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Explanation The pons is a part of the brainstem that plays a crucial role in regulating the respiratory rate. It contains respiratory centers that control the depth and frequency of breathing. The pons communicates with the medulla, another part of the brainstem, to coordinate the respiratory muscles and ensure proper breathing. The cerebrum and cerebellum, although important for other functions, do not directly regulate respiratory rate.
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2.
Hypoxemia means
A.
Low O2 in blood stream
B.
Difficult breathing
C.
No breathing
D.
SOB
Correct Answer
A. Low O2 in blood stream
Explanation Hypoxemia refers to a condition characterized by low levels of oxygen in the bloodstream. It occurs when there is insufficient oxygen reaching the body's tissues. This can be caused by various factors such as lung diseases, respiratory disorders, or problems with the circulatory system. Symptoms of hypoxemia may include difficulty breathing, shortness of breath (SOB), and in severe cases, it can lead to respiratory failure. Therefore, the correct answer is "low O2 in blood stream."
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3.
Dyspnea means
A.
Difficult breathing
B.
No breathing
C.
Low o2 in blood stream
D.
SOB
Correct Answer
A. Difficult breathing
Explanation The term "dyspnea" refers to the sensation of difficult or labored breathing. It is a common symptom experienced by individuals with respiratory conditions or other underlying health issues. Dyspnea can be described as a feeling of breathlessness or shortness of breath, where the individual may struggle to inhale or exhale normally. This can be caused by various factors such as lung diseases, heart problems, or even anxiety. Therefore, the correct answer for the meaning of dyspnea is "difficult breathing."
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4.
Apnea means
A.
No breathing
B.
SOB
C.
Difficult breathing
D.
Low o2 in blood stream
Correct Answer
A. No breathing
Explanation The term "apnea" refers to the temporary cessation or absence of breathing. It is a condition where a person stops breathing for a period of time, which can be caused by various factors such as sleep apnea or respiratory disorders. During apnea, there is a complete pause in breathing, leading to a lack of oxygen intake and carbon dioxide elimination. Therefore, the correct answer for this question is "no breathing."
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5.
When a patient is not breathing they are experiencing
A.
Respiratory arrest
B.
Respiratory failure
C.
Respiratory distress
D.
SOB
Correct Answer
A. Respiratory arrest
Explanation When a patient is not breathing, it indicates that their respiratory system has completely stopped functioning. This condition is known as respiratory arrest. It is a medical emergency that requires immediate intervention to restore breathing and oxygen supply to the body. Respiratory failure refers to the inability of the respiratory system to maintain adequate oxygenation and ventilation, but it does not necessarily mean the patient has completely stopped breathing. Respiratory distress refers to difficulty in breathing, which can be a symptom of various underlying conditions. SOB stands for shortness of breath and is a subjective sensation experienced by the patient.
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6.
These patients are referred to as Pink Puffers
A.
Emphysema
B.
Chronic bronchitis
C.
COPD
D.
Asthma
Correct Answer
A. EmpHysema
Explanation Emphysema is a chronic lung condition characterized by the destruction of the air sacs in the lungs, leading to difficulty in breathing. Patients with emphysema often have a pink or flushed complexion due to increased blood flow and effort to breathe. This is why they are referred to as "Pink Puffers." Emphysema is a type of chronic obstructive pulmonary disease (COPD) and is different from chronic bronchitis and asthma, which have their own distinct characteristics and symptoms.
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7.
These patients have ronchi sounds and are coughing up sputum
A.
Chronic bronchitis
B.
Emphysema
C.
Asthma
D.
COPD
Correct Answer
A. Chronic bronchitis
Explanation The given symptoms of ronchi sounds and coughing up sputum are indicative of chronic bronchitis. Chronic bronchitis is a long-term inflammation of the bronchial tubes, which causes excessive mucus production and persistent coughing. This condition is often caused by smoking or exposure to irritants. Emphysema is another type of chronic obstructive pulmonary disease (COPD), but it is characterized by damage to the air sacs in the lungs rather than excessive mucus production. Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, but it does not typically cause the production of sputum. COPD is an umbrella term that encompasses chronic bronchitis and emphysema.
