Respiratory Flashcards

1
Q

What are the part of the upper respiratory?

A

Nasopharynx
Oropharynx
Paranasal Sinuses

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2
Q

The volume of air inspired and expired during normal quiet breathing is?

A

Tidal volume

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3
Q

The site of external respiration is?

A

Alveolar-capillary membrane

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4
Q

Hypoventilation is?

A

Decreased filling of alveoli leading to high blood (CO@) and low blood PH

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5
Q

A 55yr male presents to the hospital with SOB, coughing, difficulty breathing with an increase in activity, and wheezing. Upon examination his skin has a pink he and he has a barrel-chest appearance. He reports recent weight loss with no significant changes to his eating patterns. He also reports a 40yr history of smoking. What is likely his diagnosis?

A

Emphysema

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6
Q

A 75yr old female presents to the ER after her family found her unconscious in her bedroom. She demonstrates regular deep inspirations followed by inadequate expirations. What type of breathing patterns is this?

A

Apneustic

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7
Q

A 75yr old female presents to the ER after family found her unconscious in her bedroom. She demonstrates regular deep inspirations followed by inadequate expirations. What is the prognosis of this type of breathing pattern?

A

Poor

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8
Q

True or False

Clubbing is often acquired and can be reversed if the underlying causes is treated?

A

True

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9
Q

According to the unit material what are typical symptoms of respiratory disease?

A

Abnormal Sputum

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10
Q

Describe pleural effusion?

A

The accumulation of fluid between the parietal and visceral pleura

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11
Q

What conditions may result in hypoventilation?

A

Obesity
Stroke
Medications like opioids and benzos

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12
Q

What respiration s are characterized by regular deep inspirations with an inspiratory pause and then followed by inadequate respirations and is often a sign of sever brain injury?

A
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13
Q

A premature newborn at 28 weeks gestation demonstrates difficulty with breathing after birth. The nurse notes labored efforts, such as “grunting” sounds with each breath. The infant is diagnosed with infant respiratory distress syndrome (IRDS) due to underdeveloped lungs.

What is the mechanism of action of this substance secreted by the implicated cells?

A

Breaks hydrogen bonds and limits water surface tension

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14
Q

A premature newborn at 28 weeks gestation demonstrates difficulty with breathing after birth. The nurse notes labored efforts, such as “grunting” sounds with each breath. The infant is diagnosed with infant respiratory distress syndrome (IRDS) due to underdeveloped lungs.

True or False

The newborn can be given a synthetic formula of this substance to aid their breathing and lung function.

A

True

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15
Q

A premature newborn at 28 weeks gestation demonstrates difficulty with breathing after birth. The nurse notes labored efforts, such as “grunting” sounds with each breath. The infant is diagnosed with infant respiratory distress syndrome (IRDS) due to underdeveloped lungs.

What substance do the implicated cell secrete?

A

Surfactant

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16
Q

A premature newborn at 28 weeks gestation demonstrates difficulty with breathing after birth. The nurse notes labored efforts, such as “grunting” sounds with each breath. The infant is diagnosed with infant respiratory distress syndrome (IRDS) due to underdeveloped lungs.

What lung cells do you suspect are not developed and are contributing to the respiratory distress in this infant?

A

Type II alveolar cells

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17
Q

What is the typical symptoms of respiratory disease?

A

Dyspnea

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18
Q

What would be expected from a person with a restrictive lung disease?

A

Decreased FVC and TLC
FEV1 that is normal or slightly reduced
Ratio of FEV1 to FVC is normal or increased

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19
Q

True or False

Obstructive diseases are generally characterized by difficulty with exhalation, but can also affect inhalation

A

True

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20
Q

True or False

Restrictive disease pathophysiology may be related to fibrosis or pulmonary tissue.

A

True

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21
Q

What is inspiratory reserve volume?

A

The extra volume of air that can be inhaled after normal quiet respiration

22
Q

What is the difference between obstructive and restrictive lung disease?

A

Obstructive disease are characterized by difficulty with expiration

23
Q

What is vital capacity?

A

The greatest volume of the can be forcefully exhaled from the lungs after fully inhaling.

24
Q

True or False

Obstructive diseases are generally characterized by the inability to fully exhale

A

True

25
Q

What classification of emphysema is associated with alpha one antitrypsin deficiency?

A

Panacinar

26
Q

Which obstructive disease is often associated with a pinkish hue to skin due to CO2 retention?

A
27
Q

True or False

COPD can be increased air remaining in the lungs at the beginning of each breath leading to hyperinflation.

A

True

28
Q

True or False

Asthma is characterized by acute, fully reversible narrowing of the airways and inflammation

A

True

29
Q

True or False

Asthma results in increased mucus production that leads to airway resistance.

A

True

30
Q

What type of lung disease classification would classify emphysema?

A

Obstructive

31
Q

What signs are very common in emphysema?

A

Pursed lip breathing

32
Q

What classification of lung disease is COPD?

A

Obstructive

33
Q

A progressive lung disease and form of COPD that destroys air spaces distal to the terminal bronchioles

A

Emphysema

34
Q

What is characterized by permanent widening of the bronchial airways.

A

Bronchiectasis

35
Q

What are typical signs of bronchiectasis?

A
36
Q

What is the pathophysiology of bronchiectasis?

A
37
Q

True or False

Cystic fibrosis is an autosomal recessive disease

A

True

38
Q

True or False

Bronchiolitis can be progress to respirator failure in infants

A

True

39
Q

What are four conditions associated with community-acquired pneumonia?

A

Blastomyces
Hemophilus Influenzae
Pneumococcus
RSV

40
Q

What is usually the cause of pneumonia?

A

Viral, bacterial, or fungal infection

41
Q

True or False

Idiopathic pulmonary fibrosis is related to reduced inspiratory lung expansion and impaired gas exchange and can lead to hypoxic respiratory failure

A

True

42
Q

Ture or False

Pulmonary fibrosis is a restrictive lung disease classified by scarring of the lung with an unknown etiology

A

True

43
Q

What is a life threating lung condition characterized by poor oxygenation and non-compliant lung tissue?

A

Respiratory Distress syndrome

44
Q

What is the 1st step of acute respiratory distress syndrome?

A

Alveolar membrane damage

45
Q

What classifications are used for how pneumonia is acquired?

A

Hospital-acquired pneumonia (HAP)

46
Q

What is often associated with compromised immunity?

A

Pneumonia

47
Q

When is hMPV most active?

A

Late winter and spring

48
Q

What is the hallmark sign of diptheria?

A

Thick gray or white, adherent layer over the tonsils and throat.

49
Q

What is the most common non-small cell lung cancer among non-smokers

A

Adenocarcinoma

50
Q

What is the appearance of small cell lung cancer?

A
51
Q

What cells are very common in the pleural space, initiate a response to noxious stimuli, and are involved in malignancy of the lungs?

A

Mesothelial cells

52
Q
A