Question 1

In what age group is a primary spontaneous pneumothorax most commonly seen?

Accepted Answer

A)  Under 15 years 
B)  18 to 25 years 
C)  35 to 45 years 
D)  Over 60 years 
A)  Under 15 years 
B)  18 to 25 years 
C)  35 to 45 years 
D)  Over 60 years

Question 2

Which of the following pathologies is the most common cause of pleural effusions in clinical practice?

Accepted Answer

A)  Hepatic disease 
B)  Acute renal failure 
C)  Congestive heart failure 
D)  Cor pulmonale 
A)  Hepatic disease 
B)  Acute renal failure 
C)  Congestive heart failure 
D)  Cor pulmonale

Question 3

What agent has proved to be the most successful in pleurodesis?

Accepted Answer

A)  Mixture of saline and Mucomyst 
B)  Acetaminophen in suspension 
C)  Saline solution mixed with heparin 
D)  Talc suspended in saline 
A)  Mixture of saline and Mucomyst 
B)  Acetaminophen in suspension 
C)  Saline solution mixed with heparin 
D)  Talc suspended in saline

Question 4

What is a common clinical finding even with small pleural effusions?

Accepted Answer

A)  Air bronchograms 
B)  Arrhythmias 
C)  Dyspnea 
D)  Tachycardia 
A)  Air bronchograms 
B)  Arrhythmias 
C)  Dyspnea 
D)  Tachycardia

Question 5

What type of pleural problem is most likely to develop from rupture of the thoracic duct?

Accepted Answer

A)  Chylothorax 
B)  Hemothorax 
C)  Hydrothorax 
D)  Pneumothorax 
A)  Chylothorax 
B)  Hemothorax 
C)  Hydrothorax 
D)  Pneumothorax

Question 6

The chest radiograph showed the presence of a meniscus in the right chest together with a blunted right costophrenic angle. Which of the following procedures would you recommend at this point to treat Ms. Paul?

Accepted Answer

A)  Anterior chest tube thoracostomy 
B)  Chest needle decompression 
C)  Video-assisted thoracoscopy (VAT) 
D)  Posterior chest tube thoracostomy 
A)  Anterior chest tube thoracostomy 
B)  Chest needle decompression 
C)  Video-assisted thoracoscopy (VAT) 
D)  Posterior chest tube thoracostomy

Question 7

The most common symptom of pneumothorax that occurs in nearly every patient is:

Accepted Answer

A)  shortness of breath. 
B)  chest pain. 
C)  dizziness. 
D)  syncope. 
A)  shortness of breath. 
B)  chest pain. 
C)  dizziness. 
D)  syncope.

Question 8

What is the most common cause of hemothorax?

Accepted Answer

A)  Chest trauma 
B)  Malignancy 
C)  Pulmonary embolism 
D)  Surgery 
A)  Chest trauma 
B)  Malignancy 
C)  Pulmonary embolism 
D)  Surgery

Question 9

Which of the following procedures would you recommend to assess her situation at this time?

Accepted Answer

A)  Chest x-ray 
B)  Auto-PEEP maneuver 
C)  Measure her compliance manually 
D)  CT scan of the chest 
A)  Chest x-ray 
B)  Auto-PEEP maneuver 
C)  Measure her compliance manually 
D)  CT scan of the chest

Question 10

Pleural effusions that occur secondarily to _____ are most often treated with pleurodesis.

Accepted Answer

A)  ascites 
B)  congestive heart failure 
C)  malignancy 
D)  nephrotic syndrome 
A)  ascites 
B)  congestive heart failure 
C)  malignancy 
D)  nephrotic syndrome

Question 11

What complication often occurs following rapid lung reexpansion due to the evacuation of air or fluid from the pleural space?

Accepted Answer

A)  Arrhythmias 
B)  Pulmonary edema 
C)  Pulmonary emboli 
D)  Systemic hypotension 
A)  Arrhythmias 
B)  Pulmonary edema 
C)  Pulmonary emboli 
D)  Systemic hypotension

Question 12

What is a common complication of pleurodynia?

Accepted Answer

A)  Atelectasis 
B)  Insomnia 
C)  Pneumonia 
D)  Pneumothorax 
A)  Atelectasis 
B)  Insomnia 
C)  Pneumonia 
D)  Pneumothorax

Question 13

How much pleural fluid does a normal healthy adult have in each hemithorax?

