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CP diseases

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Permanent enlargement and destruction of respiratory bronchioles,Destruction of pulmonary capillaries,Hyperinflation of alveolii  
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show Distal to the terminal bronchioles  
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show Cigarette smoking,Gastroesophageal reflex disease,Alpha-1 antitrypsin deficiency  
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show Distended neck veins,Pitting edema,Enlarged and tender liver  
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show Polycythemia  
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show Depressed or flattened diaphragms,Enlarged heart,Increased retrosternal air spaces  
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Functional Residual capacity (FRC) is higher in a patient with severe emphysema because:   show
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Sputum examination of an emphysematic patient (when accompanied by chronic bronchitis) most commonly:   show
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The combination of air trapping, lung hyperinflation, and alveolar hypoventilation associated with emphysema leads to an increased v/q ratio. t or f?   show
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Which is the most appropriate lung volume for a patient with emphysema?   show
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show hyperresonant.  
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show Increased FRC, Increased RV, Decreased FVC  
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show Fully compensated respiratory acidosis with hypoxemia  
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The lung parenchyma in the chest radiograph of a patient with emphysema appear   show
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show Distal airway and alveolar weakening,Alveolar hyperinflation (air-trapping),Permanent enlargement and deterioration of alveoli  
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Chest assessment findings of a patient with chronic bronchitis:   show
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show Streptococus pneumoniae  
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In the treatment of patients presenting to the hospital with moderate or severe acute exacerbation of COPD, the following therapeutic options are benefitial:   show
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show enlarged  
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Which of the following is/are believed to play a major etiologic role in chronic bronchitis?   show
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Spirometry results on a patient with chronic bronchitis shows which of the following? ERV?   show
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show Distended neck vein,An elevated hemoglobin concentration, An enlarged liver  
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In the treatment of patients presenting to the hospital with moderate or severe acute exacerbration of COPD, the following therapeutic options are beneficial:   show
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Chronic bronchitis is charecterised by:   show
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Which of the following is/are true regarding intrinsic asthma?   show
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The immunologic response in asthma releases the following chemical mediators:   show
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With regard to the Asthma Zone Management System, the “Yellow Zone” is defined as:   show
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show Severe persistent  
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show Systolic blood pressure is more than 10 mm Hg lower on inspiration than expiration  
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Which of the following doesn't affect Oxygen transport (D02):   show
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Asthma is associated with   show
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What condition which is not applicable with asthma   show
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show Bronchial gland hypersecretion occurs,Tissue edema occurs  
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show Decreased PEFR,Decreased FVC  
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During mast cell degranulation, which of the following chemical mediators are released?   show
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Patients commonly exhibit which of the following arterial blood gas values during an acute asthmatic episode.   show
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Recommended treatment regimen for asthmatic when peak flow meter shows 55% of the personal best is:   show
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First line preventer (controller) agent for asthma is   show
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Major pathologic or structural changes associated with bronchiectasis:   show
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show Vericose,Saccular,Cylindrical  
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Which of the following is true regarding vericose(fusiform) bronchiectasis:   show
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show Sacular bronchiectasis  
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The etiology of bronchiectasis is not always clear.   show
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show Repeated and prologed respiratory tract infections,Bronchial obstruction caused by foreign bodies,Respiratory complications of chickemnpox  
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show Haemophilus Influenzae,Streptococus,Pseudomonas aeruginosa  
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Arterial blood gas in a severe bronchiectasis is most likely:   show
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Bronchiectasis is primarily:   show
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show . Pulmonary tuberculosis  
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show Decreased PEFR  
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Which of the following are classified as Mucolytic agents to enhance the mobilization of secretions?   show
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show Decreased tactile and voclal fremitus,Crackles/rhonchi/wheezing  
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show Bronchography,Computed tomography  
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Which of the following is/are congenital causes of bronchiectasis?   show
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Haemophilus influenzae   show
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Streptococcus   show
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Enterobacter species   show
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show Viral cause  
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Pseudomonas aeruginosa   show
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Mycoplasma pneumonia   show
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Staphylococcus   show
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Severe acute respiratory syndrome (SARS)   show
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Most bacterial pneumonias are caused by Streptococcus bacteria. t or f?   show
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Increased respiratory rate, increased heart rate , and decreased chest expansion are usually noticed on patients with pneumonia during physical assessment. t or f?   show
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The coronavirus is associated with SARS. t or f?   show
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Patients with pneumonia usually produce soft, diminished breath sounds over the affected area. t or f?   show
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In pneumonia, percussion notes are usually dull over the affected area. t or f?   show
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Which of the following is/are commonly seen in patients with AIDS?   show
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The first drug of choice in treating a lung abscess is:   show
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The chest assessment findings commonly show which of the following directly over the abscess?   show
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show General anesthesia,Head trauma,Cerebrovascular accident,Seizure disorder,Alcoholic abuse  
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show Alveolar consolidation,Bronchopleural fistulae,Atelectasis,Excessive airway secretions  
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show Posterior segment of the upper lung,Superior segment of the lower lobe.  
