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CPE Exam 3 | Latest Questions with 100% Correct Answers
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CPE Exam 3 | Latest Questions with 100% Correct Answers
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CPE Exam 3 | Latest Questions with100% Correct Answers
sepsis - ✔ ✔ Mortality due to ARDS is high in _____ patients.
adult respiratory distress syndrome (ARDS) - ✔ ✔ *The most likely complication from
ventilator therapy is ____.*
true (antibiotics, oxygen, diuretics, PT, ventilation) - ✔ ✔ Treat ARDS based on the
underlying cause. (T/F)
adult respiratory distress syndrome (ARDS) - ✔ ✔ Volutrauma, nosocomial respiratory
infection, end organ failure, and DVT are complications of _______.
pleural disease - ✔ ✔ conditions that produce abnormal accumulation of fluid within the
pleural space, commonly due to underlying illness
transudates - ✔ ✔ substances that pass through a membrane of permeable substance due
to *CHF*, constrictive pericarditis, or *hypothyroidism*
ex: pus, blood, chyle
exudates - ✔ ✔ substances that are composed of serum, fibrin & WBCs which develop when
the integrity of pleural capillaries is disrupted allowing leakage of protein-rich fluid into the
pleural space
ex: parapneumonic disease, *malignancy*, *PE*, infection, abdominal disease, ARDS,
*sarcoidosis*, Meig's
,chest pain
cough, hemoptysis
orthopnea
ankle swelling - ✔ ✔ What are symptoms of pleural disease?
classic signs - ✔ ✔ Reduced chest wall movements upon inspiration, stony/dull percussion,
and reduced breath sounds are ______ of pleural disease.
small effusion
large effusion - ✔ ✔ Friction rub may indicate a _____ while decreased fremitus and tracheal
deviation away from affected side indicates a _____.
*thoracocentesis & pleural fluid analysis*
chest x-ray
thoracic US
CT - ✔ ✔ What tests should you run if you suspect a pleural disease?
lung cancer - ✔ ✔ 2nd most common cancer & the cause of cancer mortality in the U.S.
true (65-79 most likely) - ✔ ✔ It is rare to diagnose lung cancer before age 40. (T/F)
squamous cell
large cell undifferentiated
adenocarcinoma - ✔ ✔ What are the 3 types of non-small cell lung cancer?
tissue biopsy - ✔ ✔ *What is needed to diagnose lung cancer?*
, tobacco smoke - ✔ ✔ What is the primary etiologic agent of lung cancer, contributing to 90%
of cases?
80-90% - ✔ ✔ Former smokers who abstain from smoking for greater than 15 years have an
_____ reduction in risk of lung cancer, in comparison with current smokers.
false (radon, asbestos, chromium, iron, steel, nickel) - ✔ ✔ Tobacco smoke is the only
known cause on lung cancer. (T/F)
malignant - ✔ ✔ Lung nodules > 3 cm in diameter are almost always _____.
corona radiate sign - ✔ ✔ presence of fine linear strands extending outward from the
lung cancer nodule - presence of this has a high predictive value for malignancy
stippled or eccentric
popcorn, central, diffuse - ✔ ✔ What calcification are associated with lung cancer malignancy?
Which are benign?
low risk - ✔ ✔ A younger patient with laminated, central, popcorn, diffuse lung nodule which
has remained stable in size for 2 years is at _____.
high risk - ✔ ✔ Old smoker with a corona radiate, eccentric, stippled lung nodule > 3 cm is at
_____.
cough with copious thin secretions - ✔ ✔ What is the MC presenting symptom of lung cancer?
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