Exam (elaborations)
Smarty Pance Questions with Correct Solutions (Latest Update 2024)
- Course
- Institution
Smarty Pance Questions with Correct Solutions (Latest Update 2024)
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Allivia. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now