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Respiratory > End of MDT STUDY QUESTIONS > Flashcards

End of MDT STUDY QUESTIONS Flashcards

1
Q
  1. In great vessel injury, what percentage of patients die immediately?

a. 50%
b. 80%
c. 10%
d. 0%

A

a. 50%

25% live 5-10 min
25% live 30 min +

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2
Q
  1. T/F Supine is the preferred Xray position to detect a hemothorax?

a. True
b. False

A

b. False

A hemothorax is a condition in which blood accumulates in the pleural cavity, the space between the lung and the chest wall.

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3
Q
  1. Which of the following would be an expected physical finding of a patient with a hemothorax?

a. Flattened neck veins
b. Distended neck veins
c. Hyperresonance
d. Pleuritic chest pain

A

a. Flattened neck veins

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4
Q
  1. What is a secondary cause of a pneumothorax?

a. Cystic Fibrosis
b. Barotrauma
c. Young and tall
d. Blunt trauma

A

a. Cystic Fibrosis

Cystic fibrosis is a genetic disorder that affects the respiratory and digestive systems, and patients with this condition are at increased risk for developing a pneumothorax.

Young and tall is primary

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5
Q
  1. T/F A patient with RR <24/min, HR 60-120/min, SPO2 >90, and a hypotensive BP would classified as stable?

a. True
b. False

A

B. False

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6
Q
  1. What develops when a one a way valve air leak occurs from either the lung or chest wall?

a. Tension Pneumothorax
b. Pneumothorax
c. Hemothorax
d. Pulmonary embolism

A

A. Tension Pneumothorax

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7
Q
  1. In a patient with flail chest, when negative intrathoracic pressure is generated on inspiration, the flail segment moves inward, thus doing what to the tidal volume?

a. Reducing
b. Increasing
c. Nothing, tidal volume stays the same

A

a. Reducing

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8
Q
  1. Two major symptoms of flail chest are pain and what?

a. Respiratory distress
b. Hemoptysis
c. Cough
d. Tachycardia

A

a. Respiratory distress and pain

Tachycardia is secondary

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9
Q
  1. What is the most frequent intrathoracic injury in nonpenetrating trauma?

a. Pulmonary contusion
b. Pneumothorax
c. Pleuritis
d. Rib fracture

A

a. Pulmonary contusion

Pulmonary contusion is a bruise of the lung tissue that occurs as a result of blunt trauma to the chest, such as from a motor vehicle accident or a fall. Pulmonary contusions can cause significant respiratory distress and can lead to hypoxemia (decreased oxygen saturation in the blood) if left untreated.

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10
Q
  1. Following blunt chest trauma, patient presents with pain and dyspnea. CXR reveals patchy infiltrates and two isolated rib fractures. What is the likely diagnosis?

a. Pulmonary contusion
b. Pneumothorax
c. Rib fracture
d. Flail chest

A

a. Pulmonary contusion

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11
Q
  1. Patients with diaphragmatic hernia may present with symptoms of what?

a. Bowel Obstruction
b. Dyspnea
c. Orthopnea
d. Paroxysmal nocturnal dyspnea

A

b. Dyspnea

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12
Q
  1. Patient presents following MVA with dyspnea, hoarseness, hypoxia and persistent pneumothorax despite appropriate interventions. What is the likely diagnosis?

a. Tracheobronchial Injury
b. Tension pneumothorax
c. Hemothorax
d. Cardiac tamponade

A

a. Tracheobronchial Injury

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13
Q
  1. Fracture of what rib requires a significant amount of force?

a. First
b. Second
c. Third
d. Tenth

A

a. First

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14
Q
  1. What is the main reason for obtaining Xrays on a patient with a suspected rib fracture?

a. Identify complications
b. Confirm diagnosis
c. Determine treatment plan
d. Determine number of ribs involved

A

a. Identify complications

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15
Q
  1. T/F Rib belts and binders are the mainstays of treatment for the patient with multiple rib fractures?
    a. True
    b. False
A

b. False

The primary goal of treatment for rib fractures is to manage pain and prevent complications of ateletisis. Deep breath

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16
Q
  1. A patient presents following a severe crush injury with subconjuntival and retinal hemorrhages, following a period of loss of consciousness. Given the likely diagnosis, what is the appropriate treatment for this patient?
    a. Oxygen
    b. Pain medication
    c. None, monitor and discharge
    d. Eye drops
A

a. Oxygen

17
Q
  1. Effect of emboli depend on their what?
    a. Size
    b. Location
    c. Number
    d. Type
A

a. Size

18
Q
  1. Patient presents with acute onset of dyspnea, pleuritic chest pain, tachypnea and tachycardia. Patient informs you that he is currently on convalescent leave following
    surgery to the lower leg in which he was placed on postoperative bedrest. What is the likely diagnosis?
    a. Pulmonary embolism
    b. Myocardial infarction
    c. Pericarditis
    d. Pneumonia
A

a. Pulmonary embolism

19
Q
  1. Epinephrine topically, by inhalation, or parentally, is the most effective medication for what condition?
    a. Angioedema
    b. Allergic laryngitis
    c. Laryngospasm
    d. Foreign body aspiration
A