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8.
These patients have a sensitive lower airway
A.
Asthma
B.
Chronic bronchitis
C.
COPD
D.
Emphysema
Correct Answer
A. Asthma
Explanation The patients in question are described as having a sensitive lower airway. Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, which can make them more sensitive to triggers such as allergens, exercise, or cold air. This sensitivity can lead to symptoms like wheezing, shortness of breath, and coughing. Therefore, asthma is a likely explanation for the patients' condition based on the given information.
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9.
All are signs of status asthmatics EXCEPT
A.
Pink complexion
B.
Air trapped in alveoli
C.
Exhale hard
D.
Accessory muscle use
Correct Answer
A. Pink complexion
Explanation Status asthmaticus is a severe and life-threatening form of asthma that does not respond to standard asthma treatments. It is characterized by persistent symptoms and poor airflow. Pink complexion is not a sign of status asthmaticus. In fact, individuals with status asthmaticus often have a bluish or pale complexion due to inadequate oxygenation. The other options, such as air trapped in alveoli, exhaling hard, and accessory muscle use, are all signs commonly seen in status asthmaticus.
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10.
There is an obstruction of blood flow in the pulmonary arteries and sudden onset difficult breathing, this is
A.
Pulmonary embolism
B.
Spontaneous pneumothorax
C.
Pneumonia
D.
Emphysema
Correct Answer
A. Pulmonary embolism
Explanation Pulmonary embolism is the correct answer because it involves an obstruction of blood flow in the pulmonary arteries, which can cause sudden onset difficult breathing. This condition occurs when a blood clot, usually from the legs, travels to the lungs and blocks the blood flow. It can lead to symptoms such as shortness of breath, chest pain, and coughing up blood. Spontaneous pneumothorax, pneumonia, and emphysema do not involve an obstruction of blood flow in the pulmonary arteries and do not typically present with sudden onset difficult breathing.
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11.
ARDS, destroyed capillary bed, drowning
A.
Non cariogenic acute pulmonary edema
B.
Pulmonary embolism
C.
Pneumonia
D.
Spontaneous pneumothorax
Correct Answer
A. Non cariogenic acute pulmonary edema
Explanation Non-cardiogenic acute pulmonary edema refers to the sudden accumulation of fluid in the lungs that is not caused by heart failure. In this case, the patient's ARDS (Acute Respiratory Distress Syndrome) and destroyed capillary bed suggest that the fluid accumulation is due to factors other than heart-related issues. Drowning can cause ARDS and destruction of the capillary bed in the lungs, leading to non-cardiogenic acute pulmonary edema. Therefore, this is the most appropriate explanation for the given answer.
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12.
You have a patient who is making rales type noises in the lungs what is the first thing you do
A.
Put them in high fowlers position
B.
CPR
C.
Suction the airway
D.
None of the above
Correct Answer
A. Put them in high fowlers position
Explanation The correct answer is to put them in high fowlers position. This position helps to improve breathing by allowing the chest to expand more easily. By sitting the patient upright, it can help to relieve pressure on the lungs and improve oxygenation. This is a simple and non-invasive intervention that can be done immediately to provide relief and support to the patient. CPR would only be necessary if the patient's condition deteriorates and they become unresponsive. Suctioning the airway may be necessary if there is a blockage or excessive secretions, but it should not be the first step in this situation.
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13.
Anxious, fast breathing, carpal spasms, what disease is this?
A.
Hyperventilation syndrom
B.
Allergic reaction
C.
Emphysema
D.
Asthma
Correct Answer
A. Hyperventilation syndrom
Explanation The symptoms described, including anxiety, fast breathing, and carpal spasms, are consistent with hyperventilation syndrome. Hyperventilation syndrome is a condition characterized by rapid and shallow breathing, leading to excessive elimination of carbon dioxide from the body. This can result in symptoms such as lightheadedness, tingling sensations, and muscle spasms. Allergic reactions, emphysema, and asthma may also cause breathing difficulties, but they do not typically present with the specific symptoms mentioned in the question.
