RESPI QUIZZES Flashcards
This respiratory sound usually indicates airway closure and secretions
Wheezes
Crackles
Rhonchi
None of the above
Crackles
The ABG determines EXCEPT:
Acid-base abnormality
Onset or resolution of cardiopulmonary crises
Appropriateness and effectiveness of the therapy given
None of the above
None of the above
Which of the following is the CORRECT step in arterial blood gas determination?
Check the pH→Examine the PaCO2 and HCO3 to determine if it is alkalotic or acidotic→analyze the appropriateness of compensation
Check the pH→Examine the PaCO2 and the standard HCO3 to determine if it is metabolic or respiratory→study the PaO2 in the context of inspired oxygen concentration
Check the pH→Examine the PaCO2 and the standard HCO3 to determine if it is metabolic or respiratory in origin→analyze the appropriateness of compensation→study the PaO2 in the context of inspired oxygen concentration
Check the pH→Examine the PaCO2 and the HCO3 to determine if it is compensated or not→analyze whether it is metabolic or respiratory→study the PaO2 in the context of inspired oxygen concentration
Check the pH→Examine the PaCO2 and the standard HCO3 to determine if it is metabolic or respiratory in origin→analyze the appropriateness of compensation→study the PaO2 in the context of inspired oxygen concentration
Baby G is admitted at the NICU who was delivered via normal spontaneous delivery, with APGAR score of 2,2,6, noted to have thickly meconium stained amniotic fluid,
PROM for 20 hours and was eventually intubated and attached to a mechanical ventilator with the following settings: FiO2 100% RR 60 PIP 22 PEEP 6. ABG was taken an hour after the patient was attached to the ventilator with the following results:
pH 7.25 (dec)
PCO2 55 (inc)
P02 80 (dec)
HCO3 16 (dec)
BE -5
O2 sat 99%
This is interpreted as
Respiratory acidosis with moderate hypoxemia
Metabolic acidosis with overly corrected hypoxemia
Mixed respiratory acidosis and metabolic acidosis
Respiratory acidosis with overly corrected hypoxemia
Respiratory acidosis with moderate hypoxemia not sure
heresa, 3 years old was admitted with history of cough for 6 days with associated fever and chills. No initial consult was made until 2 days prior to admission was noted to have fast breathing, eventually sought consult the following day and was eventually advised admission. She was managed as a case of Acute Respiratory Failure secondary to CAP D and was eventually intubated, attached to ventilator and admitted at the PICU. The ABG revealed the ff findings:
pH 7.0 (dec)
PCO2 40 (Normal)
PO2 108 (inc)
HCO3 10 (dec)
BE 10 (inc)
O2 sat 98%
This is interpreted as:
Respiratory acidosis with overly corrected hypoxemia
Metabolic acidosis with overly corrected hypoxemia
Respiratory acidosis with moderate hypoxemia
Metabolic acidosis with moderate hypoxemia
Metabolic acidosis with overly corrected hypoxemia
Obstructive disease usually manifests with slower, deeper breaths and is seen in cases such as asthma and pneumothorax. Other description of an obstructive disease include:
Expiration that is more prolonged than inspiration and the patient often has to make use of accessory expiratory muscles.
Inspiration that is less prolonged than expiration and an inspiratory stridor can usually be heard.
Results in respiratory excursions that are shallow with associated chest wall retractions and nasal flaring.
Expiration that is less prolonged that inspiration and the patient often has to make use of accessory expiratory muscles
Expiration that is more prolonged than inspiration and the patient often has to make use of accessory expiratory muscles.
Stephanie, 7years old patient, 145 cm in height was currently assessed for the possibility of having Bronchial asthma with acute exacerbation. She does not have any maintenance medications for asthma, her baseline PEFR appropriate for
her age and height is:
495
395
345
555
395
In performing Thoracentesis, the point of entry is at:
5th ICS and posterior axillary line
5th ICS and anterior axillary line
6th ICS and posterior axillary line
7th ICS and posterior axillary line
7th ICS and posterior axillary line
Which of the following fits the Light’s criteria for a Transudative pleural fluid:
Protein 25., LDH 200, WBC 15,000, RBC 4,000, Glucose 35, Hp 71.
