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CP diseases

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Question
Answer
The major pathologic or structural changes associated with emphysema are:   show
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Panlobular emphysema is the abnormal dilation of the airways:   show
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Important etiologic factors of emphysema are:   show
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Polycythemia and corpulmonale associated with severe emphysema may lead to the following:   show
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show Polycythemia  
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show Depressed or flattened diaphragms,Enlarged heart,Increased retrosternal air spaces  
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Functional Residual capacity (FRC) is higher in a patient with severe emphysema because:   show
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Sputum examination of an emphysematic patient (when accompanied by chronic bronchitis) most commonly:   show
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show False  
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Which is the most appropriate lung volume for a patient with emphysema?   show
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show hyperresonant.  
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Which of the following pulmonary function study findings are associated with severe emphysema?   show
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Which of the folllowing is true regarding a patient in severe emphysema?   show
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The lung parenchyma in the chest radiograph of a patient with emphysema appear   show
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Major anatomic alterations of the lungs associated with emphysema:   show
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Chest assessment findings of a patient with chronic bronchitis:   show
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show Streptococus pneumoniae  
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In the treatment of patients presenting to the hospital with moderate or severe acute exacerbation of COPD, the following therapeutic options are benefitial:   show
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show enlarged  
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show Ozone,Sulpher dioxide,Nitrogen oxide.  
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Spirometry results on a patient with chronic bronchitis shows which of the following? ERV?   show
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show Distended neck vein,An elevated hemoglobin concentration, An enlarged liver  
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show Systemic corticosteroids (up to 2 weeks) if the patient is not receiving long term oral steroid  
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Chronic bronchitis is charecterised by:   show
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Which of the following is/are true regarding intrinsic asthma?   show
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show Histamine,Leukotrines,ECF-A  
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show 50-80% of personal best PEFR  
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show Severe persistent  
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When pulsus paradoxus appears during an asthmatic attack:   show
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Which of the following doesn't affect Oxygen transport (D02):   show
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show Atelectasis (severe cases)  
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show Chronic dilation of bronchial airway  
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show Bronchial gland hypersecretion occurs,Tissue edema occurs  
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During an asthmatic episode, which of the following spirometry values are true?   show
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show ECF-A,Histamine,Leukotrines  
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show Increased pH,Decreased Bicarbonate,Decreased PaO2  
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show Temporary increase in medication  
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First line preventer (controller) agent for asthma is   show
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Major pathologic or structural changes associated with bronchiectasis:   show
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Major forms of bronchiectasis are:   show
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Which of the following is true regarding vericose(fusiform) bronchiectasis:   show
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Which type of bronchiectasis causes the greatest damage to the tracheobronchial tree?   show
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show  
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show Repeated and prologed respiratory tract infections,Bronchial obstruction caused by foreign bodies,Respiratory complications of chickemnpox  
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show Haemophilus Influenzae,Streptococus,Pseudomonas aeruginosa  
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Arterial blood gas in a severe bronchiectasis is most likely:   show
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show Restrictive or obstructive disease  
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show . Pulmonary tuberculosis  
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In the primary obstructive form of bronchiectasis, the patient commonly demonstrates which of the following?   show
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show Acetylcysteine,rhDNase  
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When the pathophysiology of bronchiectasis is primarily obstructive in nature the patient demonstrates which of the following clinical manifestations?   show
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Which of the following diagnostic procedures is/are used to diagnose bronchiectasis?   show
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Which of the following is/are congenital causes of bronchiectasis?   show
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Haemophilus influenzae   show
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Streptococcus   show
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show Gram-negative organism  
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show Viral cause  
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show Gram-negative organism  
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Mycoplasma pneumonia   show
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show Gram-positive organism  
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Severe acute respiratory syndrome (SARS)   show
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Most bacterial pneumonias are caused by Streptococcus bacteria. t or f?   show
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Increased respiratory rate, increased heart rate , and decreased chest expansion are usually noticed on patients with pneumonia during physical assessment. t or f?   show
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show t  
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show f  
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show t  
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show Aspergillus,Cryptococus, Pneumocysis carinii,Cytomegalovirus  
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show Penicillin  
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The chest assessment findings commonly show which of the following directly over the abscess?   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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Which of the following anatomic alterations of the lungs is/are associated with lung abscess?   show
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Anatomically, a lung abscess most commonly forms in which part(s) of the lung:   show
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Which of the following pulmonary function findings may be associated with severe and extensive lung abcess?   show
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show Respiratory tract,Gastrointestinal tract,Open wound in the skin  
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show 10 mm or greater  
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show Blood stream  
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The most common oxygen rich areas where the disseminated TB bacilli resides are:   show
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What is the name of the protective cell wall that surrounds and encases lung tissue infected with tuberculosis?   show
