NSG6420 week 3 quiz with complete solutions | Latest 2023/2024
Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary
... [Show More] care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, " I have the same thing, year after year." Which of the following choices would you consider strongly in your critical thinking process?"
chronic bronchitis
A patient presents complaining of a 5day history of upper respiratory symptoms including nasal congestion and drainage. On the day the symptoms began he had a low-grade fever that has now resolved. His nasal congestion persisted and he has had yellow nasal drainage for three days associated with mild headaches. On exam hi is afebrile and in no distress. Examination of his tympanic membranes and throat are normal. Examination of this nose is unremarkable although a slight yellowish-clear drainage is noted. There is tenderness when you lightly percuss his maxillary sinus. What would your treatment plan for this patient be?
observation and reasssurance
Emphysematous changes in the lungs produce the following characteristic in COPD patients?
Increased anterior-posterior diameter
When palpating the posterior chest, the clinician notes increased tactile fremitus over the left lower lobe. This can be indicative of pneumonia. Areas of increased fremitus should raise the suspicion of conditions resulting in increased solidity or consolidation in the underlying lung tissue, such as in pneumonia, tumor, or pulmonary fibrosis. In the instance of an extensive bronchial obstruction.
No palpable vibration is left
Your patient presents with complaint of persistent cough. After you have finished obtaining the history of present illness, you realize that the patient may be having episodes of wheezing, in addition to his cough. The most common cause of cough with wheezing is asthma. What of the following physical exam findings will support your tentative diagnosis of asthma?
clear, watery nasal drainage with nasal turbinate swelling
Which of the following imaging studies should be considered if a pulmonary malignancy is suspected?
computed tomography (CT) scan
A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion. This could be due to:
Alpha-1 deficiency
Upon assessment of respiratory excursion, the clinician notes asymmetric expansion of the chest. One side expands greater than the other. This could be due to
pneumothorax
A 72-year-old woman and her husband are on a cross-country driving vacation. After a long day of driving, they stop for dinner. Midway through the meal, the woman becomes very short of breath, with chest pain and a feeling of panic. which of the following problems is most likely?
Pulmonary embolism
A cough is described as chronic if it has been present for
8 weeks or more
Testing is necessary for the diagnosis of asthma because history and physical are not reliable means of excluding other diagnoses or determining the extent of lung impairment. What is the study that is used to evaluate upper respiratory symptoms with new onset wheeze?
spirometry, both with and without bronchodilation
In classifying the severity of your patient presenting with an acute exacerbation of asthma. You determine that they have moderate persistent symptoms based on the report of symptoms and spirometry readings of the last 3 weeks. The findings that support moderate persistent symptoms include.
Symptoms daily with nighttime awakening more than 1 time a week. FEV1 60%, but predicted <80% FEV1/FVC reduced 5%
The following criterion is considered a positive finding when determining whether a patient with asthma can be safely monitored and treated at home
Tachypnea greater than 30breaths/minute
Medications are chosen based on the severity of asthma. Considering the patient that is diagnosed with moderate persistent asthma, the preferred option for maintenance medication is:
Low dose inhaled corticosteroid and long acting beta2 agonist inhaler
A 75-year-old patient with community-acquired pneumonia presents with chill, productive cough, temperature of 102.1 pulse 100, respiration 18, BP 90/52, WBC 12,000, and blood urea nitrogen (BUN) 22 mg/dL. He has a history of mild dementia and his mental status is unchanged from his last visit. These findings indicate that the patient
can be treated as an outpatient
which of the following is considered a "red flag" when diagnosing a patient with pneumonia
pleural effusion on chest x-ray
A 23-year-old patient who has had bronchiectasis since childhood is likely to have which of the following
clubbing [Show Less]