Test 1

Question 0

NOT a sign of pneumonia

Answer 0

Tympani to percussion (should be dull!

Question 1

Which is NOT risk factor for pneumonia?

Answer 1

All are!

Secretions from bronchial obstructions
Mucociliary elevator dysfunction from smoke
Decrease in phagocytic action of macrophages from alcohol
Diminished gag reflex from alcohol

Question 2

Four stages of lobar pneumonia

Answer 2

Congestion, red and grey hepatization, resolution

Question 3

Most cases of pneumonia in COPD pts

Answer 3

Haemophilus influenzae

Question 4

Organism that causes pneumonia in pts w alcoholism

Answer 4

Klebsiella pneumoniae

Question 5

Which is NOT correct re TB?

Answer 5

TB vaccine BCG is not used in US (it is! For health care worker, at risk children)

Question 6

Which is NOT a granulomatosis pneumonia?

Answer 6

These are all!

TB
Histoplasmosis
Blastomycosis
Coccidiomycosis

Question 7

The granulomatous pneumonias can look identical to TB–suppurative granulomas, productive cough, chest pain, wt loss, fever, night sweats

T or F?

Answer 7

True!

Question 8

Bacteria that causes pneumonia in pts w CF…

Answer 8

Pseudomonas Aeruginosa

Question 9

An empyema can be distinguished from pleural effusion by taking x Ray in lateral recumbent position to see if there are fluid layers or not

T or F?

Answer 9

True

Question 10

Which is NOT true of atypical pneumonias?

Answer 10

SARS is caused by adenovirus and confirmed by PCR

Nope! Corona virus!

Question 11

Which is incorrect?

Answer 11

Restrictive or infiltrators lung diseases are synonymous w reactive lung diseases…
Just false.

Question 12

Which is not true of sarcoidosis?

Answer 12

50-75% of pts have erythema nodosum

Only a quarter

Question 13

All can cause pulmonary hemorrhagic syndromes except..

Answer 13

Pulmonary hypertension

Question 14

Risk factors for pulmonary HTN include all except…

Answer 14

All!

Fen-phen antiobesity drug
Sleep apnea
High alt pulmonary edema
Emphysema

Question 15

Which statement re pulmonary HTN is incorrect

Answer 15

Death occurs 10-15 yrs after dx

Prognosis = Couple years only

Question 16

Most common type of tracheoesophageal fistula is..

Answer 16

Type C (77%)

Question 17

Neonatal resp distress syndrome can be prevented in newborns by giving the momma corticosteroids…
T or F?

Answer 17

True

Question 18

Which is not true of atelectasis?

Answer 18

All are correct

Not a disease,but seen in dz states
Can be caused by bronchial obstruction
Can be caused by compression from plural effusion or pneumothorax
In hospitalized pts, can result from shallow breathing

Question 19

Which is not correct of exercise induced asthma?

Answer 19

Might be caused by warmed and humidified air entering lungs on hot day
(Cold air is thought to be trigger)

Question 20

Which is not correct of asthma?

Answer 20

Thought to result form deceased airway responsiveness

Increase in reactivity!

Question 21

Which is not true of ARDS?

Answer 21

Exudates and tissue destruction resolve quickly when underlying disease is treated

(Does not resolve quickly!)

Question 22

Which is not characteristic of chronic bronchitis?

Answer 22

Produces pink puffers (that is emphysema)

Blue bloaters

Question 23

Which is incorrect re pulmonary HTN?

Answer 23

Persistently elevated pulmonary pressure can can enlargement of the left ventricle, cor pulmonale
(Core pulmonale is R ventricle)

Question 24

Re bronchial carcinoid rumors, which is false?

Answer 24

Bronchial carcinoid tumors are assoc w smoking

Not. Most common lung neoplasm in children