Chap 35 Alterations of Pulmonary Function (12 questions on final) – Flashcards

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question
Besides dyspnea what is the most common characteristic associated with pulmonary disease
answer
Cough
question
Pulmonary edema and pulmonary fibrosis cause hypoxemia by which mechanism
answer
Impairing alveolacapillary membrane diffusion
question
High altitudes may produce hypoxemia through which mechanism
answer
Decreased inspiration
question
Which condition is capable of producing alveolar dead space
answer
Pulmonary emboli
question
What is the most common cause of pulmonary edema
answer
Left side heart failure
question
Pulmonary edema usually begins to develop at a pulmonary capillary wedge pressure or left atrial pressure of how many millimeters of mercury (mm Hg)
answer
20
question
The collapse of lung tissue caused by the lack of collateral ventilation through the pores of the Kohn is referred to as what type of atelectasis
answer
Absorption
question
Which condition involves an abnormally enlarged gas exchange system and the destruction of the lungs alveolar walls
answer
Emphysema
question
What type of pulmonary disease requires more force to expire a volume of air
answer
Obstructive
question
Which immunoglobulin (Ig) may contribute to the pathophysiologic characteristics of asthma
answer
IgE
question
Which statement about late asthmatic response is true
answer
The release of toxic neuropeptides contributes to increased bronchial hyper-responsiveness
question
Clinical manifestations of inspiratory and expiratory wheezing, dyspnea, non productive couch, and tachypnea are indicative of which
answer
Asthma
question
The most successful treatment for chronic asthma begins with which action
answer
Avoidance of causative agent
question
Which factor contributes to the production of mucus associated with chronic bronchitis
answer
Increased goblet cell size
question
Clinical manifestations of decreased exercise tolerance, wheezing, shortness of breath, and productive cough are indicative of which respiratory disorder
answer
Chronic bronchitis
question
Clinical manifestation that include unexplained weight loss, dyspnea on excretion, use of accessory muscles, and tachypnea with prolonged expiration are indicative of which respiratory disorder
answer
Emphysema
question
Which of the following is the most common route of lower respiratory tract infection
answer
Aspiration of oropharyngeal
question
What is the initial step in the management of emphysema
answer
Cessation of smoking
question
The progression of chronic bronchitis is best halted by which intervention
answer
Smoking cessation
question
Clinical manifestations of inspiratory crackles, increased tactile fremitus, egophony, and whispered pectoriloquy are indicative of which respiratory condition
answer
Pneumonia (Viral)
question
Which statement is true regarding hypoxemia
answer
Respiratory alterations cause hypoxemia
question
What are causes of dyspnea
answer
*Decreased pH, increased partial pressure of arterial carbon dioxide (PaCO2) and decreased partial pressure of arterial oxygen (PaO2) *Stimulation of stretch or J-receptors *Presence of anxiety
question
Which inflammatory mediators are produced in asthma
answer
Histamine Bradykinin Leukotrienes Prostaglandins
question
Atelectasis
answer
Collapse of lung tissue
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