Most nosocomial pneumonias are caused by: - ANS ✓Gram-negative bacteria
Which of the following statements regarding TST is true?
a. Tests should be read 48hrs after the injection
b. The size of the TST reaction has nothing to do with erythema but is based
solely on induration
c. It is a teyp V T-cell-mediated immune response
d. The diameter of the induration is measured in cm - ANS ✓b. The size of the
TST reaction has nothing to do with erythema but is based solely on induration
Which obstructive lung dz is classified as reversible? - ANS ✓Asthma
You have taught Jennifer, age 15, about using a flow meter to assess how to
manage her asthma exacerbations. She calls you today because her peak
expiratory flow rate is 65%. What would you tell her? - ANS ✓"Use your
rescue inhaler, begin the Rx of PO glucocorticoids you have, and call back
tomorrow."
Which statement about adenocarcinoma of the lung is accurate?
a. It is the least common type of lung cancer, representing approximately 5-
10% of cases
b. It is the most prevalent carcinoma of the lungs in both sexes and in
nonsmokers, representing 35-40% of all tumors
DUNPHY CHAP
, 2
DUNPHY
c. It is more common in men than in women and occurs almost entirely in
cigarette smokers
d. It is aggressive, with rapid growth and early local and distant metastases
via the lymphatic and blood vessels. - ANS ✓b. It is the most prevalent
carcinoma of the lungs in both sexes and in nonsmokers, representing 35-40% of
all tumors
Jason, age 62, has obstructive sleep apnea. What do you think is one of his
contributing factors?
a. He is a recovering alcoholic of 6yrs
b. His collar size is 17in
c. He is the only person in his family who has this
d. He is extremely thin - ANS ✓b. His collar size is 17in
The forced vital capacity is decreased in:
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. Restrictive dz - ANS ✓d. Restrictive dz
The most common cause of CAP is: - ANS ✓Streptococcus pneumoniae
Which of the following pt's would you expect to have a decreased response
to TST?
a. Julie, a 50yo postal worker
b. Sandy, a 40yo pt who recently survived a fire that left 40% of her total
body surface covered in burns
c. Jill, a 16yo cheerleader
DUNPHY CHAP
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