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RES 222- Adult pathophysio

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
show FALSE  
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Which of the following are clinical manisfestations that may be associated with TB   show
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Clinical findings associated with lung abscess are   show
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show TRUE  
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In the wet drowning victim a normal chest radiograph in the first 24 hours rules out the possiblity of alveolar-capiliary deterioration   show
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show 10mm or greater  
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In wet drowning, when fluid is initially inhaled, the bronchi ___________ in response to a _____________ reflex.   show
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When a pulmonary embolus lodges itself in the pulmonary circulation there is an increase in blood flow distal to the obstruction1   show
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show Blood clot  
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show False  
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show frothy pink secretions throughout the tracheobroncial tree, alveolar atelectasis and intersitial edema  
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Because no carbon dioxide or oxygen exchange occurs beyond a pulmonary embolus, dead space and wasted ventilation increases   show
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_______________ refers to infection from bacilli that escape from a tubercle and move to sites other than the lungs   show
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show frothy white and pink secretions t/o the tracheobroncial tree, intersitial edema, larngospasm and bronchospasm  
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TB bacilli are almost exculsively transmitted within aerosol droplets, produced by the coughing, sneezing, or laughing of an individual with active TB   show
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Graduated compression stockings used to prevent pulmonary embolism, help the veins and muscles move more blood more efficiently by squeezing the patient's arm   show
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show it increases  
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which of the following may be pathologic or structual changes to the lungs associated with pulmonary embolism   show
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show false  
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Which of the following are clinical findings associated with pulmonary embolism   show
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show TRUE  
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Echinocandins is a relatively new class of antifungal agnets used to treat fungal infections from Aspergillus and Candida, True or False?   show
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When is it necessary to intubate and mechanically ventilate a drowning victim?   show
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Which of the following is the most common fungal infection in the United States?   show
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show TRUE  
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show TRUE  
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Chest assessment findings commonly show which of the following directly over a lung abscess?   show
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show Mantoux test  
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Colloid osmotic pressure is called oncotic pressure   show
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show Isoniazid and Rifampid  
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show TRUE  
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show FALSE  
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A necrosis of lung tissue that, in severe cases leads to a localized air and fluid-filled cavity is the definition of   show
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During treatment the victim's body temperature may be increased using which of the following   show
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During wet drowning cardiogenic pulmonary edema results from fluid in the pulmonary capillaries moving into the perivascular spaces   show
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show TRUE  
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What is considered tthe most common cause of pulmonary edema?   show
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show Inactivity/prolong sitting, Excesive hip or abdominal operations  
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which of the following fungal infections are considered opportunistic pathogens seen in patients with HIV infection   show
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show Excessive fluid administration, left ventricle failure, and mitral valve disease  
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Which of the following is considered a thrombolytic agent used in treating pulmonary embolism   show
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Which of the following are clinical findings that may be associated with pulmonary edema   show
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At onset, those portions of the lungs affected by pulmonary embolism will have a _______   show
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Medications and procedures used to help manage pulmonary edema include   show
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The following are pathologic or structural changes associated with lung abscess   show
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show Cavity formation, alveolar consolidation, Bronchopleural fistula, Atelectasis, excessive airway secretions  
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Which of the following should be done when treating a near drowning victim during transport?   show
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Which of the following are clinical findings in near wet drowning victim   show
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show 10-15 mm Hg  
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show The colder the water the better  
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show Wet drowning, near drowing, dry drowning  
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After being inhaled, fungal spores may reach the lungs where ________ and ________ engulf them.   show
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Coccidioidmycosis is also known as   show
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show IV Amphotercin B  
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Predisposing factors that frequently lead to the aspiration of gastrointestinal fluids (and anaerobes) are usually related to which of the following?   show
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show plasma moving across the alveolar capillary membrane into the alveolar spaces, increased pulmonary hydrostatic pressure, red blood cells moving across the alveolar capillary membrane  
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Which of the following may be implicated in causing ILD?   show
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Is pneumonthorax considered an obstructive disorder?   show
