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Smarty Pance Questions with Correct Solutions (Latest Update 2024)
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Smarty Pance Questions with Correct Solutions (Latest Update 2024)
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Smarty Pance Questions with CorrectSolutions (Latest Update 2024)
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 - Correct 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 - Correct 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
,Smarty Pance Questions with Correct
Solutions (Latest Update 2024)
nebulizer, nasal oxygen at 2 liters per minute, and an IV is
started. After one hour of treatment, his arterial blood 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) - Correct 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
,Smarty Pance Questions with Correct
Solutions (Latest Update 2024)
D. total lung capacity - Correct 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
B. noninvasive positive pressure ventilation (NIPPV)
C. endotracheal intubation and mechanical ventilation
D. emergency tracheostomy - Correct 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
, Smarty Pance Questions with Correct
Solutions (Latest Update 2024)
B. pulmonary rehabilitation
C. oral glucocorticosteroids
D. smoking cessation - Correct 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 - Correct Answer ✅ C. Chronic
bronchitis
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