?

Pneumococcal vaccines are indicated for which of the following individuals? 1) 65-year-old individual 2) Respiratory therapist 3) Individual with chronic heart disease 4) Individual with glaucoma

ATS guidelines suggest using which of the following antibiotics if methicillin-resistant S. aureus is a concern?

Rapidly spreading multilobar consolidation is typical for what type of pneumonia?

Which of the following types of pneumonia suggests that the patient acquired it because of the reactivation of a latent infection, often in the setting of immunosuppression?

Which of the following organisms is associated with a poor prognosis in the patient with ventilator-related pneumonia despite optimal therapy?

What type of severe lung infection may result in the development of small lung cavities called pneumatoceles?

The chest radiograph is often of little help in the diagnosis of nosocomial pneumonia in mechanically ventilated patients in the ICU because these individuals often have other reasons for radiographic abnormalities.

Which of the following would be associated with a fatal outcome in a patient with pneumonia who is mechanically ventilated?

Which of the following is true concerning pneumonia?

What is the most common identified cause of community-acquired pneumonia?

Which of the following individuals should be immunized against influenza? 1) 65-year-old individual 2) Respiratory therapist 3) Individual with chronic heart disease 4) Individual with glaucoma

What antibiotic is the drug of choice for the patient with nonresistant S. pneumoniae?

Which of the following symptoms is typical for pneumococcal pneumonia?

If an HIV-infected patient has an adverse reaction to the treatment of choice for Pneumocystis jiroveci pneumonia, what treatment should be instituted?

All of the following are extra-pulmonary manifestations for TB, except:

Which of the following types of pneumonia suggests that the patient acquired it through inhalation of infectious particles?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

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

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

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

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring 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

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