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Which of the following pulmonary function findings may be associated with severe and extensive lung abcess?   show
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show Respiratory tract,Gastrointestinal tract,Open wound in the skin  
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A positive tuberculin test begins with a wheal of what size?   show
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show Blood stream  
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The most common oxygen rich areas where the disseminated TB bacilli resides are:   show
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show Granuloma,Tubercle  
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show Is foreign born,Had previous antituberculous drug therapy,Been exposed to another patient with drug resistant TB  
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show that a patient has active TB  
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Coccidioidomycosis is also known as:   show
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Which of the following is considered the drug of choice for severe fungal diseases of the lungs?   show
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show t  
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Fungal diseases and tuberculosis cause similar anatomic changes of the lungs. t or f?   show
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show Alveolar consolidation,Fibrosis and secondary calcification of the lungs,Caseous tubercles or granulomas  
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show Fever,Weight loss,Hemoptysis  
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show Fungal stain test,Culture of the fungus  
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show Coccidomycosis  
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show An infection caused primarily by a non-pathogenic organism in an immunocompromised individual.  
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show Lung volumes are lower in restrictive lung disorders,Expiratory flow rates are lower in obstructive lung disorders  
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During acute pulmonary edema: Alveolar surface tension   show
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Colloid osmotic pressure is also called   show
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show normal or decreased  
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show Excessive sodium consumption  
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The normal colloid osmotic pressure in the pulmonary capillaries:   show
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show Inability to breath in a supine position  
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show Head injury,Pneumonia,Sulfur dioxide,Alveolar hypoxia  
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What is the normal hydrostatic pressure in the pulmonary capillaries?   show
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In pulmonary edema, fluid first moves into the:   show
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Which of the following are causes of cardiogenic pulmonary edema?   show
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show Promotes pulmonary shunting,Raises venus admixture,Causes hypoxemia  
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show Decreases vascular congestion,Enhances gas exchange.  
