Deck 18: Pediatric Diseases With Respiratory Implications

Question 1

What are the gold standards used to diagnose aspiration of food
I)VideofluorosCopic study
II)Modified barium swallow
III)Radioactive dye via endotracheal tube followed up by chest radiograph
IV)CT scan

A)I, II, and III
B)II, III, and IV
C)I, III, and IV
D)I, II, and IV

Answer 1

A

Question 2

Registered respiratory therapists can reduce and stop lung damage in patients with pulmonary edema by initiating what modes of therapy
I)Diuretic intervention
II)Positive end-expiratory pressure therapy
III)Early positive pressure ventilation therapy
IV)Noninvasive positive pressure ventilation therapy
V)Aerosolized DNase
VI)Dialysis

A)I, II, III, and V
B)II, III, IV, and V
C)I, II, III, IV, and VI
D)I, II, IV, and VI

Answer 2

C

Question 3

What is the acidity of saliva

A)pH 6.9
B)pH 7.0
C)pH 7.1
D)pH 7.2

Answer 3

B

Question 4

What are signs of respiratory distress in a near-drowning patient
I)Pink frothy sputum
II)Serosanguineous fluid in the lung
III)Coughing
IV)Wheezing
V)Atelectasis
VI)Paradoxical breathing
VII)Asymmetric breath sounds

A)I, II, IV, VI, and VII
B)III, IV, V, and VII
C)I, II, III, V, and VII
D)I, II, III, IV, V, and VI

Question 5

What maneuver(s) should be provided for a patient with a Complete upper airway foreign body obstruction
I)Prone positioning
II)Suction
III)Chest physiotherapy
IV)Racemic epinephrine
V)Heimlich maneuver
VI)Direct visualization

A)I, II, and VI
B)II, IV, and V
C)V only
D)II and V

Question 6

What is a Common enzyme that helps with the breakdown of dietary proteins

A)Erythromycin
B)Metoclopramide
C)Pepsin
D)Reglan

Question 7

Hyperbaric chambers have shown remarkable success in the management and treatment of carbon monoxide poisoning.

Question 8

What is the leading cause of death among burn patients

A)Carbon monoxide poisoning
B)Systemic Complications
C)Upper airway edema
D)Inhalation injury

Question 9

What are the defense mechanisms to protect the introduction of foreign material into the lungs
I)Hair to trap organism in the nose
II)Cilia to brush organisms out of respiratory tract
III)Deposition of immunologic cells in the respiratory tract
IV)Laryngospasm
V)Glottis closure

A)I, II, and III
B)I, II, III, and IV
C)I, II, IV, and V
D)I, II, III, IV, and V

Question 10

What respiratory therapies are warranted for children with smoke inhalation injuries
I)Expeditious intubation
II)Administration of racemic epinephrine
III)Antibiotic therapy
IV)Administering CortiCosteroid within 36 to 48 hours of insult

A)I, II, and IV
B)I and II
C)III and IV
D)I, II, III, and IV

Question 11

What is the half-life of carboxyhemoglobin at room air

A)1 hour
B)3 hours
C)8 hours
D)5 hours

Question 12

In which type of drowning does laryngospasm persist after a person loses Consciousness

A)Wet drowning
C)Near drowning
D)Dry drowning
D)Laryngospasm drowning

Question 13

What is the most Commonly used treatment in the management of lung inhalation injuries

A)Bronchodilator therapy
B)Inhaled nitrous oxide
C)Nebulized heparin
D)Chest physiotherapy
E)CortiCosteroids

Question 14

What is Considered the only definitive treatment for aspiration of gastric secretions

A)Nissen fundoplication
B)Metoclopramide
C)Erythromycin
D)Proton pump inhibitors

Question 15

Persistent lung damage can cause pulmonary hypertension and lead to heart failure.

Question 16

What arterial blood gas result is evidence of a diagnosis of cyanide poisoning

A)Metabolic alkalosis with adequate oxygenation
B)Metabolic acidosis with adequate oxygenation
C)Respiratory alkalosis with adequate oxygenation
D)Respiratory acidosis with adequate oxygenation

Question 17

Cyanide poisoning cannot be accurately evaluated based on pulse oximetry levels.

Question 18

What is the primary means of diagnosing direct lung injury

A)BronchosCopy
B)CT scan
C)Positron emission tomography scan
D)Endobronchial ultrasound

Question 19

Inflammation leads to chronic fibrosis and poor pulmonary function and is the major morbidity of aspiration.

Question 20

Which of the following ventilator strategies are used in the management of acute respiratory distress syndrome
I)High positive end-expiratory pressure and low tidal volume of 6 mL/kg
II)High positive end-expiratory pressure and low tidal volume of 8 mL/kg
III)High-frequency oscillatory ventilation
IV)Airway pressure release ventilation
V)Permissive hypercapnia

A)I, II, III, IV, and V
B)I, II, and III
C)I, III, IV, and V
D)II, IV, and V