Cough Flashcards

1
Q

____ and _____ are highly sensitive to mechanical stimuli (bronchial obstruction, lung inflation).

A

Rapidly adapting receptors (RARs) and slowly adapting stretch receptors (SARs)

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1
Q

What is cough variant asthma?

A

asthma in which cough is the only symptom

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2
Q

Rapidly adapting receptors (RARs) and slowly adapting stretch receptors (SARs) are highly sensitive to ____, such as _____.

A

mechanical stimuli; bronchial obstruction, lung inflation

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2
Q

Upper airway cough syndrome (UACS) is also known as ____.

A

postnasal drip syndrome

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3
Q

This is a cough that is triggered by low level stimuli such as:

  • changes in ambient temperature
  • taking a deep breath
  • laughing
  • talking on the phone for more than a few minutes
  • cigarette smoke
  • aerosol sprays
  • perfumes
  • eating crumbly dry food
A

Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)

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5
Q

The _____ nerve is the major afferent pathway in the cough reflex arc.

A

vagus

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6
Q

The efferent pathway of the cough reflex consists of 4 phases:

A
  1. Inspiratory Phase
  2. Compressive Phase
  3. Expiratory Phase
  4. Relaxation Phase
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7
Q

What are the three main subtypes of afferent nerves that regulate cough?

A
  • rapidly adapting receptors (RARs)
  • slowly adapting stretch receptors (SARs)
  • C-fibers
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7
Q

_____ cough is defined as cough lasting more than 8 weeks in duration.

A

Chronic

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7
Q

What is the tx for Upper airway cough syndrome (UACS)?

A

first generation anti-histamine/decongestant combination medication for ≥ 2 weeks

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9
Q

Where is a voluntary cough initiated?

A

the cerebral cortex

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10
Q

This is cough with eos in the airway inflammation without variable airflow limitation or hyperresponsiveness.

A

non-asthma eosinophilic bronchitis (NAEB)

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11
Q

C-fibers are highly sensitive to ______.

A

noxious chemical stimuli

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11
Q

What is the tx for Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome?

A

neuropathic medications, such as amitryptyline and gabapentin

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13
Q

Subacute cough is defined as cough lasting _____ in duration.

A

3-8 weeks

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15
Q

Where can cough anatomically be initiated?

A
  • ear
  • pharynx
  • lungs
  • trachea
  • heart
  • esophagus
17
Q

What are the s/s of Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)?

A
  • repeated throat clearing
  • chest tightness
  • hoarse voice
  • dysphonia
  • a globus sensation
  • dysphagia
17
Q

The most common cause of cough in children and adults is ______.

A

an acute viral URI

19
Q

What are the s/s of Upper airway cough syndrome (UACS)?

A
  • sensation of “tickle” or something in throat
  • throat clearing
  • hoarseness
  • nasal congestion and drainage
  • cobblestone appearance of oropharyngeal mucosa
  • mucus in nasal passages or oropharynx
20
Q

What is Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)?

A

Cough that is triggered by low level stimuli such as:

  • changes in ambient temperature
  • taking a deep breath
  • laughing
  • talking on the phone for more than a few minutes
  • cigarette smoke
  • aerosol sprays
  • perfumes
  • eating crumbly dry food
21
Q

_____ is also known as postnasal drip syndrome.

A

Upper airway cough syndrome (UACS)

22
Q

Acute cough is defined as cough lasting less than ____ in duration.

A

3 weeks

22
Q

____ cough is defined as cough lasting 3-8 weeks in duration.

A

subacute

24
Q

What is the tx for non-asthma eosinophilic bronchitis (NAEB)?

A

inhaled corticosteroid for at least 4 weeks

25
Q

The three most common causes of chronic cough in immunocompetent adults with normal chest x-rays are ____, ____, and ____.

A
  • upper airway cough syndrome (UACS)
  • asthma
  • GERD
26
Q

What is non-asthma eosinophilic bronchitis (NAEB)?

A

eos in the airway inflammation without variable airflow limitation or hyperresponsiveness

27
Q

Chronic cough is defined as cough lasting more than _____ in duration.

A

8 weeks

28
Q

_____ are highly sensitive to noxious chemical stimuli.

A

C-fibers