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RES 222- Adult pathophysio

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Question
Answer
In fungal diseases of the lung, tactile, and vocal fremitus would more than likely be decreased   show
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show Dull precussion note, bronchial breath sounds, radiographic evidence of cavity formation  
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Clinical findings associated with lung abscess are   show
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show TRUE  
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In the wet drowning victim a normal chest radiograph in the first 24 hours rules out the possiblity of alveolar-capiliary deterioration   show
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A positive tuberculin test begins with a wheal of what size   show
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show constrict, parasympathetic-mediated  
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When a pulmonary embolus lodges itself in the pulmonary circulation there is an increase in blood flow distal to the obstruction1   show
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show Blood clot  
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show False  
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show frothy pink secretions throughout the tracheobroncial tree, alveolar atelectasis and intersitial edema  
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Because no carbon dioxide or oxygen exchange occurs beyond a pulmonary embolus, dead space and wasted ventilation increases   show
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show Disseminated tuberculosis and extrapulmonary tuberculosis  
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show frothy white and pink secretions t/o the tracheobroncial tree, intersitial edema, larngospasm and bronchospasm  
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TB bacilli are almost exculsively transmitted within aerosol droplets, produced by the coughing, sneezing, or laughing of an individual with active TB   show
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Graduated compression stockings used to prevent pulmonary embolism, help the veins and muscles move more blood more efficiently by squeezing the patient's arm   show
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show it increases  
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show alveolar atelectasis, pulmonary infarction, blockage of the pulmonary vascular system, possible release of cellular mediators leading to bronchoconstriction  
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show false  
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Which of the following are clinical findings associated with pulmonary embolism   show
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show TRUE  
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Echinocandins is a relatively new class of antifungal agnets used to treat fungal infections from Aspergillus and Candida, True or False?   show
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When is it necessary to intubate and mechanically ventilate a drowning victim?   show
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Which of the following is the most common fungal infection in the United States?   show
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Apena associated with near wet drowning is directly related to the length of time the victim is submerged (i.e. the longer the submersion the more likely the victim is w/o spontaneous respirations)   show
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show TRUE  
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show pleural friction rub, dull percussion note, bronchial breath sounds, dimished breath sounds  
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show Mantoux test  
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Colloid osmotic pressure is called oncotic pressure   show
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show Isoniazid and Rifampid  
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H Capsulatum is commonly found in the soil that is near chicken houses, pigeon lofts, and barns   show
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show FALSE  
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show Lung Abscess  
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During treatment the victim's body temperature may be increased using which of the following   show
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During wet drowning cardiogenic pulmonary edema results from fluid in the pulmonary capillaries moving into the perivascular spaces   show
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Vancomycin is commonly used to treat methcillin-resistant strains of S Aureus   show
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show increased capillary hydrostatic pressure  
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show Inactivity/prolong sitting, Excesive hip or abdominal operations  
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which of the following fungal infections are considered opportunistic pathogens seen in patients with HIV infection   show
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show Excessive fluid administration, left ventricle failure, and mitral valve disease  
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Which of the following is considered a thrombolytic agent used in treating pulmonary embolism   show
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show Decreased pH and increased PaCO2 in severe edema, Decreased cardio outout, Increased shunting  
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show High V/Q ratio  
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Medications and procedures used to help manage pulmonary edema include   show
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show Atelectasis, cavity formation, tissue necrosis, fibrosis and calcification of the lung parenchyma  
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Which of the following anatomic alterations of the lungs are associated with lung abscess   show
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Which of the following should be done when treating a near drowning victim during transport?   show
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Which of the following are clinical findings in near wet drowning victim   show
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What is the normal hydrostatic pressure in the pulmonary capillaries that tends to move fluid out of the pulmonary capillaries   show
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Which of the following factors favor a positive prognosis in cold-water near drowning??   show
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show Wet drowning, near drowing, dry drowning  
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show Macrophages and Polymorphonuclear leukocytes  
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show Desert fever  
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Which of the following is considered the drug of choice for most fungal infections?   show
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Predisposing factors that frequently lead to the aspiration of gastrointestinal fluids (and anaerobes) are usually related to which of the following?   show