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14.
What portion of the heart is damaged due to pulmonary edema
A.
Right ventricle
B.
Left ventricle
C.
Right atrium
D.
Left atrium
Correct Answer
A. Right ventricle
Explanation Pulmonary edema is a condition where fluid accumulates in the lungs, typically due to heart failure. When the left side of the heart fails to pump blood effectively, the pressure in the pulmonary veins increases, causing fluid to leak into the lung tissue. This primarily affects the left ventricle, as it is responsible for pumping oxygenated blood to the rest of the body. However, over time, the increased pressure in the left ventricle can lead to right ventricular dysfunction and ultimately damage. Therefore, the right ventricle can also be affected by pulmonary edema, making it the correct answer.
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15.
Causes of a pulmonary embolism are all BUT
A.
Broken toe
B.
Long bone fracture
C.
Birth control pills
D.
Deep vein thrombosis
Correct Answer
A. Broken toe
Explanation A pulmonary embolism occurs when a blood clot travels to the lungs and blocks a blood vessel. While long bone fractures, birth control pills, and deep vein thrombosis are known risk factors for pulmonary embolism, a broken toe is not typically associated with this condition. Therefore, a broken toe is not considered one of the causes of a pulmonary embolism.
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16.
Three parts of the lung composer are all but
A.
Pulmonary pleura
B.
Parietal pleura
C.
Pleural cavity
D.
Visceral pleura
Correct Answer
A. Pulmonary pleura
Explanation The correct answer is pulmonary pleura. The pulmonary pleura is not one of the three parts of the lung composer. The three parts of the lung composer are the parietal pleura, pleural cavity, and visceral pleura. The pulmonary pleura refers to the double-layered membrane that covers the surface of the lungs.
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17.
Which of these diseases can lead to CHF(congestive heart failure)
A.
Acute pulmonary edema
B.
Pulmonary embolism
C.
Spontaneous pneumothorax
D.
Pneumonia
Correct Answer
A. Acute pulmonary edema
Explanation Acute pulmonary edema is a condition characterized by the accumulation of fluid in the lungs, leading to difficulty in breathing and decreased oxygen levels in the body. This excess fluid puts a strain on the heart, causing it to work harder to pump blood, eventually leading to congestive heart failure (CHF). Therefore, acute pulmonary edema can indeed lead to CHF.
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18.
Frothy sputum, tachycardia and crackles noises in lungs is which disease
A.
Noncardiogenic pulmonary edema
B.
Spontaneous pneumothorax
C.
Emphysema
D.
COPD
Correct Answer
A. Noncardiogenic pulmonary edema
Explanation Noncardiogenic pulmonary edema is characterized by the presence of frothy sputum, tachycardia, and crackles noises in the lungs. This condition occurs when fluid accumulates in the lungs due to factors other than heart failure, such as acute lung injury, infections, or exposure to toxins. The symptoms mentioned in the question are consistent with noncardiogenic pulmonary edema, making it the correct answer. Spontaneous pneumothorax refers to the collapse of a lung due to the presence of air in the pleural space, while emphysema and COPD are both chronic lung diseases characterized by shortness of breath and airflow limitation.
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19.
Apnea means
A.
No longer breathing
B.
Respiratory arrest
C.
Shortness of breath
D.
None of the above
Correct Answer
A. No longer breathing
Explanation The term "apnea" refers to a condition where a person temporarily stops breathing. This cessation of breathing can occur during sleep or while awake and can last for a few seconds to minutes. It is a medical term used to describe a pause in breathing, which can be caused by various factors such as obstruction in the airway, neurological issues, or respiratory disorders. Therefore, "no longer breathing" accurately defines the meaning of apnea.
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20.
When the cells of the body are not getting enough oxygen it is called
A.
Hypoxia
B.
