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Test your basic knowledge |
Pulmonology
Start Test
Study First
Subject
:
health-sciences
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Orthopnea is quantified by
A sensor placed over a translucent area of arterial pulsation
right and left mainstem bronchi
Air bubbles flowing through secretions or slightly closed airways during respiration
Number of pillows the patient uses for sleeping - or by the fact that the patient needs to sleep sitting up
2. The accessory muscles are the...
The negative logarithm of hydrogen ions in the blood
Sternocleidomastoid - Scalene Muscles
Air to move from the upper airway to the farthest alveolar reaches
Air-filled - fluid-filled - or solid
3. During inspiration the diaphragm
Contracts
Mouth as well as through the chest wall
Altering the respiratory rate and/or the tidal volume
Increased rate of breathing and is commonly associated with a decrease in tidal volume
4. normal adult tidal volume
500 to 800 mL
Perfusion
Pulse oximetry
respiratory bronchioles - alveolar ducts - alveolar sacs - and alveoli
5. The presence of pressure gradients causes respiratory gases to move from
PaO2 is less than 40 mm Hg - and the unsaturated hemoglobin is 5 grams/dL
Diffusion
An area of higher concentration to that of a lower concentration passively - with no expenditure of energy
Oxygen-Hemoglobin Dissociation Curve
6. Paroxysmal nocturnal dyspnea (PND) is...
Inspiration
5 years - to detect obstruction and determine its reversibility
Insufficient oxygenation of hemoglobin in the lungs
Dyspnea that awakens the patient several hours after going to sleep
7. Rhonchi
Air-filled - fluid-filled - or solid
Continuous lung sound - lower-pitched - snoring sounds - may have a gurgling quality
reduced in size - compared with a normal curve - due to lower lung volume
Right
8. The main bronchi are divided into smaller branches that begin to subdivide into
A reduction in lung capacity - secondary to scarring or extraneous material
500 to 800 mL
The amount of air that can be exhaled after expiration
Terminal - and ultimately into respiratory bronchioles so small that each is associated with one acinus
9. Spirometry can be used to determine the severity of functional impairment as well as
Obstructive lung disease from restrictive lung disease
To assess response to treatment
Interstitial diseases or early pulmonary edema
The right middle lobe
10. A state-of-the-art - inexpensive - non-invasive - simple method to monitor a patient's percent hemoglobin saturation with oxygen (SaO2) - without having to obtain an arterial blood specimen
Right
Saturated with oxygen or unsaturated
Pulse oximetry
Diffusion
11. Percussion helps you establish whether the underlying tissues are...
Perfusion
Either inspiration or expiration
Contracts
Air-filled - fluid-filled - or solid
12. movement of blood through the capillaries in direct communication with the alveoli
While ascultating remote from the bronchi & larynx - the examiner can hear the speaking pts laryngeal (bronchial) sounds - while not being able to distinguish the words
right and left mainstem bronchi
Perfusion
Brief - discrete - non-musical sounds with a popping quality
13. The use of accessory muscles (contraction of the sternocleidomastoid or supraclavicular muscles during inspiration) indicates
Decreased pressure
The volume of air inhaled and exhaled with each resting breath during normal - quiet breathing
Increased work of breathing
Vesicular breath sounds - Bronchiovesicular breath sounds - Bronchial breath sounds
14. hypocapnia
Lowered carbon dioxide level - results from hyperventilation
Partial pressure of CO2 in the arterial blood
Overcome some of the problems associated with low blood flow to the probe site
Pressure required to drive air through the airways
15. The parietal pleura lines the...
Soft - high-pitched and crisp
Increase the intrathoracic space
Inside of the thoracic cavity wall and the upper surface of the diaphragm
The volume of air that is forcefully expired during the first second after a deep breath - or the portion of the FVC exhaled in one second
16. With restrictive disease - the flow-volume curve is...
reduced in size - compared with a normal curve - due to lower lung volume
Inspiratory and expiratory sounds - about equal in length - sometimes separated by a silent interval
An increase in airway resistance as a result of a reduction of elastic recoil and /or compromise of the air passage
Total lung capacity (TLC)
17. The trachea divides into
Graphic representations of the patient's efforts in the form of a flow-volume curve and a volume-time curve
Partial pressure of oxygen (PO2)
right and left mainstem bronchi
The total amount of air that can be exhaled following a maximal inhalation
18. The vital capacity and the residual volume together constitute the...
Altering the respiratory rate and/or the tidal volume
Total lung capacity (TLC)
Lowered carbon dioxide level - results from hyperventilation
The negative logarithm of hydrogen ions in the blood
19. Inspiratory stridor becomes evident at about
Pulse oximetry
70% occlusion of the airway
Expiration
Oxygen (O2)
20. What is the potential space between the visceral and parietal pleurae?
Altering the respiratory rate and/or the tidal volume
Upper respiratory obstruction - usually in the trachea or larynx
Pleural space
Blood to the alveoli
21. Factors that influence the oxygen carrying capacity of hemoglobin
Partial pressure of oxygen (PO2)
Expiration
Partial pressure of oxygen (PO2) - Bohr effect of pH - Temperature
Functional residual capacity (FRC)
22. PACO2
A good effort
Obstruction below the vocal cords (subglottic or tracheal obstruction)
Manubrio-sternal junction (angle of Louis)
Partial pressure of carbon dioxide in the alveoli
23. low CO2 = low acidity =
Spirometry
Binding of O2 to Hb
A pulsatile blood flow - therefore it may be inaccurate in situations that result in peripheral vasoconstriction
The ratio of the FEV1 to the forced vital capacity - and it is expressed as a percentage (FEV1%)