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Coughing and hemoptysis due to a pulmonary embolism can be the result of   show
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show Berylliosis, Silicosis, Goodpasture's syndrome, Coal dust, and Radiation therapy  
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Is pneumonthorax considered an obstructive disorder?   show
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show posterior curve of the spine  
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The main goal of managing interstitial lung disease is directed at controlling the inflammation associated with the various disorders   show
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show Pneumothorax  
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show FALSE  
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show originates from the basal cells of the bronchial epithelium  
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Surgical resection is usually an option for patients with NSCLC up to stage IIIA   show
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show TRUE  
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show Compression of the great veins, Atelectasis, Decrease venous return of blood to the heart, lung compression  
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NONE of the following are clinical manifestations below that are normally assoicated with kyposcoliosis   show
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show True  
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During the chronic stages of ILD the inflammatory state is charcterized by edema and the infiltration of a variety of RBCs in the alveolar walls   show
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show Decreased VC, Decreased FRC, Increased CVP, and Decreased cardio output  
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show Chest tube drainage, pleurodesis, Hyperinflatio protocol, Thoracentesis, Oxygen therapy protocol  
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When gas (free air) enters the pleural space the visceral and parietal pleura bond together   show
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Which of the following are also used to describe interstitial lung disease   show
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show FALSE  
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show TRUE  
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show Cavity formation, Honeycombing, and Bronchospasm  
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Identify the clinical manifestations that may be assciated with pleural effusion   show
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show FALSE  
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Fail chest is considered a obstructive pulmonary disorder   show
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Trauma to the neck commonly causes which of the following   show
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Systemic lupus erythematosus presents as a multisystem disorder mainly involving the skin and joints. However, the lungs are involved in about _______ of the cases   show
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Surgery is normally the best option for those patients who have NSCLC in both lungs up to an including stage IV disease   show
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show TRUE  
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show Scleroderma  
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show Motor vehicle accident, Industrial accident, Direct compression by a heavy object  
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What value is used as a benchmark for not being able to view a pleural effusion on an upright chest x-ray?   show
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The hypoxemia associated ILD is normally caused by   show
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show Lateral decubitus view  
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show It can be both a restrictive and an obstructive disorder  
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The clinical manifestations associated with Kyphoscoliosis are based on the clinical scenarios activated by which of the following   show
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Which of the following seem to be possible causes of Kyposcoliosis   show
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A disorder where there are double fractures of at least three or more adjacent ribs causing the thoracic cage to become unstable is specifically referred to as____________   show
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The presence of blood in the pleural space is best known as _________ and can be confirmed by checking___________   show
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The most common cause of plerual effusion is   show
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show When it is larger than 20%  
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Microscopic examiniation of the thickened septa in asbestosis reveals   show
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What type of breath sounds are produced by a pneumothorax   show
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An increased respiratory rate seen in patient's with kyposcoliosis may be the result of which pathophysiologic mechanisms?   show
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show tension/ closed pneumothorax  
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In order to evacuate air from the pleural cavity and re-expand a lung affected by a pneumothorax, the suction should   show
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Major causes of a transudative pleural effusion include   show
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Which type of lung cancer is most associated with cigarette smoking and carries with it the worst prognosis   show
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Treatment/management options for those patients with small-cell lung cancer usually include:   show
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show Squamous carcinoma, Adenocarinoma  
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Which of the following may be associated with Kyphoscoliosis?   show
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show COPD, TB, Pneumonia  
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show O2 therapy, Aersolized medication protocol, Bronchopulmonary hygiene, Lung expansion therapy  
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Common surgical procedures suggested for the patient with NSCLC include:   show
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Large cell carcinoma   show
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Fill in the blanks: In severe cases of pneumonthorax the great veins can become _______ and cause ________ return to the heart to the heart to__________.   show
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Which of the following are considered major pathological or structural changes associated with bronchogenic carcinoma   show
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show Oat-cell carcinoma  
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show Mediastinal shift, Atelectasis, Lung compression due to thoracic deformity  
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Select the statements below that describe the TNM classification system   show