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show posterior curve of the spine  
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The main goal of managing interstitial lung disease is directed at controlling the inflammation associated with the various disorders   show
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show Pneumothorax  
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In the most severe cases a chest tube is commonly used to treat a pneumothorax. since air rises the tube is normally placed posteriorly near the base of the lung   show
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Squamous cell carcinoma   show
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show TRUE  
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show TRUE  
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Which of the following are considered major pathological or structural changes associated with pleural effusion   show
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show Decreased heart size seen on chest radiograph due to cor pulmonale, Increased FVC, Decreased pulmonary shunting, Hyperinflated areas seen on chest radiograph where lung compression is evident, decreased CVP and PA  
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Polycythemia and cor pulmonale are both late findings associated with kyphoscoliosis   show
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During the chronic stages of ILD the inflammatory state is charcterized by edema and the infiltration of a variety of RBCs in the alveolar walls   show
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NONE of the of the following are considered clinical findings associated with pneumothorax   show
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Which of the following can be used in managing/ treating pleural effusion   show
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show FALSE  
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Which of the following are also used to describe interstitial lung disease   show
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Because acute changes superimposed on chronic ventilatory failure are rarely seen in the patient with ILD the use of mechanical ventilation is never required   show
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show TRUE  
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The following are considered major pathologic or structural changes associated with ILD   show
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Identify the clinical manifestations that may be assciated with pleural effusion   show
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A pnumothorax that is the result of a specific diagnostic or therapeutic procedure is referred to as a traumatic pneumothorax   show
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Fail chest is considered a obstructive pulmonary disorder   show
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show Chylothorax  
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show 50% to 70%  
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show FALSE  
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show TRUE  
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Systemic diseases associated with ILD include   show
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Which of the following are considered causes of flail chest?   show
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show when the effusion is less than 300ml  
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show Capillary shunting,Alveolar thickening, fibrosis  
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What type of radiographic technique should be used when a pleural effusion is difficult to determine because of the obliteration to one or both diaphragms by atelectasis and or pulmonary infiltrates   show
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show It can be both a restrictive and an obstructive disorder  
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The clinical manifestations associated with Kyphoscoliosis are based on the clinical scenarios activated by which of the following   show
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Which of the following seem to be possible causes of Kyposcoliosis   show
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show A Flail chest  
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show Hemothorax, Hematocrit  
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The most common cause of plerual effusion is   show
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In a patient with a pneumothorax when is the evacuation of air from the pleural cavity usually necessary   show
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Microscopic examiniation of the thickened septa in asbestosis reveals   show
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What type of breath sounds are produced by a pneumothorax   show
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An increased respiratory rate seen in patient's with kyposcoliosis may be the result of which pathophysiologic mechanisms?   show
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show tension/ closed pneumothorax  
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show not exceed -12cmH2O  
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show Hepatic cirrhosis, Pulmonary embolus, Neprhrotic Syndorme  
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show Oat-cell carcinoma  
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show Supportive care, Chemotherapy, Radiation therapy  
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show Squamous carcinoma, Adenocarinoma  
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show Rhonchi, Dull percussion note, Bronchial breath sounds  
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A spontaneous pneumothorax is secondary to which of the following disorders   show
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Respiratory care treatment options for the patient diagnosised with Lung CA include:   show
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Common surgical procedures suggested for the patient with NSCLC include:   show
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show is an undifferntiated form of lung cancer  
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Fill in the blanks: In severe cases of pneumonthorax the great veins can become _______ and cause ________ return to the heart to the heart to__________.   show
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show Airway obstruction from blood, mucus accumulation or a tumor projecting into a bronchus, Atelectasis, Pleural effusion, and cavity formation  
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Which of the following may be considered small-cell lung cancers   show
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Major pathological or structural changes of the lungs associated with Kyphoscoliosis include   show
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Select the statements below that describe the TNM classification system   show
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Select the clinical manifestations that can be associated with ILD:   show
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show Routine bronchial hygiene, Oxygen therapy protocol, Medication for pain management, volume controlled ventilation with PEEP to stalize the flail  
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show Age of the victim, Duration and extent of smoke exposure, chemical composition of the smoke being inhaled  
