, Paramedic Care: Principles & Practice V.3, 5e (Bledsoe)
Volume 3: Medical Emergencies
Chapter 1: Pulmonology
1) Which of the following is the most important intrinsic risk factor for respiratory disease?
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A) Environment
B) Smoking
C) Sedentary lifestyle
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D) Family history
Answer: D
Diff: 1 Page Ref: 3
Standard: Medicine (Respiratory)
Objective: 2
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2) Air entering and leaving the lungs via inspiration and expiration is known as:
A) ventilation.
B) respirations.
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C) perfusion.
D) oxygenation.
Answer: A
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Diff: 1 Page Ref: 8
Standard: Medicine (Respiratory)
Objective: 1, 3
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3) The diaphragm is controlled by the nerve.
A) vagus
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B) olfactory
C) abducens
D) phrenic
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Answer: D
Diff: 1 Page Ref: 7-8
Standard: Medicine (Respiratory)
Objective: 3, 4
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4) An example of diffusion in the respiratory system is movement of:
A) oxygen from the alveoli into the pulmonary capillaries.
B) air from the outside environment into the lungs.
C) oxygen from the tissues into the systemic capillaries.
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D) carbon dioxide from the alveoli into the pulmonary capillaries.
Answer: A
Diff: 2 Page Ref: 11
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Standard: Medicine (Respiratory)
Objective: 1, 4
, 5) Airway resistance is increased by:
A) sympathetic nervous system stimulation.
B) decreased elasticity of the chest wall.
C) anticholinergic drugs.
D) bronchospasm.
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Answer: D
Diff: 2 Page Ref: 9
Standard: Medicine (Respiratory)
Objective: 4
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6) Which of the following patients are at risk for the most common cause of upper airway
obstruction?
A) 4-year-old male with croup
B) 21-year-old female unconscious and supine on the floor
C) 22-year-old female stung by a wasp
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D) 5-year-old female with epiglottitis
Answer: B
Diff: 2 Page Ref: 25
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Standard: Medicine (Respiratory)
Objective: 7
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7) Normal tidal volume in an average 70 kg adult is approximately e.
A) 1,500
B) 1,000
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C) 750
D) 500
Answer: D
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Diff: 1 Page Ref: 9
Standard: Medicine (Respiratory)
Objective: 4
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8) After a normal inspiration and expiration, an adult patient has about 2,400 mL of air
remaining in the lungs, known as the:
A) expiratory reserve volume.
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B) residual volume.
C) functional residual capacity.
D) vital capacity.
Answer: C
Diff: 1 Page Ref: 9
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Standard: Medicine (Respiratory)
Objective: 4
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, 9) A 19-year-old female with difficulty breathing produces a peak expiratory flow rate of 425
lpm, indicating:
A) moderate bronchoconstriction.
B) mild bronchoconstriction.
C) normal ventilatory state.
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D) severe bronchoconstriction.
Answer: C
Diff: 2 Page Ref: 21-22
Standard: Medicine (Respiratory)
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Objective: 5, 6
10) Stretch receptors in the lungs send a signal to the inspiratory center of the medulla, inhibiting
its stimulation of the phrenic and intercostal nerves. This is called the reflex.
A) Cushing's
B) Hering-Breuer
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C) Moro
D) Cheyne-Stokes
Answer: B
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Diff: 2 Page Ref: 10
Standard: Medicine (Respiratory)
Objective: 3
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11) The most important factor in determining the respiratory rate is:
A) arterial pCO2.
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B) arterial pO2.
C) alveolar pCO2.
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D) alveolar pO2.
Answer: A
Diff: 1 Page Ref: 10
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Standard: Medicine (Respiratory)
Objective: 3
12) You are working in the ED caring for a 55-year-old female with a long history of COPD. She
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is more short of breath today than usual and states she has an increased cough. She has a
tympanic temperature of 99.8°F. You have drawn arterial blood gases with the patient on room
air and when the report comes back, it shows that the patient has a pO2 of 52 mmHg. Which of
the following is most likely?
A) You have inadvertently drawn a venous sample.
B) The patient is critically hypoxic and requires assisted ventilation.
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C) This is the typical value for this patient.
D) The lab performed the test incorrectly.
Answer: C
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Diff: 3 Page Ref: 10-11
Standard: Medicine (Respiratory)
Objective: 3
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