100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Smarty Pance Questions with Correct Answers |100% Pass $12.49   Add to cart

Exam (elaborations)

Smarty Pance Questions with Correct Answers |100% Pass

 2 views  0 purchase
  • Course
  • 2024/2025
  • Institution
  • 2024/2025

Smarty Pance Questions with Correct Answers |100% Pass Which of the following pathophysiological processes is associated with chronic bronchitis A. Destruction of the lung parenchyma B. Mucous gland enlargement and goblet cell hyperplasia C. Smooth muscle hypertrophy in the large airways D. I...

[Show more]

Preview 4 out of 67  pages

  • October 7, 2024
  • 67
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
avatar-seller
EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




Smarty Pance Questions with Correct
Answers |100% Pass

Which of the following pathophysiological processes is associated with chronic bronchitis


A. Destruction of the lung parenchyma


B. Mucous gland enlargement and goblet cell hyperplasia


C. Smooth muscle hypertrophy in the large airways


D. Increased mucus adhesion secondary to reduction in the salt and water content of the mucus -

Answer✔✔-B. Mucous gland enlargement and goblet cell hyperplasia


A 65-year-old with COPD having received their first PPSV23 vaccination at age 63 should be revaccinated

with PPSV23 in


A. 1 year


B. 3 years


C. 5 years


D. 10 years - Answer✔✔-C. 5 years


A patient with severe COPD presents to the Emergency Department with a 3 day history of increasing

shortness of breath with exertion and cough productive of purulent sputum. An arterial blood gas

reveals a pH of 7.25, PaCO2 of 70 mmHg and PaO2 of 50 mmHg. He is started on albuterol nebulizer,

nasal oxygen at 2 liters per minute, and an IV is started. After one hour of treatment, his arterial blood


Page 1/67

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


gas now reveals a pH of 7.15, PaCO2 100 mmHg and PaO2 of 70 mmHg. Which of the following is the

most appropriate next step in his treatment?


A. Decrease the oxygen flow rate.


B. Administer oral corticosteroids.


C. Intubate the patient.


D. Administer salmeterol (Serevent) - Answer✔✔-C. Intubate the patient


A 73-year-old obese female with a 20 pack year smoking history presents complaining of chronic

productive cough. She states that it has been occurring over the past 3 years more frequently November

through February. Which of the following pulmonary function test values would you expect to find

decreased?


A. tidal volume


B. forced expiratory volume in 1 second/forced vital capacity


C. residual volume


D. total lung capacity - Answer✔✔-B. forced expiratory volume in 1 second/forced vital capacity

(Obstructive lung disease)


A 75 year-old man with a long history of COPD presents with acute onset of worsening dyspnea,

increased productive cough, and marked agitation. While in the emergency department he becomes

lethargic and obtunded. His ABG's reveal a PaO2 40 mmHg, PaCO2 65 mmHg, and arterial pH 7.25.

Which of the following is the most appropriate management at this point?


A. oxygen supplementation with a 100% non-rebreather mask

Page 2/67

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


B. noninvasive positive pressure ventilation (NIPPV)


C. endotracheal intubation and mechanical ventilation


D. emergency tracheostomy - Answer✔✔-C. endotracheal intubation and mechanical ventilation


In patients with COPD, which of the following has been shown to decrease rate of malignancy and

cardiovascular disease and improve survival?


A.bronchodilator therapy


B. pulmonary rehabilitation


C. oral glucocorticosteroids


D. smoking cessation - Answer✔✔-D. smoking cessation


A 45 year-old male presents with complaints of a chronic cough productive of mucopurulent sputum.

The cough has been present for the past 3 years, but he attributed it to a "smoker's cough". He has been

coughing up a lot of sputum lasting all winter long for the past 2 years. He denies any hemoptysis, weight

loss or chest pain. Physical examination reveals a moderately obese male in no acute respiratory distress.

Lung fields reveal presence of scattered rhonchi and wheezes. There is 1+ peripheral edema. Which of

the following is the most likely diagnosis?


A. Lung cancer


B. Bronchiectasis


C. Chronic bronchitis


D. Interstitial lung disease - Answer✔✔-C. Chronic bronchitis



Page 3/67

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


A 56 year-old male with a 40 pack-year smoking history presents complaining of progressive shortness of

breath. Spirometry reveals an FEV1 of 2 L (40% of predicted), an FVC of 4 L (80% of predicted) and an

FEV1/FVC of 50%. These findings are most consistent with


A. sarcoidosis.


B. chronic bronchitis.


C. interstitial lung disease.


D. congestive heart failure - Answer✔✔-B. chronic bronchitis


A 55 year-old man with a history of chronic bronchitis presents with two days of increased dyspnea and

cough with worsening purulent sputum production. He is currently using inhaled albuterol as needed. In

addition to systemic corticosteroids, what pharmacologic agent is warranted at this time for treatment of

this patient?


A. Antibiotic


B. Inhaled corticosteroid


C. Long acting beta-agonist


D. Theophylline - Answer✔✔-A. Antibiotic


A 67 year-old man presents complaining of gradually worsening fatigue and shortness of breath. He is a

previous smoker with an 80 pack-year smoking history. He denies chest pain, night sweats, or

hemoptysis. On physical examination, you note a very thin male who appears older than his stated age.

Lung and heart sounds are barely audible to auscultation. Which of the following interventions is likely to

alter the disease course?


Page 4/67

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller EmillyCharlotte. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75632 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart