NBRC CSE EXAM// WITH ALL VERSION & SUBJECTS INCLUDED -GUARANTEE TO PASS | GRADE A+.
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Course
NBRC CSE
Institution
NBRC CSE
NBRC CSE EXAM// WITH ALL VERSION & SUBJECTS
INCLUDED -GUARANTEE TO PASS | GRADE A+.
Weakening and permanent enlargement of the air spaces distal to the terminal
bronchioles, often accompanied by hypertrophy of the goblet cells and mucus glands.
Characterized by dyspnea on exertion with signific...
NBRC CSE EXAM// WITH ALL VERSION & SUBJECTS
INCLUDED -GUARANTEE TO PASS | GRADE A+.
Weakening and permanent enlargement of the air spaces distal to the terminal
bronchioles, often accompanied by hypertrophy of the goblet cells and mucus glands.
Characterized by dyspnea on exertion with significant hypercapnea - CORRECT
ANSWERS-Emphysema/ Chronic Bronchitis
What are 5 terms/phrases that are used to describe a patient with COPD - CORRECT
ANSWERS-1. Chronic Ventilatory Failure
2. Chronic Hypercapnea
3. Increased lung compliance
4. Loss of elastic recoil
5. Chronic CO2 retention
What would the general appearance of someone with COPD/ Chronic bronchiectasis
look like - CORRECT ANSWERS-Barrel chested, Clubbing and cyanosis
What would the respiratory pattern of someone with COPD/ Chronic bronchiectasis be -
CORRECT ANSWERS-Dyspnea, accessory muscle use, pursed-lip breathing
What would the breath sounds of someone with COPD/ Chronic bronchiectasis sound
like - CORRECT ANSWERS-Diminished aeration with bilateral expiratory wheeze
During patient assessment what would be a fast easy diagnostic test for someone with
COPD/ Chronic bronchiectasis - CORRECT ANSWERS-Diagnostic chest percussion -
tympanic or hyper resonant
What would the cough of someone with COPD/ Chronic bronchiectasis consist of -
CORRECT ANSWERS-Congested, Productive of thick sputum
What would be 3 diagnostic tests used to diagnose COPD/ Chronic bronchiectasis -
CORRECT ANSWERS-1. Chest X-ray
2. ABG
3. PFT
What would the X-ray of someone with COPD/ Chronic bronchiectasis look like -
CORRECT ANSWERS-Hyperlucency, hyperinflation, increased A-P diameter, flattened
diaphragm
What would be effected in a PFT for a patient with COPD/ Chronic bronchiectasis -
CORRECT ANSWERS-Decreased flows
,What SpO2 do you want for a patient with COPD/ Chronic bronchiectasis - CORRECT
ANSWERS-88-92% (Treat with Low O2)
What kind of aerosolized bronchodilators can be used for patients with COPD/ Chronic
bronchiectasis - CORRECT ANSWERS-SABA- Albuterol or Levalbuterol
LABA- Salmeterol, formoterol (Must be given with corticosteroid- budesonide,
Fluticasone)
Anticholinergic- Ipratropium, Tiotropium
For an acute exacerbation of ventilatory failure in a patient with COPD/ Chronic
bronchiectasis what should be done to support them - CORRECT ANSWERS-NPPV
A chronic inflammatory, obstructive, non-contagious airway disease with varying levels
of severity, characterized by exacerbations of wheezing and coughing - CORRECT
ANSWERS-Asthma
What would the general appearance of someone with an asthma exacerbation look like
- CORRECT ANSWERS-Pursed-lip breathing, chest tightness, increased A-P diameter
during episode, Diaphoresis
What would the breathing pattern of someone with an asthma exacerbation look like -
CORRECT ANSWERS-Accessory muscle usage, Retractions (especially in children)
What would diagnostic Chest percussion sound like in someone with an asthma
exacerbation - CORRECT ANSWERS-Hyperresonant/tympanic note
What would breath sounds be in someone with an asthma exacerbation - CORRECT
ANSWERS-Diffuse wheeze, diminished breath sounds, prolonged expiration
What would the vital signs be in someone with an asthma exacerbation - CORRECT
ANSWERS-Tachycardia, Tachypnea, pulsus paradoxus during severe episode (Drop in
BP when breathing in)
What 3 diagnostic tests would help diagnosis someone with asthma - CORRECT
ANSWERS-1. X-ray
2. ABG
3. PFT
What would the x-ray of someone with asthma look like - CORRECT ANSWERS-During
acute episode increased A-P diameter, translucent (dark) lung fields, depressed or
flattened diaphragms
What would the PFT of someone with asthma look like - CORRECT ANSWERS-1.
Spirometry shows reduced flow rates
2. Post bronchodilator spirometry increases FEV1 at least 12% and 200 ml
, 3. Bronchial provocation test: FEV1 decreases significantly when provocation agent,
such as methacholine is inhaled
What would the treatment be for someone with an acute asthma exacerbation -
CORRECT ANSWERS--O2
-Aerosol Therapy with SABA and anticholinergic agents (Albuterol or Levalbuterol,
Ipratropium or Tiotropium) consider continuous aerosol Therapy
-Corticosteroids (Oral or IV)
-Intubation and mechanical ventilation if ventilatory or respiratory arrest occur
-Consider adjunct therapies: Heliox therapy, magnesium sulfate, subcutaneous
epinephrine
What are control medications for asthma - CORRECT ANSWERS-LABA: Salmeterol,
formoterol (Must be given with corticosteroid- budesonide, Fluticasone)
Mast cell stabilizers: Cromolyn
Leukotriene inhibitors: montelukast
In an asthma action plan what peak flow indicates you are in the green zone -
CORRECT ANSWERS-80-100%
In an asthma action plan what peak flow indicates you are in the yellow zone -
CORRECT ANSWERS-50-80%
In an asthma action plan what peak flow indicates you are in the red zone - CORRECT
ANSWERS-Less than 50%
Chronic dilation and distortion of one or more bronchi as a result of excessive
inflammation and destruction of bronchial walls, blood vessels, elastic tissue and
smooth muscle - CORRECT ANSWERS-Bronchiectasis
Results in impaired mucociliary clearance causing accumulation of copious amounts of
bronchial secretions, one or both lungs may be involved, commonly limited to a lobe or
segment - CORRECT ANSWERS-Bronchiectasis
A patient with Bronchiectasis is likely to have a history of - CORRECT ANSWERS-
pulmonary infections or cystic fibrosis
What would the general appearance of someone with Bronchiectasis be - CORRECT
ANSWERS-Cyanosis, barrel chest, clubbing
What would the Respiratory pattern be for someone with Bronchiectasis - CORRECT
ANSWERS-Tachypnea, dyspnea, accessory muscle use, pursed-lip breathing
What would breath sounds be for someone with Bronchiectasis - CORRECT
ANSWERS-Wheezing, diminished breath sounds
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