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Acute pulmonary edema is treated by:   show
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show Saddle embolus  
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When an embolus lodges in the pulmonary vascular system, the ventilation beyond the obstruction results:   show
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As a result of the decreased systemic blood pressure associated with a pulmonary embolism, reflexes from the aortic and carotid sinus baroreceptors cause:   show
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The last resort in treating pulmonary embolism because of the mortality rate associated with it is:   show
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show Syncope  
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If ABG shows acute ventilatory failure for a patient with severe pulmonary emboli, the most appropriate treatment is:   show
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Which of the following is/are major mechanisms that contribute to the pulmonary hypertension commonly seen in the patients with pulmonary embolism?   show
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show Urokinase,Tissue plasminogen activator (TPA,Streptokinase  
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If the pulmonary embolism significantly disrupts blood flow pulmonary infarction develops and causes:   show
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A first-choice test for patients suspected of having pulmonary embolism is   show
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Chest radiograph findings of patients with pulmonary embolism:   show
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show The V/Q ratio decreases,The bronchial smooth muscle constrict  
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show Leg and pelvic vein  
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As a consequence of severe flail chest, which of the following occurs?   show
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When a patient has a severe flail chest, which of the following occurs?   show
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show Three or more adjacent ribs  
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When a paradoxical movement is seen in a patient with a flail chest, the fractured ribs:   show
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In mild cases of flail chest the required treatment is:   show
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show Stabilization of chest wall,Volume caontrol ventilation with PEEP  
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Which of the following pathophysiologic mechanisms may be activated as a result of a flail chest and increase the patient’s respiratory rate?   show
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show Valvular pneumothorax,Tension pneumothorax  
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Which of the following may cause a pneumothorax?   show
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show The mediastinum often moves to the unaffected side during inspiration, Intrapleural pressure on the affected side often rises above the atmospheric pressure during inspiration,The mediastinum often moves to the affected side during expiration  
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A patient with a severe tension pneumothorax demonstrates which of the following?   show
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show Increase venus return  
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In an open pneumothorax:   show
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A pneumothorax in which the intrapleural pressure exceeds intraalveolar pressure is called:   show
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When treating a pneumothorax with a chest tube and suction, the negative pressure used is:   show
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When the pneumothorax is 15-20% the patient may need:   show
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Bed rest or limited physical activity   show
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show CHF  
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show Chylothorax  
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show Tuberculosis,Pneumonia,Fungal diseases  
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show Dull percussion note,Tracheal shift  
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show Thin and watery fluid,Few blood cells  
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Fluid samples from a thoracentesis may be examined for which of the following?   show
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show Presence of the milky liquid (produced in the small intestine during digestion) in the pleural cavity  
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show Pus in the pleural cavity  
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Pleurodesis   show
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Thoracentesis   show
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show Decreased VT,Decreased RV  
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The clinical manifestations associated with kyphoscoliosis are   show
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show Dull percussion note, Bronchial breath sounds  
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Kyphosis is a lateral curve of the spine.t or f?   show
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show True  
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show Surgery is recommended if the curvature of the spine is greater than 50 degrees, Braces does not cure scoliosis  
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The etiologic determinants in the development of pneumoconiosis include the following except:   show
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The DLCO is normal in pneumoconiosis.t or f?   show
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show f  
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The clinical manifestations associated with pneumoconiosis are based on the clinical scenarios activated by which of the following?   show
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Chest radiographic findings of patient with pneumoconiosis include   show
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Which of the following expiratory maneuver findings is/are associated with the pneumoconioses?   show
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show silica  
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growth rate of Small-cell carcinoma   show
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show slow  
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show moderate  
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Which of the following is associated with bronchogenic carcinoma?   show
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show grow slowly.,are usually encapsulated.  
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show Oat-cell carcinoma  
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show Undifferentiated carcinoma,Squamous carcinoma,Adenocarcinoma  
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Squamous cell carcinoma is strongly associated with cigarette smoking. t or f?   show
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Adenocarcinoma arises from the mucous glands of the tracheobronchial tree. t or f?   show
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show t  
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show t  
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show Bronchial breath sounds are associated with ARDS.  