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show Is foreign born,Had previous antituberculous drug therapy,Been exposed to another patient with drug resistant TB  
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show that a patient has active TB  
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show Desert fever,San Joaquin Valley disease,Valley fever  
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show Amphotercin B  
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Fungal diseases most commonly involve the apical and posterior segments of the upper lung lobes. t or f?   show
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show t  
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When fungal spores are inhaled, which of the following pathologic or structural changes of the lungs may happen?   show
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Signs and symptoms of chronic pulmonary histoplasmosis is charecterized by infiltration and cavity formation in the upper lobes of one or both lungs. What are the signs and symptoms of the disease at this stage?   show
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The diagnosis of blastomycosis can be made by:   show
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show Coccidomycosis  
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Opportunistic infection is:   show
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show Lung volumes are lower in restrictive lung disorders,Expiratory flow rates are lower in obstructive lung disorders  
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show increases  
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Colloid osmotic pressure is also called   show
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show normal or decreased  
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show Excessive sodium consumption  
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The normal colloid osmotic pressure in the pulmonary capillaries:   show
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show Inability to breath in a supine position  
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show Head injury,Pneumonia,Sulfur dioxide,Alveolar hypoxia  
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show 10-15 mm Hg  
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In pulmonary edema, fluid first moves into the:   show
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Which of the following are causes of cardiogenic pulmonary edema?   show
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show Promotes pulmonary shunting,Raises venus admixture,Causes hypoxemia  
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Mask CPAP has been shown to produce significant and rapid improvement in oxygentation and ventilatory status in patients with pulmonary edema due to:   show
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Acute pulmonary edema is treated by:   show
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A large embolus that lodges in the bifurcation of the pulmonary artery is called a   show
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show Wasted ventilation  
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As a result of the decreased systemic blood pressure associated with a pulmonary embolism, reflexes from the aortic and carotid sinus baroreceptors cause:   show
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The last resort in treating pulmonary embolism because of the mortality rate associated with it is:   show
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show Syncope  
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If ABG shows acute ventilatory failure for a patient with severe pulmonary emboli, the most appropriate treatment is:   show
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show Decreased cross-section area of the pulmonary vascular system because of the emboli, Vasoconstriction induced by alveolar hypoxia, Vasconstriction induced by humoral agents  
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show Urokinase,Tissue plasminogen activator (TPA,Streptokinase  
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show Alveolar atelectasis,Consolidation,Bronchial smooth muscle constriction  
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A first-choice test for patients suspected of having pulmonary embolism is   show
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show Dilation of the pulmonary arteries,Pulmonary edema,Right ventricular cardiomegaly  
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When humoral agents such as serotonin are released into the pulmonary circulation, which of the following occur?   show
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Most pulmonary emboli originates from   show
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show VT decreases,FRC decreases  
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show Cardiac output decreases,VO2 remains unchanged  
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show Three or more adjacent ribs  
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show Sink in during inspiration  
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In mild cases of flail chest the required treatment is:   show
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show Stabilization of chest wall,Volume caontrol ventilation with PEEP  
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Which of the following pathophysiologic mechanisms may be activated as a result of a flail chest and increase the patient’s respiratory rate?   show
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When gas enters the pleural space during inspiration but is unable to leave during expiration, the patient is said to have a/an:   show
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show Pneumonia,Tuberculosis,Bulla  
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show The mediastinum often moves to the unaffected side during inspiration, Intrapleural pressure on the affected side often rises above the atmospheric pressure during inspiration,The mediastinum often moves to the affected side during expiration  
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A patient with a severe tension pneumothorax demonstrates which of the following?   show
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Which of the following is not a major pathologic change associated with pneumothorax:   show
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show Pleural space is in direct contact with atmosphere,Gas can move in and out of pleural space,Also called sucking chest wound  
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A pneumothorax in which the intrapleural pressure exceeds intraalveolar pressure is called:   show
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show -5 cm H2O  
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When the pneumothorax is 15-20% the patient may need:   show
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show Needle aspiration  
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show CHF  
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Trauma to the neck commonly causes which of the following?   show
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Which of the following is/are major causes of an exudative pleural effusion?   show
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show Dull percussion note,Tracheal shift  
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Which of the following is/are associated with transudative pleural effusion?   show
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show Protein and glucose,Cytology,RBC count,AFB stains  
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Chylothorax   show
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show Pus in the pleural cavity  
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Pleurodesis   show
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show Puncture of the chest wall for the removal of fluid  
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Which of the following pulmonary function value(s) is/are true in kyphoscoliosis?   show
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The clinical manifestations associated with kyphoscoliosis are   show
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show Dull percussion note, Bronchial breath sounds  
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show false  
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show True  
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show Surgery is recommended if the curvature of the spine is greater than 50 degrees, Braces does not cure scoliosis  
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The etiologic determinants in the development of pneumoconiosis include the following except:   show
