DUNPHY CHAPTER 9: RESPIRATORY
QUESTIONS AND ANSWERS 2022
A chronic cough lasts longer than: - ANS-3 weeks
You are doing a cerumen extraction and touch
... [Show More] the external meatus of your pt's ear.
He winces and starts coughing. What is the name of this reflex? - ANS-Arnold reflex
Julie has a postnasal drip along with her cough. You assess her for: - ANS-Allergic
or vasomotor rhinitis
A pt with HTN comes in and insists that one of his new meds is causing him to
cough. When looking at his list of meds, you think the cough must be from:
a. Metoprolol
b. Clopidogrel
c. Tadalafil
d. Captopril - ANS-d. Captopril
African American pt's seems to have a negative reaction to which of the following
asthma meds?
a. Inhaled corticosteroids
b. Long-term beta-agonist bronchodilators
c. Leukotriene receptor agonists
d. Oral corticosteroids - ANS-b. Long-term beta-agonist bronchodilators
Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as follows:
normal total lung capacity, decreased PaO2, increased PaCO2. On assessment, you
auscultate course crackles and forced expiratory wheezes. What is your dx? - ANSChronic bronchitis
You are using the CURB-65 clinical prediction tool to decide whether Mabel, whom
you have diagnosed with community-acquired pneumonia (CAP), should be
hospitalized or treated at home. Her score is 3. What should you do? - ANSHospitalize and consider admitting her to the ICU
Why do you suspect that your pt may have a decreased response to the TB test?
a. She is on a high-protein diet
b. She is an adolescent
c. She has been on long-term corticosteroid therapy
d. She just got over a cold - ANS-c. She has been on long-term corticosteroid
therapy
Marci has been started on a TB regimen. Because isoniazid (INH) may cause
peripheral neuropathy, you consider ordering which of the following drugs
prophilactically?
a. Pyroxidine
b. Thiamine
c. Probiotic
d. Phytonadione - ANS-a. Pyroxidine
Jolene has breast cancer that has been staged as T1, N0, M0. What might this
mean? - ANS-The cancer is less than 2cm in size and has not spread to the lymph
nodes or other parts of the body
Nathan, a 32yo policeman, has a 15-pack-year history of smoking and continues to
smoke heavily. During every visit, he gets irate when you try to talk to him about
quitting. What should you do? - ANS-Continue to ask him at every visit if he is ready
to quit
Your pt has decided to try to quit smoking with Chantix. You are discussing his quit
date and he will begin taking the med tomorrow. When should he plan to quit
smoking? - ANS-His quit date should be in 1 week
Which info should be included when you are teaching your pt about the use of
nicotine gum?
a. The gum must be correctly chewed to a softened state and then placed in the
buccal mucosa.
b. Pt's should not eat for 30min prior to or during the use of the gum.
c. Initially, one piece is chewed every 30min while awake.
d. Acidic foods and beverages should be encouraged during nicotine therapy. - ANSa. The gum must be correctly chewed to a softened state and then placed in the
buccal mucosa.
Your pt states he has a strep throat infection. Which of the following symptoms
makes you consider a viral etiology instead?
a. Fever
b. HA
c. Exudative pharyngitis
d. Rhinorrhea - ANS-d. Rhinorrhea
What is the first-line recommended treatment against Group A beta-hemolytic
streptococci (GABHS), the most common cause of bacterial pharyngitis? - ANS-PCN
Cydney presents with a h/o asthma. She has not been treated for a while. She c/o
daily but not continual symptoms, greater than 1 week and at nighttime. She has
been using her rescue inhaler. Her FEV1 is 60-80% predicted. How would you
classify her asthma severity? - ANS-Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma. What additional med
should she be taking? - ANS-Inhaled corticosteroid
Your pt is on Therabid for his asthma. You want to maintain his serum levels
between: - ANS-5-15mcg/mL
George has COPD and an 80% forced expiratory volume in 1 second. How would
you classify the severity of his COPD? - ANS-Stage 1 mild COPD
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? CONTINUES... [Show Less]