Question 1

Approximately how many individuals died of COPD in the United States in 2008?

Accepted Answer

A)  145,000 
B)  210,000 
C)  550,000 
D)  1,000,000 
A)  145,000 
B)  210,000 
C)  550,000 
D)  1,000,000

Question 2

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 3

How much improvement is needed in the FEV1 after bronchodilator therapy before reversibility can be considered present in the patient with obstructive lung disease?

Accepted Answer

A)  50 ml 
B)  200 ml 
C)  350 ml 
D)  500 ml 
A)  50 ml 
B)  200 ml 
C)  350 ml 
D)  500 ml

Question 4

What percentage of all cases of COPD is caused by alpha1-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 5

Which of the following are typically found in a patient with COPD?
1) Airway inflammation
2) Partially reversible airway obstruction
3) Progressive airway obstruction
4) Restrictive disease

Accepted Answer

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

Question 6

What stimulus is most commonly used in bronchoprovocation testing in the patient suspected to have asthma?

Accepted Answer

A)  Acetylcysteine 
B)  Leukotriene inhibitors 
C)  Methacholine 
D)  Methylprednisolone 
A)  Acetylcysteine 
B)  Leukotriene inhibitors 
C)  Methacholine 
D)  Methylprednisolone

Question 7

What medical problems are suggested by Mr. Jones' medical history?

Accepted Answer

A)  Chronic bronchitis 
B)  Emphysema 
C)  Occupational asthma 
D)  Obstructive bronchiectasis 
A)  Chronic bronchitis 
B)  Emphysema 
C)  Occupational asthma 
D)  Obstructive bronchiectasis

Question 8

Which of the following procedures would you recommend to further assess Mr. Jones' condition?
1) Pre-post PFT
2) Exercise testing
3) Chest x-ray
4) Room air ABG

Accepted Answer

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

Question 9

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.

Question 10

What medication is currently the most effective for the treatment of asthma?

Accepted Answer

A)  Corticosteroids 
B)  Fast-acting beta-2 agonists 
C)  Long-acting beta-2 agonists 
D)  Nonsteroidal antiinflammatory drugs 
A)  Corticosteroids 
B)  Fast-acting beta-2 agonists 
C)  Long-acting beta-2 agonists 
D)  Nonsteroidal antiinflammatory drugs

Question 11

Which medication is an anticholinergic bronchodilator?

Accepted Answer

A)  Ipratropium bromide 
B)  Vilanterol 
C)  Salmeterol 
D)  Terbutaline 
A)  Ipratropium bromide 
B)  Vilanterol 
C)  Salmeterol 
D)  Terbutaline

Question 12

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

Accepted Answer

A)  Albuterol 
B)  Cromalyn 
C)  Ipratropium bromide 
D)  Theophylline 
A)  Albuterol 
B)  Cromalyn 
C)  Ipratropium bromide 
D)  Theophylline

Question 13

A patient is experiencing an exacerbation of COPD. He is 65 years old, slim, and in notable distress with tachypnea, tachycardia, and an arterial blood pH of 7.29. Which of the following therapies would be most indicated?

Accepted Answer

A)  Intrapulmonary percussive ventilation 
B)  Intubation and mechanical ventilation 
C)  Nasal CPAP 
D)  Noninvasive ventilation 
A)  Intrapulmonary percussive ventilation 
B)  Intubation and mechanical ventilation 
C)  Nasal CPAP 
D)  Noninvasive ventilation

Question 14

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 15

Bronchiectasis characterized by progressive, distal enlargement of the airways, resulting in sac-like dilatations is classified as:

Accepted Answer

A)  cylindrical bronchiectasis. 
B)  varicose bronchiectasis. 
C)  cystic bronchiectasis. 
D)  obstructive bronchiectasis. 
A)  cylindrical bronchiectasis. 
B)  varicose bronchiectasis. 
C)  cystic bronchiectasis. 
D)  obstructive bronchiectasis.

Question 16

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 17

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 18

Which of the following pulmonary function improvements have been associated with lung volume-reduction surgery (LVRS) in patients with emphysema?
1) Improved exercise endurance
2) Improved FEV1
3) Improved quality-of-life
4) Improved survival

Accepted Answer

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

Question 19

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

Accepted Answer

A)  Alpha1-antitrypsin deficiency 
B)  IgE abnormality 
C)  Nitric oxide deficiency 
D)  Toluene diisocyanate 
A)  Alpha1-antitrypsin deficiency 
B)  IgE abnormality 
C)  Nitric oxide deficiency 
D)  Toluene diisocyanate

Exam 25: Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Approximately how many individuals died of COPD in the United States in 2008?

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

How much improvement is needed in the FEV1 after bronchodilator therapy before reversibility can be considered present in the patient with obstructive lung disease?

What percentage of all cases of COPD is caused by alpha1-antitrypsin deficiency?

Which of the following are typically found in a patient with COPD? 1) Airway inflammation 2) Partially reversible airway obstruction 3) Progressive airway obstruction 4) Restrictive disease

What stimulus is most commonly used in bronchoprovocation testing in the patient suspected to have asthma?

What medical problems are suggested by Mr. Jones' medical history?

Which of the following procedures would you recommend to further assess Mr. Jones' condition? 1) Pre-post PFT 2) Exercise testing 3) Chest x-ray 4) Room air ABG

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

What medication is currently the most effective for the treatment of asthma?

Which medication is an anticholinergic bronchodilator?

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

A patient is experiencing an exacerbation of COPD. He is 65 years old, slim, and in notable distress with tachypnea, tachycardia, and an arterial blood pH of 7.29. Which of the following therapies would be most indicated?

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

Bronchiectasis characterized by progressive, distal enlargement of the airways, resulting in sac-like dilatations is classified as:

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

Identify the hallmark symptom of bronchiectasis.

Which of the following pulmonary function improvements have been associated with lung volume-reduction surgery (LVRS) in patients with emphysema? 1) Improved exercise endurance 2) Improved FEV1 3) Improved quality-of-life 4) Improved survival

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

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

Pulmonary Infections

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

Filters

How much improvement is needed in the FEV₁ after bronchodilator therapy before reversibility can be considered present in the patient with obstructive lung disease?

What percentage of all cases of COPD is caused by alpha₁-antitrypsin deficiency?

Which of the following pulmonary function improvements have been associated with lung volume-reduction surgery (LVRS) in patients with emphysema? 1) Improved exercise endurance 2) Improved FEV₁ 3) Improved quality-of-life 4) Improved survival