SOB
C.
Apnea
D.
Dyspnea
Correct Answer
A. Hypoxia
Explanation Hypoxia is the correct answer because it refers to a condition where the cells of the body are not receiving enough oxygen. This can occur due to various reasons such as decreased oxygen levels in the air, lung diseases, or problems with the circulatory system. Hypoxia can lead to symptoms like shortness of breath (SOB), apnea (temporary cessation of breathing), and dyspnea (difficult or labored breathing), but the term hypoxia specifically describes the lack of oxygen reaching the cells.
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21.
Blood oxygen saturation in the body shouldn't drop below
A.
94%
B.
90%
C.
80%
D.
100%
Correct Answer
A. 94%
Explanation The correct answer is 94%. Blood oxygen saturation refers to the percentage of oxygen-saturated hemoglobin compared to the total hemoglobin in the blood. A saturation level below 94% indicates that the body is not receiving enough oxygen, which can be a sign of respiratory or cardiovascular problems. Maintaining a minimum saturation level of 94% ensures that the body's organs and tissues receive an adequate oxygen supply for optimal functioning.
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22.
A 45-year-old male is brought to the emergency department with severe shortness of breath, chest pain, and a history of chronic obstructive pulmonary disease (COPD). On examination, he has a respiratory rate of 30 breaths per minute, is using accessory muscles to breathe, and has an oxygen saturation of 85% on room air. Which of the following is the most appropriate initial management step?
In a patient with severe shortness of breath, chest pain, and low oxygen saturation, the immediate priority is to improve oxygenation. Administering high-flow oxygen via a non-rebreather mask can quickly increase the oxygen concentration the patient is breathing, which is crucial in managing acute respiratory distress. While administering a bronchodilator and considering non-invasive positive pressure ventilation (NIPPV) are also important steps in the management of COPD exacerbations, the initial focus should be on rapidly improving oxygenation. Intubation and mechanical ventilation may be necessary if the patient does not respond to initial treatments, but it is not the first step unless the patient is in severe respiratory failure.
4o
Administer high-flow oxygen via non-rebreather mask
D.
Intubate and initiate mechanical ventilation
Correct Answer
C. Administer high-flow oxygen via non-rebreather mask
Explanation In a patient with severe shortness of breath, chest pain, and low oxygen saturation, the immediate priority is to improve oxygenation. Administering high-flow oxygen via a non-rebreather mask can quickly increase the oxygen concentration the patient is breathing, which is crucial in managing acute respiratory distress. While administering a bronchodilator and considering non-invasive positive pressure ventilation (NIPPV) are also important steps in the management of COPD exacerbations, the initial focus should be on rapidly improving oxygenation. Intubation and mechanical ventilation may be necessary if the patient does not respond to initial treatments, but it is not the first step unless the patient is in severe respiratory failure.
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23.
How many liters per minute should a nasal cannula omit
A.
1 to 6
B.
3 to 5
C.
6 to 8
D.
1 to 3
Correct Answer
A. 1 to 6
Explanation A nasal cannula is a device used to deliver supplemental oxygen to a patient. The question asks how many liters per minute the nasal cannula should omit. The correct answer is 1 to 6. This means that the nasal cannula can deliver oxygen at a rate of 1 to 6 liters per minute. This range allows for flexibility in adjusting the oxygen flow to meet the patient's needs.
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24.
What is respiratory failure
A.
Respiratory volume or rate is not providing adequate ventilation to the body
B.
Difficulty breathing but adequate TV and RR
C.
Breathing ceases
D.
None of the above
Correct Answer
A. Respiratory volume or rate is not providing adequate ventilation to the body
Explanation Respiratory failure occurs when the respiratory volume or rate is unable to provide sufficient ventilation to the body. This means that the person is not getting enough oxygen and is unable to effectively remove carbon dioxide from their body. This can lead to difficulty breathing, but the tidal volume (TV) and respiratory rate (RR) may still be adequate. If respiratory failure worsens, breathing can eventually cease altogether. Therefore, the correct answer is that respiratory volume or rate is not providing adequate ventilation to the body.