Accepted Answer

A)  5 ml 
B)  8 ml 
C)  12 ml 
D)  16 ml 
A)  5 ml 
B)  8 ml 
C)  12 ml 
D)  16 ml

Question 14

Which of the following could be early warning signs that a pneumothorax is enlarging?
1) Desaturation of pulse oximetry reading
2) Development of a fever
3) Increased respiratory rate
4) Mental confusion

Accepted Answer

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

Question 15

Which of the following conditions is most closely associated with exudative pleural effusion?

Accepted Answer

A)  Cirrhosis of the liver 
B)  Congestive heart failure 
C)  Nephrotic syndrome 
D)  Tuberculosis 
A)  Cirrhosis of the liver 
B)  Congestive heart failure 
C)  Nephrotic syndrome 
D)  Tuberculosis

Question 16

What diagnostic procedure or technique is most commonly used to diagnose the presence of a pleural effusion?

Accepted Answer

A)  Chest radiography 
B)  Pleuroscopy 
C)  Thoracentesis 
D)  Thoracoscopy 
A)  Chest radiography 
B)  Pleuroscopy 
C)  Thoracentesis 
D)  Thoracoscopy

Question 17

A patient with nephritic syndrome is noted to have a large right-sided pleural effusion and a small to medium-sized left-sided pleural effusion. What would explain this finding?

Accepted Answer

A)  The nephrosis is complicated by CHF. 
B)  The nephrosis is complicated by pulmonary emboli. 
C)  This is a common finding in patients with nephrosis. 
D)  This just a complicated case of nephrosis. 
A)  The nephrosis is complicated by CHF. 
B)  The nephrosis is complicated by pulmonary emboli. 
C)  This is a common finding in patients with nephrosis. 
D)  This just a complicated case of nephrosis.

Question 18

What size of chest tube would you use in the management of trauma-related pneumothoraces?

Accepted Answer

A)  Large 
B)  Medium 
C)  Small 
D)  Size is immaterial 
A)  Large 
B)  Medium 
C)  Small 
D)  Size is immaterial

Question 19

If accurate sizing on a pneumothorax is desired, what diagnostic technique would be most appropriate?

Accepted Answer

A)  Chest radiography 
B)  Computed tomography 
C)  PET scan 
D)  Ultrasonography 
A)  Chest radiography 
B)  Computed tomography 
C)  PET scan 
D)  Ultrasonography

Question 20

What method of chest tube removal has been associated with the lowest level of pneumothorax recurrence?

Accepted Answer

A)  Clamp the chest tube for 4 hr; if chest radiograph is good, remove the tube. 
B)  Clamp chest tube for 24 hr; if clinically stable, remove the tube. 
C)  Remove the chest tube as soon as the air leak resolves. 
D)  Remove the chest tube 48 hr after the air leak resolves. 
A)  Clamp the chest tube for 4 hr; if chest radiograph is good, remove the tube. 
B)  Clamp chest tube for 24 hr; if clinically stable, remove the tube. 
C)  Remove the chest tube as soon as the air leak resolves. 
D)  Remove the chest tube 48 hr after the air leak resolves.

Exam 27: Pleural Diseases

In what age group is a primary spontaneous pneumothorax most commonly seen?

Which of the following pathologies is the most common cause of pleural effusions in clinical practice?

What agent has proved to be the most successful in pleurodesis?

What is a common clinical finding even with small pleural effusions?

What type of pleural problem is most likely to develop from rupture of the thoracic duct?

The chest radiograph showed the presence of a meniscus in the right chest together with a blunted right costophrenic angle. Which of the following procedures would you recommend at this point to treat Ms. Paul?

The most common symptom of pneumothorax that occurs in nearly every patient is:

What is the most common cause of hemothorax?

Which of the following procedures would you recommend to assess her situation at this time?

Pleural effusions that occur secondarily to _____ are most often treated with pleurodesis.

What complication often occurs following rapid lung reexpansion due to the evacuation of air or fluid from the pleural space?

What is a common complication of pleurodynia?

How much pleural fluid does a normal healthy adult have in each hemithorax?

Which of the following could be early warning signs that a pneumothorax is enlarging? 1) Desaturation of pulse oximetry reading 2) Development of a fever 3) Increased respiratory rate 4) Mental confusion

Which of the following conditions is most closely associated with exudative pleural effusion?

What diagnostic procedure or technique is most commonly used to diagnose the presence of a pleural effusion?

A patient with nephritic syndrome is noted to have a large right-sided pleural effusion and a small to medium-sized left-sided pleural effusion. What would explain this finding?

What size of chest tube would you use in the management of trauma-related pneumothoraces?

If accurate sizing on a pneumothorax is desired, what diagnostic technique would be most appropriate?

What method of chest tube removal has been associated with the lowest level of pneumothorax recurrence?

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

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

Interstitial Lung Disease

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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