RES 222- Adult pathophysio
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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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