Lower Airway Disorders
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Define bronchitis: | show 🗑
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| show | Upper respiratory infections
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| show | *Productive cough *Low grade fever *Diffuse rhonchi/wheezes, dyspnea *Chest pain *Generalized malaise, and headache
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| What do you question a PT about during an assessment if bronchitis is suspected? | show 🗑
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| PTs with bronchitis are at increased risk of what, and why? | show 🗑
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| What causes legionnaires disease? | show 🗑
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| Legionaires disease progresses on what two courses? | show 🗑
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| List 3 clinical manifistations of legionaires disease | show 🗑
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| show | wild and domestic hoofed animals
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| How is anthrax spread? | show 🗑
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| show | False. It is not contagious by person-to-person
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| What is the most common form of anthrax? | show 🗑
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| What is the least common form of anthrax? | show 🗑
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| show | Hemorrhage, necrosis, and lymph edema
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| How does anthrax appear at first? | show 🗑
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| The initial symptoms of anthrax resembles what? Excluding what? | show 🗑
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| show | Blood loss and shock
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| How does an x-ray of inhaled anthrax differ from an x-ray of pneumonia? | show 🗑
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| What is the most reliable screening for inhalation anthrax? | show 🗑
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| show | Culture
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| show | Ciprofloxacin, 60 day course recommended.
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| show | 30 days antibiotic and 3 doses of anthrax vaccine
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| How is tuberculosis aquired? | show 🗑
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| show | inflammatory infiltrations
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| show | False. TB is usually latent in the early stages of infection and has potential for recurrence.
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| show | Via the blood and lymphatic system.
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| What precipitates tuberculosis disease, and what percentage results in disease? | show 🗑
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| show | Mycobacteria
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| The rate of TB in foreign born americans increased how much since 1986? | show 🗑
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| show | 15 million
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| show | False. Many PTs with TB disply no s/s.
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| List 3 early signs of TB | show 🗑
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| show | *Daily reoccurring fever with chills *Night sweats *Hemoptysis (blood stained sputum)
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| What is done to confirm the Dx of active TB? | show 🗑
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| What kind of room do TB PTs require, and what is needed upon exiting room? | show 🗑
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| True or False: Infants and children with TB dont usually require isolation. | show 🗑
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| show | Isoniazid (INH), Streptomycin, and rifampin
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| Approximately how many PTs fail to complete their tuberculosis Tx? | show 🗑
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| Why is rifampin used in TB PTs? | show 🗑
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| What should you avoid while taking isoniazid for TB? | show 🗑
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| Why must foods with tyramine and histamine be avoided while on isoniazid? | show 🗑
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| show | 50-200mg of vitamin B6 daily
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| What happens when antiacids are taken with isoniazid? | show 🗑
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| What happens when alchohol is taken with isoniazid? | show 🗑
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| show | *amikacin *Capreomycin *Cycloserine *Ethionamide *Levofloxacin *Ofloxacin *Para-aminosalicylic acid (PAS)
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| show | 1st line
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| Which anti-TB drug requires an opthalmologic follow up? | show 🗑
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| What is an expected adverse effect of rifampin? | show 🗑
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| isoniazid inhimibts the metabolism of what? | show 🗑
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| rifampin significantly decreases levels of what drug? | show 🗑
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| show | Administer with food
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| What is pneumonia? | show 🗑
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| show | Winter and spring
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| Who are cases of pneumonia most common in? | show 🗑
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| show | *Bacterial pneumonia *Aspiration pneumonia *Viral pneumonia *Fungal *Chemical
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| list 3 clinical manifistations of pneumonia | show 🗑
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| What are manifistations of Streptoccocal /pneumococcal pneumonia? | show 🗑
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| What are manifistations of staphylococcal pneumonia? | show 🗑
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| What are manifistations of klebsiella pneumonia? | show 🗑
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| show | *Croupy cough *Arthralgias (joint pain) *Yellow or green sputum
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| show | Hemophilus
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| show | *Severe, non-productive cough *Crackles *Decreased breath sounds
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| What are the manifistations of viral pneumonia? | show 🗑
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| List 2 antibiotics used to treat pneumonia | show 🗑
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| show | *Antibiotic therapy *O2 therapy *Analgesics/antipyretics *Expectorants *Bronchodilators *Vaccine *Physiotherapy *Humidification
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| True or False: Deep breathing exercises are discouraged for pneumonia PTs due to the inflammation to the lungs and pleural rub | show 🗑
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| Pneumonia is a major cause of disease and death in who? | show 🗑
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| show | True
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| What form of pneumonia carries a poor prognosis? | show 🗑
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| How do the s/s of pneumonia differ in older adults? | show 🗑
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| How do antitussives differ from expectorants? | show 🗑
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| What is the use of antitussives? | show 🗑
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| show | Suppressing the cough reflex by direct action on the cough center in the medulla
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| show | Expectorants act by liquefying and reducing the viscosity of thick, tenacious secretions.
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| show | False. They both fall under the 'antitussive' category.
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| show | *Hypothyroidism *Pregnancy *Lactation
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| What are the precautions of antitussives? | show 🗑
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| True or False: Antitussives fall under Opioid and Non-opioid categories. | show 🗑
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| show | *Dizziness *Drowsiness *Nausea *Vomiting
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| Define Pleurisy: | show 🗑
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| show | *Bacterial *Tuberculosis *Pleural trauma *Pulmonary infarction *Lung cancer *Viral infections of intercostal muscles
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| What are the clinical manifistations of pleurisy? | show 🗑
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| When does the pain of UNTREATED pleurisy subside? | show 🗑
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| show | On the affected side
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| Define pleural effusion: | show 🗑
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| show | INFECTED fluid accumilation in the pleural space.
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| How does a fever associate with pleural empyema differ? | show 🗑
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| What is the medical management of a pleural effusion/empyema? | show 🗑
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| What is a chest tube inserted for (Tx, not disease) | show 🗑
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| show | Closed
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| show | False. A chest tube is place at the anterior and posterior of the affected pleural space and drains into 2 or 3 glass bottles or a 3 chamber drainage system.
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| show | On the unaffected side to prevent kinks.
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| List 3 potential causes of atelectasis | show 🗑
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| What is atelectasis? | show 🗑
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| What causes atelectasis? (mechanism, not diseases) | show 🗑
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| What are the symptoms of atelectasis? | show 🗑
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Shanejqb
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