Protein 3, LDH 180, WBC 12,000, RBC 3,500, Glucose 50, pH 7.3
Protein 2.3, LDH 150, WBC 6,000, RBC 3,900, Glucose 45, pH 7.5,
Protein 2.9, LDH 198, WBC 11,000, RBC 5,000, Glucose 56, pH 7.4
Protein 2.3, LDH 150, WBC 6,000, RBC 3,900, Glucose 45, pH 7.5,
Emily, 6 years old child, manifested for nasal congestion, fever, with associated throat pain, and decreased sense of smell because of the congestion for 4 days already. There was no note of cough, headache, vomiting or abdominal pain. Upon examination she was noted to have swollen and erythematous nasal turbinates. Treatment for the case of Therese includes giving:
Paracetamol and adequate rest will do
Paracetamol, antibiotics and hydration
Antibiotics, Hydration, increased oral fluid intake, and adequate rest
Paracetamol for the fever, Decongestants, Hydration, Encourage increased oral fluid intake and adequate rest
Paracetamol for the fever, Decongestants, Hydration, Encourage increased oral fluid intake and adequate rest
Preventive measures for Acute rhinitis are as follow EXCEPT:
Hand hygiene
Pneumococcal vaccine
Good hygienic practices
Proper waste disposal of infected materials
Pneumococcal vaccine
The following are TRUE for Acute Pharyngitis EXCEPT
Viral causes includes RSV
Most common cause of sore throat
It is often associated with common cold syndrome
Most common bacterial cause is Streptococcus pneumoniae
Most common bacterial cause is Streptococcus pneumoniae
Betty. 5 years old female sought consult for complaints of fever, pain in the throat and cough. By physical examination revealed findings of erythematous tonsils with small vesicles on the soft palate and uvula. Most likely Betty’s condition is caused by?
HSV infection
Influenza infection
Coxsackie virus
Epstein-Barr virus
Coxsackie virus
Lester, 6 year old child was brought by his mother for consult due to fever, malaise, pain during swallowing. Mother also mentioned that there was an instance that she noticed of foul smelling cheesy lumps when she checked on time the throat of her son. On physical examination there was note of erythematous enlarged tonsils with multiple exudates, tender maxillary lymph nodes upon palpation and note of halitosis as well. More efficacious medical management for this patient would be to give:
Amoxicillin
Clindamycin
Clarithromycin
Co-amoxiclav
Clindamycin
Miya, 5 year old child came in for consult with presentation of 3 days fever associated with pain upon swallowing, no cough or colds. On physical examination, revealed findings for tonsillar exudates with anterior cervical lymphadenopathies. Based on McIsaac Criteria the total score of the patient is:
5
3
4
2
5
Tonsillectomy is the most commonly performed procedure for recurrent or chronic pharyngotonsillitis. The minimum frequency of sore throat episodes needed to fulfill the Paradise Criteria is
At least 5 episodes in the previous year, at least 3 episodes in each of the previous 2 years or at least 1 episode in each of the previous 3 years.
At least 7 episodes in the previous year, at least 5 episodes in each of the previous 2 years or at least 3 episodes in each of the previous 3 years.
At least 7 episodes in the previous year, at least 3 episodes in each of the previous 2 years or at least 1 episode in each of the previous 3 years.
At least 5 episodes in the previous year, at least 2 episodes in each of the previous 2 years or at least 1 episode in cach of the previous 3 years.
At least 7 episodes in the previous year, at least 5 episodes in each of the previous 2 years or at least 3 episodes in each of the previous 3 years.
Major complication of untreated GABHS infection is/are
Acute rheumatic fever
Post-streptococcal glomerulonephritis
Both
None of the above
Both
Peritonsillar infection occur as either cellulitis or a frank abscess in the region superior and lateral to the tonsillar capsule. One of the presenting symptoms include:
Drooling
Bilateral throat pain
Tripod position
One sided dysphagia
Drooling
This is true for acute sinusitis
Most common complication is otitis media
It occurs for children who live in developing countries with low immunization rates
Amoxicillin-clavulanate is given to children who previously received antimicrobial therapy in the last three months
Viral cause can trigger inflammatory response by direct mucosal invasion and disruption of nasal epithelium
Amoxicillin-clavulanate is given to children who previously received antimicrobial therapy in the last three months
What is the pathogenesis for Acute Otitis Media?
Eustachian tube in children is shorter and more horizontal thus interferes with the gravitational drainage of nasopharyngeal secretions.
Fever is a sole manifestation
It often complicate an acute viral upper respiratory tract infection
All of the above
All of the above