24. Which lung has a horizontal fissure?
5 years - to detect obstruction and determine its reversibility
right
Overcome some of the problems associated with low blood flow to the probe site
Acinus
25. Fine crackles are heard in
Ventilation - Diffusion - Perfusion
Interstitial diseases or early pulmonary edema
release of O2 from Hb
Continuous lung sound - lower-pitched - snoring sounds - may have a gurgling quality
26. The pattern of breathing refers to...
Larger airways
Inflammation of the adjacent parietal pleura
Air-filled - fluid-filled - or solid
respiratory rate and rhythm - the depth of breathing - and the relative amount of time spent in inspiration and expiration
27. Apnea is defined as
Inflammation of the adjacent parietal pleura
No respiration for > 20 seconds
respiratory rate and rhythm - the depth of breathing - and the relative amount of time spent in inspiration and expiration
Increased work of breathing
28. Obstructive disease refers to...
right and left mainstem bronchi
An increase in airway resistance as a result of a reduction of elastic recoil and /or compromise of the air passage
Either continuous or discontinuous
Alveoli to the blood
29. office-based spirometry is recommended for patients as young as
5 years - to detect obstruction and determine its reversibility
Lung volumes - but find it difficult to exhale rapidly
Inflammation of the adjacent parietal pleura
Partial pressure of oxygen in the alveoli
30. Airway resistance refers to...
Dullness replaces resonance
Air to move from the upper airway to the farthest alveolar reaches
Pressure required to drive air through the airways
Bicarbonate
31. The acini consist of the...
respiratory bronchioles - alveolar ducts - alveolar sacs - and alveoli
Decreased pressure
Diffusion
Immediate oxygenation with or without intubation
32. The muscles of expiration are the...
Tongue
Either inspiration or expiration
A site of obstruction above the vocal cords (supraglottic or glottic obstruction)
Internal Intercostals - Internal and External Obliques - Transversus Abdominis
33. Restrictive disease refers to...
release of O2 from Hb
Cough
A reduction in lung capacity - secondary to scarring or extraneous material
Brief - discrete - non-musical sounds with a popping quality
34. The spirometry printout usually includes
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35. 78.08% Atmospheric Composition
right and left mainstem bronchi
Nitrogen
Partial pressure of carbon dioxide in the alveoli
Carboxyhemoglobin
36. dead space ventilation
10 to 11 cm long and about 2 cm in diameter
The gas in the conducting airways does not participate in alveolar exchange
Partial pressure of oxygen in the alveoli
The rib above it
37. During expiration - thoracic cavity volume decreases - and the intrapulmonary pressure becomes greater than
The amount of air that can be inhaled after normal inspiration
Inside of the thoracic cavity wall and the upper surface of the diaphragm
'scooped out' or bowl-shaped
The atmospheric pressure
38. tidal volume (Vt)
A reduction in lung capacity - secondary to scarring or extraneous material
release of O2 from Hb
Excessive secretions and abnormal airway collapsibility
The volume of air inhaled and exhaled with each resting breath during normal - quiet breathing
39. the process by which gases in the alveoli and the blood exchange by way of the alveolar-capillary membrane
Diffusion
Diaphragm and the intercostal muscles
Lung volumes - but find it difficult to exhale rapidly
Either inspiration or expiration
40. At rest - the use of accessory muscles is a sign of...
While ascultating remote from the bronchi & larynx - the examiner can hear the speaking pts laryngeal (bronchial) sounds - while not being able to distinguish the words
Oxygen-Hemoglobin Dissociation Curve
Significant pulmonary impairment
Anemia - since the oxygen saturation at which cyanosis becomes clinically apparent is a function of hemoglobin concentration
41. terminal respiratory unit
Acinus
Internal Intercostals - Internal and External Obliques - Transversus Abdominis
Either inspiration or expiration
Partial pressure of O2 in the arterial blood
42. Cyanosis appears when
Right
PaO2 is less than 40 mm Hg - and the unsaturated hemoglobin is 5 grams/dL
Either inspiration or expiration
35 to 45 mmHg
43. Abnormal lung sounds are classified as
Air bubbles flowing through secretions or slightly closed airways during respiration
Either continuous or discontinuous
right and left mainstem bronchi
Keep the body adequately supplied with oxygen and protected from excess accumulation of carbon dioxide
44. residual volume
The volume of air left in the lungs after maximal expiration that cannot be exhaled due to the limit of elasticity - or because of the trapping of air in disease states
Right
Continuous lung sound - lower-pitched - snoring sounds - may have a gurgling quality
Right
45. The visceral pleura lines the...
Outer surface of each lung
Soft - high-pitched and crisp
Shaped like a sail - rising rapidly to a sharp peak - then descending in a straight line at about a 45˚ angle
No
46. Normal range of PaCO2
35 to 45 mmHg
The amount of air that can be inhaled after normal inspiration
quickly - usually reaching a plateau within 6.0 seconds
The gas in the conducting airways does not participate in alveolar exchange
47. The purpose of respiration is to...
Keep the body adequately supplied with oxygen and protected from excess accumulation of carbon dioxide
Spirometry
right
Insufficient oxygenation of hemoglobin in the lungs
48. The upper airway accounts For what % of airway resistance?
While ascultating remote from the bronchi & larynx - the examiner can hear the speaking pts laryngeal (bronchial) sounds - while not being able to distinguish the words
A site of obstruction above the vocal cords (supraglottic or glottic obstruction)
50%
The volume of air inhaled and exhaled with each resting breath during normal - quiet breathing
49. Abnormal lung sounds AKA
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183
50. The normal FEV1 /FVC ratio is...
Fraction (%age) of inspired oxygen
Anemia - since the oxygen saturation at which cyanosis becomes clinically apparent is a function of hemoglobin concentration
70%
Lung volumes - but find it difficult to exhale rapidly
Sorry!:) No result found.
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