Croup: What pathogen is responsible for MOST cases of viral croup? CORRECT ANS-Usually
caused by Parainfluenza types 1-4: Type 3-Usually infected by 3 y/o (usually in 1st year of life),
annual peak in spring/summer; Type 1 & 2- gradually over the first 5 years of life, peak in fall
Croup: Definition CORRECT ANS-inflammatory disease of larynx including viral croup,
epiglottitis, and bacterial tracheitis
Croup: Who is at risk for viral croup? CORRECT ANS-6 mths-5 years of age, fall and early
winter months
What condition is characterized by pain that is localized, sharp, & fleeting; it is made worse by
coughing, sneezing, deep breathing, or movement CORRECT ANS-Pleuritis
What normally causes pleuritis? CORRECT ANS-Viral resp. Infections & pneumonia
What anti inflammatory med is used to tx pleuritis? CORRECT ANS-Indomethacin
, Unit 2- CMN 568: Questions with Correct Answers
What does grossly purulent fluid in a pleural effusion indicate? CORRECT ANS-Empyema
(infection in the pleural space)
What is a common complication of pneumocystis pneumonia and has a high mortality rate?
CORRECT ANS-Pneumothorax
What should be suspected in the presence of marked tachycardia, hypotension, and
mediastinal or tracheal shift? CORRECT ANS-Tension pneumothorax
When do symptoms of a pneumothorax begin and when so they resolve? CORRECT ANS-
Rest; within 24 hours
What imaging finding is diagnostic of a pneumothorax? CORRECT ANS-Demonstration of a
visceral pleural line on cxr which may only be seen on an expiratory film
How often should chest radiographs be performed in a pt wig pneumothorax? CORRECT
ANS-Q 24 hours
, Unit 2- CMN 568: Questions with Correct Answers
What characteristic appearance is often seen in a patient with chronic obstructive sleep
apnea? CORRECT ANS-Bull neck
What labs should be obtained in a patient with chronic obstructive sleep apnea? CORRECT
ANS-Tsh to r/o hypothyroidism
What are the first steps in managing chronic obstructive sleep apnea in an adult? CORRECT
ANS-Weight loss, avoidance of alcohol and hypnotic medications
What is the leading cause of hospitalization in U.S. Children? CORRECT ANS-Rsv
What is rsv associated with later in life? CORRECT ANS-Persistent airway reactivity
What type of infection is a common cause of respiratory failure in lung transplant recipients?
CORRECT ANS-Human metapneumovirus
In people with Down's syndrome, when does rsv usually present itself? CORRECT ANS-
Later in age
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