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The DLCO is normal in pneumoconiosis.t or f?   show
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A lower-than-normal hemoglobin concentration is associated with severe pneumoconiosis. t or f?   show
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The clinical manifestations associated with pneumoconiosis are based on the clinical scenarios activated by which of the following?   show
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Chest radiographic findings of patient with pneumoconiosis include   show
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show Decreased FEV 1.0,Decreased FVC  
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The fibrotic changes that develop in coal worker's pneumoconiosis usually result from which of the following?   show
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show very fast  
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growth rate of Squamous cell carcinoma   show
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show moderate  
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show Alveolar consolidation,Pleural effusion,Atelectasis  
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Benign tumors:   show
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Which of the following has the fastest growth (doubling) rate?   show
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show Undifferentiated carcinoma,Squamous carcinoma,Adenocarcinoma  
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Squamous cell carcinoma is strongly associated with cigarette smoking. t or f?   show
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Adenocarcinoma arises from the mucous glands of the tracheobronchial tree. t or f?   show
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Surgical resection is the principle form of treatment for patients with Stage I or Stage II lung cancer. t or f?   show
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show t  
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Which of the following statements is true regarding ARDS?   show
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During early stages of ARDS, the patient commonly demonstrates which of the following arterial blood gas?   show
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show  
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The clinical manifestations associated with ARDS are based on the clinical scenarios activated by which of the following?   show
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What is the generic name of Lasix?   show
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Disseminated intravascular coagulation (DIC) seen in patients with shock is a condition of paradoxical simultaneous clotting and bleeding that produces microthrombi in the lungs. t or f?   show
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show Hyperresonant percussion note  
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Ventilation strategy for most patients with ARDS is:   show
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The patient with interstitial lung disease may demonstrate:   show
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Which of the following is another name for extrinsic allergic alveolitis?   show
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show Idiopathic pulmonary fibrosis  
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Pulmonary manifestations of Systemic Lupus Erythematosus are:   show
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show Normal or decreased FEV1,Decreased FVC  
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A pleural effusion is commonly associated with which of the following chronic interstitial lung diseases?   show
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show Open lung biopsy  
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The organs primarily involved in Goodpasture's syndrome are:   show
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show Anemia  
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The respiratory clinical manifestations associated with Guillain-Barré Syndrome are based on the clinical scenarios activated by which of the following?   show
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show decreased ability to swallow.,decreased gag reflex.,tingling sensation and numbness,sensory nerve impairment.  
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Although the precise cause of Guillain-Barre syndrome is not known, it's probably:   show
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Which of the following are possible precursors to Guillain-Barre syndrome?   show
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show inflammation,Demyelination, Edema  
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show Clinical history,Significant signs include paralysis,CSF findings  
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show Plasmapheresis (plasma exchange)  
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show Double vision,Weakness of arms and legs,Drooping of upper eyelids,Speech impairment  
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Which of the following is/are used to treat myasthenia gravis?   show
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Which of the following is/are associated with myasthenia gravis?   show
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show Blocking the ACH from the receptor sites of the muscular cell,Accelerating the breakdown of ACH  
🗑
show Clinical history,Neurological examination,Blood analysis,Edrophonium (Tensilon) test  
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show 10 minutes  
🗑
show t  
🗑
show Vital Capacity,Maximum Inspiratory Pressure (MIP),Arterial Blood Gasses (SpO2)  
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Rationale for thymectomy for young adult females with Myastenia Gravis is due to the belief that the thymus gland is the source of:   show
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show More than 5 episodes of apnea per hour over a 6-hour period  
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show f  
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Negative-pressure ventilation is contraindicated in obstructive sleep apnea. t or f?   show
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During periods of sleep apnea, the patient commonly demonstrates an increased heart rate.t or f?   show
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show False  
🗑
show Atrioventricular block,Sinus bradycardia,Ventricular tachycardia,Premature ventricular contraction,Sinus arrhythmia  
🗑
show Slow wave sleep,Quiet sleep  
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show Obstructive sleep apnea,Obesity,Loud snoring  
🗑
show Obesity,Enlarged tonsils or adenoids  
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show Premature ventricular contraction,Ventricular tachycardia,Sinus bradycardia  
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show Negative pressure ventilation  
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show Calorimeter to measure the calories used during sleep  
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show Victim survives a liquid submersion at least temporarily  
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Cardiopulmonary clinical manifestations associated with near drowning victim:   show
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show 48 to 72 hours  
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show Atelectasis  
🗑
show PaO2 of 60 mm Hg or greater with an FiO2 of 50% or lower  
🗑
show  
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show Larynx  
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Thermal injuries to the distal airways results in:   show
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Organisms commonly cultured in the intermediate stage of burns include:   show
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show Sepsis,Multiorgan failure, Pneumonia, Pulmonary Embolism  
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The prognosis of the fire victims usually is determined by:   show
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show Decreased lung and chest compliance,Increased airway resistance,Immobility, Pain  
🗑
Which of the following is/are the pulmonary related pathologic change(s) associated with smoke inhalation?   show
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Healing time for a seceond-degree burn is between:   show
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Long term effects of smoke inhalation result in restrictive and obstructive lung disorders, a restrictive lung disorder develops from:   show
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show 4 ml/kg of body weight for each percent of BSA burned over a 24 hour period.  
🗑
show  
🗑
show  
🗑


   

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