NPLEX II Respiratory system Updated 2024/2025 Verified 100%
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Course
NPLEX II Respiratory system
Institution
NPLEX II Respiratory System
What is a likely diagnosis: on CXR you see a primary infection of the upper lobes with pleural effusion
and hilar lymph node enlargement. - TB
What drug stimulates alpha1 receptors causing vasoconstriction for the use of congestion but should not
be used with MAO inhibitors or in an individual w...
NPLEX II Respiratory system
What is a likely diagnosis: on CXR you see a primary infection of the upper lobes with pleural effusion
and hilar lymph node enlargement. - TB
What drug stimulates alpha1 receptors causing vasoconstriction for the use of congestion but should not
be used with MAO inhibitors or in an individual with severe hypertension? - Oxymetazoline
In restrictive lung disease is the FEV1/FVC ratio higher or lower than obstructive? - Higher
What does a Sillhouette sign indicate as seen on plain film? - pneumonia
What does an air bronchogram sign indicate on plain film? - alveoli become fluid filled, which
causes air in the bronchi to be visible on X-ray.
If you see, jagged edges at the lateral aspect on a CXR indicating a rib fracture, what must you watch out
for? - pneumothorax
What is the likely diagnosis: on CXR you see collapsed lung, the aveoli do not consist of air, therefore the
lung tissue shows up white on the radiograph. - Atalectasis
What is a likely diagnosis: CXR shows a collection of fluid in the pleural space which consists of either
blood, pus or serous fluid. - pleural effusion
What is your likely diagnosis: plain film shows cardiomegaly. - Congestive heart failure
How does air appear on a CXR? - Black
What is your diagnosis: the lung appears abnormally black with decreased number of vessels. -
Pneumothorax
, What is your diagnosis: there appears to be an artery that is blocked cutting off supply to the lungs and
showing up black on the image. - Pulmonary emobolism
What are the contraindications of diphenhydramine? - CNS depressants and MAO inhibitors
T or F: Loratadine does not cross the blood-brain barrier so therefore it will not cause sedation -
True (vs. diphenhydramine does cross the BBB)
What is the MOA of epinephrine? - Vasoconstriction of alpha1 and vasodilation of beta-2
receptors
What two drugs stimulate the alpha-receptors in the respiratory tract causing vasoconstriction and
should not be used with severe HTN? - Phenylephrine and pseudoephedrine
What drug is used as in a rescue inhaler? - Albuterol
What is epinephrine contraindicated in? - patient with angle-closure glaucoma
What two drugs/supplements are mucolytics? - Acetylcysteine (1-3grams) and gauiafenasin
What glucocorticoids decreases respiratory irritation and inflammation? - Hyprocortisone
What is an anticholinergic bronchodilator chemically related to atropine? - Tiotropium bromide
What is the use of Tiotropium bromide? - Bronchospasm assoc. with COPD asthma (similar to
albuterol but not for an acute attack)
In a patient experiencing an acute asthma attack, what medication do you administer? - albuterol,
epinephrine and/or metoproterenol
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