Chapter 34: Alterations of Pulmonary Function in Children

Question 1

Epiglottitis is characterized by :

a. gradual onset
b. severe stridor
c. harsh cough
d. nasal discharge

Answer 1

b. severe stridor

Question 2

Laryngotracheobronchitis is characterized by :

a. drooling
b. H. influenza infections
c. group a streptococcal infections
d. inflammation from vocal cords to bronchial lumina

Answer 2

d. inflammation from vocal cords to bronchial lumina

Question 3

The most common cause of bronchiolitis is :

a. H Influenzae
b. exposure to allergens
c. Parainfluenza virus
d. respiratory syncytial virus

Answer 3

d. respiratory syncytial virus

Question 4

Most children who aspirate foreign objects:

a. exhibit quiescent intervals before symptoms appear
b. remove the offending object by coughing
c. lodged in the trachea exhibit wheezing
d. lodged in the airway exhibit stridor

Answer 4

a. exhibit quiescent intervals before symptoms appear

Question 5

Staphylococcal pneumonia results in:

a. mild systemic symptoms
b. upper respiratory tract involvement
c. lobar involvement
d. atypical pneumonia

Answer 5

c. lobar involvement

Question 6

Which is true of childhood pneumonias:

a. all pneumonias are mostly lobar
b. systemic involvement is greater in viral than in bacterial pneumonias
c. Viral pneumonias are often preceded by a “cold”
d. All of the above are correct

Answer 6

c. Viral pneumonias are often preceded by a “cold”

Question 7

Which statement about SIDS is true:

a. it commonly occurs during autumn
b. its etiology is known
c. it occurs between 3 and 4 months of age
d. It may be effectively treated

Answer 7

c. it occurs between 3 and 4 months of age

Question 8

Cystic fibrosis is:

a. a multi system disease
b. a defect that results in the overproduction of viscous mucus
c. a disease for which it is difficult to detect carriers through genetic testing
d. diagnosed by sweat chloride testing
e. a,b,d are correct

Answer 8

e. a,b,d are correct
a. a multi system disease
b. a defect that results in the overproduction of viscous mucus
d. diagnosed by sweat chloride testing

Question 9

Asthma:

a. triggers include allergens and viruses
b. of affected individuals may be assumed to be cured if they are asymptomatic for a number of years
c. is characterized by hyper responsive airways
d. a & c are correct
e. a,b, and c are correct

Answer 9

a. triggers include allergens and viruses
c. is characterized by hyper responsive airways
d. a & c are correct

Question 10

Respiratory distress syndrome of the newborn:

a. exhibits vasodilation of the pulmonary vascular bed
b. develops less capillary permeability, which causes fibrin deposits
c. can be treated with nitric oxide to alleviate pulmonary HTN
d. can be treated at birth by the administration of glucocorticoids

Answer 10

c. can be treated with nitric oxide to alleviate pulmonary HTN