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show TRUE  
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show Decrease barotraumas, reduce overdistention of the lungs  
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show FALSE  
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show TRUE  
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show 5 hours  
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Obstructive sleep apnea appears to be the most severe in what sleep position   show
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Hyperbaric oxygen therapy is always used for the elimination of CO in the smoke inhalation victim   show
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Thermal injury occurring to the distal airways post inhalation of steam results   show
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The thymus gland in many myasthenic patients appears to be the source of anti-Ach receptor antibodies   show
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show Nipride, Atropine, Phentolamine  
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Even when diagosed early, patients suffering from Guillain- Barre syndrome have a poor progonosis for recovery   show
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show FALSE  
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Which of the following are considered etiologic factors associated with ARDS   show
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show reflex laryngospasm, glottic closure  
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The diagnosis of sleep apnea may be confirmed by confirmed by polysomnographic sleep studies   show
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ARDS is considered an obstructive lung disorder   show
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The etiology of myasthenia gravis appears to be associated _________ antibodies that block nerve impulse transmission at the neuromuscular junction   show
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show Shortness of breath following abrupt awakenings, Nocturnal enuresis, Morning headache, Snoring loudly  
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show TRUE  
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Serum levels of IgM antibodies against myelin glycolipid have been found to be ________ in the patient with Guillain-Barre syndrome   show
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show FALSE  
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show TRUE  
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The 3 Primary types of sleep apnea are classified as   show
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Chest xray findings associated with ARDS include   show
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show FALSE  
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show FALSE  
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show Endotracheal intubation  
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The signs and symptoms of thermal injury associated with smoke inhalation can always be identified immediately, especially when extensive body surface burns are present   show
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show Atelectasis, Airway obstruction, Alveolar consolidation, Accumilation of mucus  
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Most thermal injuries affect the distal airways and alveoli   show
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show TRUE  
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show Frequent measurement of the patient's VC, BP, and NIF, Heparin therapy, Measurement of the patient's oxygen saturation, Plasmapheresis, Aterial blood gas measurement  
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What techniques may be useful in the diagnosing of myasthenia gravis   show
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Coricosteriod therapy has been shown to be effective in the treatment of Guillain-Barre ayndrome and shorten   show
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What chronic neurologicval disorder is characterized by the interference of acetylcholine between the axonal terminal and the receptor sites of voluntray muscle   show
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Which of the following describes obstructive sleep apnea (OSA)   show
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The chest radiograph associated with smoke inhalation   show
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show Alveolar consolidation, Atelectasis, Intra-alveolar hyaline membrane formation  
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show Permissive hypercapnia  
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Apnea is defined as the cessation of breathing for   show
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a burn identified as full thickness of the skin including tissue beneath the skin describes a   show
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show smoke inhalation  
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Sleep apnea that occurs with the cessation of inspiratory efforts as the result of the respiratory centers of medulla failing to send signals to the respiratory muscles is known as   show
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The following events may occur during REM sleep   show
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show UPPP, Nocturnal CPAP used to treat OSA, Phrenic nerve pacemarker used to treat central sleep apnea  
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The mucosa of the tracheobronchial tree very often becomes necrotic and sloughs ________ post inhalation of smoke   show
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show Negative inspiratory force (NIF) measurement is decreased  
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Correct sequence of events resulting in the manifestation of ARDS   show
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show Non-REM sleep consists of 4 separate stages of sleep, Non-REM sleep usually lasts 60 to 90 minutes, It is possible for an individual to move directly into REM sleep from any of the 3 stages of Non-REM sleep  
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show a 2nd degree burn  
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show Prostigmin, Pyridostigmine, Mestinon, Neostingmine  
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During periods of sleep apnea the heart rate ______ then _______ after termination of the apne   show
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show Decreased tidal volume, Increased pulmonary shunting, Decreased DO2  
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The onset of Guillain-Barre syndrome usually occurs ____________   show
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show Cardiovascular status, Respiratory status, Percentage of body burned, Patient's airway  
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Which of the following appear to attack and strip off the myelin sheath of the peripheral nerves and leave selling/fragmentation of the neural axon in Guillain-Barre syndrome   show
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show initial tidal volumes of 5 to 7 ml/kg, Ventilatory rates as high as 35bpm in order to maintain adequate minute ventilation, low tidal volumes and high respiratory rates, PEEP and CPAP to reduce atelectasis  
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