RT335 Pathology Module 1 Exam Questions And
Accurate Answers
We discussed the GOLD report, what does it list as the greatest worldwide risk for
COPD?
- Smoking
Is COPD curable? Preventable? Treatable?
Preventable & treatable disease characterized by air flow limitations that are not fully
reversible.
Can COPD be caused by a genetic issue? If so, what is it called?
Yes, genetic predisposition called alpha 1 anti-trypsin deficiency
What age can COPD be diagnosed according to GOLD?
40 or older
What are the differences between chronic bronchitis and emphysema?
- Emphysema- cause permanent enlargement of air spaces distal to terminal
bronchioles and destruction of their walls without obvious fibrosis. (Alveoli gets bigger
and destroyed) difficulty breathing and shortness of breath
- CB- inflamed bronchial tubes, chronic cough and excessive mucus
Chronic bronchitis
- Productive cough for 3 months in each of 2 successive years in a patient in whom other
causes of a productive chronic cough have been excluded
,- Chronic inflammation and thickening of the wall of the peripheral airways
- Excessive mucous production and accumulation
- Partial or total mucous plugging of the airways
- Bronchospasm (variable finding)
- Air trapping and hyperinflation (may occur in late stages)
Emphysema
- The presence of permanent enlargement of the air spaces distal to the terminal
bronchioles, accompanied by destruction of their walls and without obvious fibrosis
- Permanent enlargement and destruction of the air spaces distal to the terminal
bronchioles
- Destruction of the alveolar-capillary membranes
- Weakening of the distal airways, primarily the respiratory bronchioles
- Air trapping and hyperinflation
Clinical manifestations of chronic bronchitis
- stocky, overweight
- hypoxemia
- cough
- sputum
- normal chest palpation
- crackles
- wheezing
- cyanosis
Clinical manifestations of emphysema
- thin, underweight
, - hypoxemia
- pursed-lip breathing
- decreased diaphragmatic excursion
- hyper-resonance
- diminished breath sounds
- prolonged expiration
- hoover sign
Which one is the blue bloater? - Why?
- CB
- Cyanosis and can cause severe difficulty breathing and decreased oxygen in the body
Which one is the pink puffer? - Why?
- EMP
- (pursed-lip) , red skin and can cause hyperventilation
What are some of the causes of COPD?
- Age & gender
- Smoking
- Genetic predisposition
exposure to dust, chemicals, and indoor/outdoor pollution.
- Socioeconomic status
- CB
- TB
- Respiratory infections
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