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25.
CPAP
A.
Continuous positive airway pressure
B.
Cannot press a point
C.
Continuous pressure as positive
D.
Continual pulmonary airway pressure
Correct Answer
A. Continuous positive airway pressure
Explanation CPAP stands for continuous positive airway pressure. It is a medical treatment used to help people with sleep apnea breathe more easily during sleep. The machine delivers a constant and steady flow of air pressure through a mask worn over the nose or mouth, which helps to keep the airway open and prevents pauses in breathing. This treatment is effective in reducing snoring, improving sleep quality, and alleviating symptoms of sleep apnea.
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26.
BiPAP is
A.
Bilevel positive airway pressure
B.
Because I put a pineapple
C.
Bronchial In Pulmonary airway pursing
D.
None of the above
Correct Answer
A. Bilevel positive airway pressure
Explanation BiPAP stands for bilevel positive airway pressure. It is a non-invasive ventilation therapy that delivers two different levels of pressure during the breathing cycle - a higher pressure during inhalation and a lower pressure during exhalation. This therapy is commonly used to treat sleep apnea and other respiratory conditions. The other options mentioned in the question, such as "Because I put a pineapple" and "Bronchial In Pulmonary airway pursing," do not make sense and are not related to the correct definition of BiPAP.
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27.
In emphysema patients
A.
Purse their lips to actively exhale, lungs loose elasticity, surface area of alveoli are destroyed, thin, barrel chest
B.
Lungs loose elasticity, overweight, surface area of alveoli are destroyed, overweight, barrel chest
C.
Purse their lips to actively exhale, asterixis, cough up sputum, thin, barrel chest
D.
All the above
Correct Answer
A. Purse their lips to actively exhale, lungs loose elasticity, surface area of alveoli are destroyed, thin, barrel chest
Explanation Emphysema is a chronic lung condition characterized by the destruction of the alveoli, which are responsible for gas exchange in the lungs. As a result, the lungs lose their elasticity and the surface area available for oxygen exchange is reduced. This leads to difficulty in exhaling air, causing patients to purse their lips to actively exhale. The decreased lung function can also cause a thin and barrel-shaped chest. Therefore, the correct answer is "purse their lips to actively exhale, lungs loose elasticity, surface area of alveoli are destroyed, thin, barrel chest."
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28.
Chronic bronchitis is characterized by
A.
Decreased RV=blue, vigorous cough, SpO2
B.
Capillary bed damage, reduced ventilation and increased Cardiac Output, decreased RV=pink
Correct Answer
A. Decreased RV=blue, vigorous cough, SpO2
Explanation Chronic bronchitis is a condition characterized by a decreased residual volume (RV), which refers to the amount of air left in the lungs after exhaling completely. This can lead to symptoms such as a vigorous cough and decreased oxygen saturation levels (SpO2). The blue color mentioned in the answer could be indicative of cyanosis, which occurs when there is a lack of oxygen in the blood. Therefore, the given answer suggests that chronic bronchitis is associated with decreased RV, a vigorous cough, and low oxygen levels.
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29.
What is the sever brother to pneumonia
A.
Acute pulmonary edema
B.
Pulmonary embolism
C.
Bronchitis
D.
Asthma
Correct Answer
A. Acute pulmonary edema
Explanation Acute pulmonary edema is the severe brother to pneumonia because both conditions affect the lungs. Pneumonia is an infection that causes inflammation and fluid buildup in the air sacs of the lungs, while acute pulmonary edema is a condition where there is a sudden buildup of fluid in the lungs due to heart failure. Both conditions can cause similar symptoms such as difficulty breathing, coughing, and chest pain. Therefore, acute pulmonary edema can be considered the severe counterpart to pneumonia in terms of its impact on the lungs.
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30.
Which one do you like?
A.
Option 1
B.
Option 2
C.
Option 3
D.
Option 4
Correct Answer
A. Option 1
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