Angioedema in ARDS

20
Q
  1. Patients with asthma or chronic obstructive pulmonary disease usually have what type of advantitious lung sounds?
    a. Wheezing
    b. Crackles
    c. Rhonchi
    d. Stridor
A

a. Wheezing
Wheezing is a common symptom of both asthma and COPD

Crackles are a popping or crackling sound that is heard during inhalation, and are caused by the opening of small airways that are partially obstructed with mucus. Rhonchi are low-pitched, snoring sounds that can be heard during inhalation or exhalation and are caused by the partial obstruction of larger airways. Stridor is a high-pitched, wheezing sound that occurs during inspiration and is caused by a partial obstruction of the upper airway, such as the larynx or trachea.

21
Q
  1. Community-acquired pneumonia develops when
    a. A defect in one or more of the normal host defensives
    b. Aspiration of secretions containing bacteria
    c. Inhalation of infected aerosols
    d. Immune responses are intact
A

a. A defect in one or more of the normal host defensives

22
Q
  1. Patients with constitutional symptoms such as fever, weight loss, and malaise, cough with foul- smelling purulent sputum suggests what?
    a. Anaerobic infection
    b. Community-acquired pneumonia
    c. Viral pneumonia
    d. Pulmonary Edema
A

a. Anaerobic infection (pnuemonia)

23
Q
  1. Poor dentition and predisposition to aspiration may put a patient at risk for developing what condition?
    a. Aspiration pneumonia
    b. Lung Abscess
    c. Community-acquired pneumonia
    d. Both a & b
A

d. Both a & b

Dentition is teeth related

24
Q
  1. Patient presents with cough that began as dry and is now productive, fever, and rhonchi that clears with cough is likely suffering from what condition?
    a. Bronchitis
    b. Pneumonia
    c. Asthma
    d. Gerd
A

a. Bronchitis

Pneumonia is a type of lung infection that can also cause symptoms such as cough, fever, and chest sounds, but is typically characterized by more severe symptoms and a higher fever than bronchitis.

25
Q
  1. Costochondritis is inflammation in what structure?
    a. Costal cartilage
    b. Chest wall muscles
    c. Pleural membrane
    d. Tracheobronchial tree
A

a. Costal cartilage

Costochondritis is a condition in which the costal cartilage, which connects the ribs to the sternum, becomes inflamed and causes chest pain.

26
Q
  1. T/F Costochondritis is likely caused by trauma?
    a. True
    b. False
A

a. True

Costochondritis is a condition in which the costal cartilage, which connects the ribs to the sternum, becomes inflamed and causes chest pain.

27
Q
  1. What is a noncardiac cause of pulmonary edema?
    a. Disseminated intravascular coagulation
    b. Myocardial ischemia
    c. Excessive salt intake
    d. Discontinuation of medication
A

a. Disseminated intravascular coagulation

DIC is a medical emergency in which the normal clotting process goes haywire, leading to widespread clotting and bleeding throughout the body, including the lungs.

28
Q
  1. What is a symptom of pulmonary edema?
    a. Pink, frothy sputum
    b. Foul purulent sputum
    c. Tachypnea
    d. Friction rub
A

a. Pink, frothy sputum

One of the hallmark symptoms of pulmonary edema is the production of pink, frothy sputum, which is caused by the mixing of blood and fluid in the lungs. Other symptoms of pulmonary edema may include shortness of breath, chest pain or pressure, rapid or irregular heartbeat, and fatigue.

29
Q
  1. Patient complains of sudden onset fleeting chest pain, made worse by coughing, sneezing and deep breathing. Denies history of trauma, but states that he was sick two weeks ago with cold like symptoms. What is the likely diagnosis?
    a. Pleuritis
    b. URI
    c. Bronchitis
    d. Pneumonia
A

a. Pleuritis

This inflammation can cause sudden onset fleeting chest pain that is made worse by coughing, sneezing, and deep breathing.

30
Q
  1. In an otherwise healthy adult, viral respiratory illness and pneumonia have the potential to cause what?
    a. Pleuritis
    b. Bronchitis
    c. Pulmonary edema
    d. Empyema
A

b. Bronchitis

Streptococcus pneumoniae. Bronchitis is an inflammation of the bronchial tubes, while pneumonia is an infection of the lung tissue.

Respiratory (30 decks)

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