DUNPHY RESPIRATORY 1 EXAM 2 QUESTIONS AND
ANSWERS
The antibiotic of choice for the treatment of Streptococcus pneumoniae infection is
A. Dicloxacillin
B. Erythromycin
C. Penicillin
D. Ampicillin clavulanate. - Answers- C. Penicillin
In inner-city children, an important cause of asthma-related illness and hospitalizations
is
A. Heredity and genetics
B. Vitamin deficiencies
C. Cockroaches
D. Playing on asphalt playgrounds - Answers- C. Cockroaches
The diagnosis of tuberculosis does not need to be reported when
A. The clients Mantoux test shows an induration of 15mm
B. A case of tuberculosis is only suspected
C. An asymptomatic client has a positive chest x-ray for pulmonary tuberculosis
D. The Mantoux test shows a raised injected or red area without induration - Answers-
D. The Mantoux test shows a raised injected or red area without induration
When asthma does not respond to traditional therapy, it may be due to another
syndrome that mimics asthma, such as
A. Lower airway obstruction
B. Vocal cord dysfunction
C. COPD
D. Bronchitis - Answers- B. Vocal cord dysfunction
Which statement is true regarding primary spontaneous pneumothorax?
A. It usually occurs after individuals have recently started an exercise program.
B. It occurs more commonly in thin elderly men.
C. It usually occurs in healthy individuals without preexisting lung disease.
D. It frequently occurs in Marfan's syndrome. - Answers- C. It usually occurs in healthy
individuals without preexisting lung disease.
Of all the adults who smoke, what percentage who quit are successful in their efforts?
A. 2.5%
B. 8%
C. 15%
D. 30% - Answers- B. 8%
Which of the following underlying lung diseases is the most common cause of a
secondary spontaneous pneumothorax?
, A. COPD
B. Lung abscess
C. Cystic fibrosis
D. Tuberculosis - Answers- A. COPD
Harvey has severe obstructive sleep apnea and has just been ordered a continuous
positive airway pressure (CPAP) machine. What do you tell him about it?
A. "You put it on at night after you've woken up several times."
B. "You must use it at least 5 nights during the week."
C. "You'll want to use it every night, all night long."
D. "We'll discontinue it if you develop nasal dryness or rhinitis." - Answers- C. "You'll
want to use it every night, all night long."
The well-established risk factor(s) for a nosocomial pneumonia caused by multidrug-
resistant organism is (are)
A. Antibiotic exposure and a hospital stay of more than 1 week
B. Age greater than 65 and having COPD
C. Having outpatient surgery
D. Having allergies to multiple antibiotics - Answers- A. Antibiotic exposure and a
hospital stay of more than 1 week
The two most predominant organisms constituting the normal flora of the oropharynx
are
A. Streptococci and Staphylococci
B. Streptococci and Moraxella catarrhalis
C. Staphylococci and Candida albicans
D. Various protozoa and Staphylococci - Answers- A. Streptococci and Staphylococci
Hyperresonance on percussion of the chest occurs with
A. Emphysema
B. Pneumonia
C. Pleural effusion
D. Lung tumor - Answers- A. Emphysema
A pulmonary function test, such as spirometry, is helpful in the diagnosis of
A. Chronic bronchitis
B. Lung cancer
C. Pneumonia
D. Tuberculosis - Answers- A. Chronic bronchitis
In trying to differentiate between chronic bronchitis and emphysema, you know that
chronic bronchitis
A. Usually occurs after age 50 and has insidious progressive dyspnea.
B. Usually presents with a cough that is mild and with scant, clear sputum, if any.
C. Presents with adventitious sounds, wheezing and rhonchi, and a normal percussion
note.
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