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During early stages of ARDS, the patient commonly demonstrates which of the following arterial blood gas?   show
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ARDS has been called many different names in the medical literature. Primarily, the names have been based on the etiology believed to be responsible for the disease. t or f? t   show
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show Consolidation, Increased alveolar-capillary membrane thickness,Atelectasis  
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What is the generic name of Lasix?   show
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Disseminated intravascular coagulation (DIC) seen in patients with shock is a condition of paradoxical simultaneous clotting and bleeding that produces microthrombi in the lungs. t or f?   show
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show Hyperresonant percussion note  
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Ventilation strategy for most patients with ARDS is:   show
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The patient with interstitial lung disease may demonstrate:   show
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Which of the following is another name for extrinsic allergic alveolitis?   show
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show Idiopathic pulmonary fibrosis  
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Pulmonary manifestations of Systemic Lupus Erythematosus are:   show
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show Normal or decreased FEV1,Decreased FVC  
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show systemic lupus erythematosus,Rhematoid arthritis  
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show Open lung biopsy  
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The organs primarily involved in Goodpasture's syndrome are:   show
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Bronchiolitis Obliterans with Organizing Pneumonia (BOOP) has been associated with the following except:   show
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The respiratory clinical manifestations associated with Guillain-Barré Syndrome are based on the clinical scenarios activated by which of the following?   show
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Common noncardiopulmonary manifestations associated with Guillain-Barré is/are:   show
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Although the precise cause of Guillain-Barre syndrome is not known, it's probably:   show
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Which of the following are possible precursors to Guillain-Barre syndrome?   show
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show inflammation,Demyelination, Edema  
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show Clinical history,Significant signs include paralysis,CSF findings  
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Which one of the following has been shown effective in severe cases of Guillain-Barre Syndrome:   show
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show Double vision,Weakness of arms and legs,Drooping of upper eyelids,Speech impairment  
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Which of the following is/are used to treat myasthenia gravis?   show
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Which of the following is/are associated with myasthenia gravis?   show
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show Blocking the ACH from the receptor sites of the muscular cell,Accelerating the breakdown of ACH  
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show Clinical history,Neurological examination,Blood analysis,Edrophonium (Tensilon) test  
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If the patient has Myasthenia Gravis, administration of Tensilon would increase the muscle strength for about:   show
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Weakness of the muscles of the lower portion of the face is associated with myasthenia gravis.t or f?   show
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Because ventilatory failure is possible patients with Myasthenia Gravis is frequently monitored with the following measurements:   show
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Rationale for thymectomy for young adult females with Myastenia Gravis is due to the belief that the thymus gland is the source of:   show
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show More than 5 episodes of apnea per hour over a 6-hour period  
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Non-REM sleep is also called active sleep. t or f?   show
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Negative-pressure ventilation is contraindicated in obstructive sleep apnea. t or f?   show
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During periods of sleep apnea, the patient commonly demonstrates an increased heart rate.t or f?   show
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The O2ER is decreased in sleep apnea. t or f?   show
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show Atrioventricular block,Sinus bradycardia,Ventricular tachycardia,Premature ventricular contraction,Sinus arrhythmia  
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Which is another name for non-rapid eye movement?   show
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Pickwickian syndrome is associated with which of the following?   show
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Some clinical disorders associated with obstructive sleep apnea are:   show
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Periods of severe sleep apnea are commonly associated with which of the following:   show
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show Negative pressure ventilation  
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Which of the following is NOT monitored in Polysomnographic monitoring?   show
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Which of the following is true about near drowning?   show
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show ncreased respiratory rate,increased heart rate,crackles and ronchi , Fluffy infiltrates in chest X-ray  
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Radiogrphic deterioration in a near drowning patient may occur in the first:   show
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show Atelectasis  
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show PaO2 of 60 mm Hg or greater with an FiO2 of 50% or lower  
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the hypothermia in a near drowning victim can be corrected by the following except:Continuous nebulized aerosol therapy   show
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show Larynx  
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show Mucosal edema,Vascular congestion,Obliterative bronchiolitis  
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show Staphylococus,Pseudomonas,Klebsiella  
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show Sepsis,Multiorgan failure, Pneumonia, Pulmonary Embolism  
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show The extent and duration of smoke exposure,Size and depth of body surface burn,Pre-existing health status  
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show Decreased lung and chest compliance,Increased airway resistance,Immobility, Pain  
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show pulmonary embolism,Pulmonary edema,Bronchospasm  
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Healing time for a seceond-degree burn is between:   show
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Long term effects of smoke inhalation result in restrictive and obstructive lung disorders, a restrictive lung disorder develops from:   show
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show 4 ml/kg of body weight for each percent of BSA burned over a 24 hour period.  
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  show
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  show
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