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show Decreased PEFR, Pitting edema and distended neck veins, Increased pulmonary shunting, CXR exhibiting cavity formation, granulomas and/or bilateral reticulonodular appearance  
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show Routine bronchial hygiene, Oxygen therapy protocol, Medication for pain management, volume controlled ventilation with PEEP to stalize the flail  
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show Age of the victim, Duration and extent of smoke exposure, chemical composition of the smoke being inhaled  
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show TRUE  
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show Decrease barotraumas, reduce overdistention of the lungs  
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A phrenic pacemaker is normally recommended for the patient suffering from obstructive sleep apnea   show
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Direct thermal injuries normally do not occur below the level of the larynx execpt in the rare instance of steam inhalation   show
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show 5 hours  
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show supine postition  
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show FALSE  
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show COP, BOOP  
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show TRUE  
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show Nipride, Atropine, Phentolamine  
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show FALSE  
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show FALSE  
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show Drug overdose, shock, Infections, Oxygen toxicity, Aspiration  
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The distal airways and alveoli are usually protected from thermal injury by   show
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show TRUE  
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ARDS is considered an obstructive lung disorder   show
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The etiology of myasthenia gravis appears to be associated _________ antibodies that block nerve impulse transmission at the neuromuscular junction   show
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Select the signs and symptoms below that may be associated with obstructive sleep apnea   show
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show TRUE  
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show elevated  
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show FALSE  
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show TRUE  
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The 3 Primary types of sleep apnea are classified as   show
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show Increased opacity and Ground glass appearance  
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CO poisoning can greatly reduce oxygen transport because its affinity for hemoglobin is 400 times greater than that of oxygen   show
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Myasthenia gravis is more common in younger men   show
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Select the appropriate treatment for the patient who has recently inhaled hot gases and exhibits signs of impending UAO   show
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show FALSE  
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show Atelectasis, Airway obstruction, Alveolar consolidation, Accumilation of mucus  
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Most thermal injuries affect the distal airways and alveoli   show
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show TRUE  
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show Frequent measurement of the patient's VC, BP, and NIF, Heparin therapy, Measurement of the patient's oxygen saturation, Plasmapheresis, Aterial blood gas measurement  
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What techniques may be useful in the diagnosing of myasthenia gravis   show
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show False  
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What chronic neurologicval disorder is characterized by the interference of acetylcholine between the axonal terminal and the receptor sites of voluntray muscle   show
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Which of the following describes obstructive sleep apnea (OSA)   show
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The chest radiograph associated with smoke inhalation   show
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All of the following are considered major pathological or structual changes associated with ARDS   show
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Which of the following describes the strategy of reducing the tidal volume thereby allowing the patient's PaCO2 to increase in order to protect the lungs from high airway pressures   show
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show 10 seconds or longer  
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show 3rd degree burn  
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show smoke inhalation  
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show CSA  
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The following events may occur during REM sleep   show
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Treatment modalities for managing sleep apnea may include   show
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The mucosa of the tracheobronchial tree very often becomes necrotic and sloughs ________ post inhalation of smoke   show
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Select the clinical finding below that may be associated with Guillain-Barre syndrome   show
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Correct sequence of events resulting in the manifestation of ARDS   show
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show Non-REM sleep consists of 4 separate stages of sleep, Non-REM sleep usually lasts 60 to 90 minutes, It is possible for an individual to move directly into REM sleep from any of the 3 stages of Non-REM sleep  
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A burn identified as superficial to deep thickness describes   show
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show Prostigmin, Pyridostigmine, Mestinon, Neostingmine  
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During periods of sleep apnea the heart rate ______ then _______ after termination of the apne   show
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Which of the following are clinical findings that may be associated with myasthenia gravis   show
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show 1 to 4 weeks after a febrile episode such as a mild upper respiratory infection  
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show Cardiovascular status, Respiratory status, Percentage of body burned, Patient's airway  
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Which of the following appear to attack and strip off the myelin sheath of the peripheral nerves and leave selling/fragmentation of the neural axon in Guillain-Barre syndrome   show
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The current ventilation strategy for the majority of patients with ARDS suggests the use of   show
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