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COPD (CB & Emph) Test

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1.
Which of the following are anatomic alterations found with emphysema?
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2.
The barrel chest is a physical sign of what?
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3.
Clinical manisfestation of acute bronchitis
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4.
Compensatory mechanisms that take place within 24 hours of Respiratory Acidosis
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5.
FEV1/FVC% in Chronic Bronchitis
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6.
What are the two types of emphysema?
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7.
Define COPD
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8.
Percussion in Emphysema
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9.
centrilobular emphysema
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10.
FVC in emphysema
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11.
normal range for adult pulse rate?
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12.
Clinical manifestations of Chronic Bronchitis
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13.
normal acid base balance?
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14.
Etiology of Acute Bronchitis
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15.
hypoxemia
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16.
Chronic Bronchitis
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17.
Which of the following are associated with chronic bronchitis
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18.
According to the GOLD report, which of the following is the greatest worldwide risk factor for COPD
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19.
List 3 categories of Bronchodialators used in treatment for COPD
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20.
3 main spirometry test used to identify COPD
A.
Weakened distal airways Decreased surface area for gas exchange Hyperinflation
B.
Chronic inflammation and swelling of the wall of the peripheral airways.Excessive mucous production and accumulation. Partial or total mucous plugging of the airways. Smooth muscle constriction of bronchial airways(bronchospasm).Airtrapping/hyperinflatio
C.
Chronic Obstructive Pulmonary Disease is a preventable and treatable disease state characterized by airflow limitation that is not fully reversible.
D.
centrilobular and panlobular
E.
60-100 bpm
F.
decrease
G.
Cough with sputum production Typically lasts 10-20 days 50% will have purulent sputum, Bronchospasm (improves in 5-6 weeks)FEV1 reduced in 40% of patients
H.
a decreased arterial oxygen level
I.
tobacco smoke
J.
Kidneys conserve HCO3 and excrete more hydrogen ions into urine Urine becomes more acidotic
K.
The conducting airways (particularly the bronchi)are the primary structures that undergo change in chronic bronchitis.
L.
Influenza,Parainfluenza, coronavirus, rhinovirus, RSV, human metapneumovirus
M.
1:20
N.
decreased
O.
Beta2-Agonists Anticholinergics
P.
emphysema
Q.
Forced Vital Capacity (FVC) Forced Expiratory Volume in 1 second (FEV1) Forced exp. vol. in 1 sec/forced vital capacity ratio (FEV1/FVC ratio) aka (FEV1%)
R.
right heart failure purulent sputum elevated CO2 levels cyanosis
S.
Hyperresonance
T.
this type of emphysema is associated primarily with cigarette smoking and affects mainly the respiratory bronchioles
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21.
Loss of tractional support
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22.
Total Lung Capacity in Chronic Bronchitis
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23.
Sa02 normal values
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24.
In chronic bronchitis what airways are affected first?
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25.
total lung capacity in emphysema
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26.
Residual Volume in Emphysema
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27.
Emphysema
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28.
Type B COPD;the term is derived from the cyanosis commonly seen in patients with Chronic Bronchitis. Pts tend to be stocky and overweight. HYPOventilation common. secondary polycythemia, CO2 retention,pulmonary hypertension, and cor pulmonale
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29.
Chronic Bronchitis
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30.
Presence of permenant enlargement of the airspaces distal to the terminal bronchials accompanied by distraction of the walls and without obvious fibrosis

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