Deck 13: Bronchiectasis

Question 1

The preferred radiographic method to evaluate a patient's bronchiectasis is:

A) posterior-anterior radiograph (x-ray).
B)anterior-posterior radiograph (x-ray).
C)computed tomography (CT).
D)bronchogram.

Answer 1

computed tomography (CT).

Question 2

Patients with bronchiectasis can have the following anatomic alterations:
1) Hyperinflation
2) Pulmonary embolism
3) Consolidation
4) Pneumothorax

A)1, 3
B)1, 4
C)2, 3, 4
D)1, 2, 3

Answer 2

1, 3

Question 3

A mother brought her 2 year old son to the physician. He has been coughing up secretions and having wheezy breathing ever since choking on food six months ago. The physician diagnosed the boy with bronchiectasis. What could be the cause?

A) Cystic fibrosis
B)Measles
C)Asthma
D)Aspiration

Answer 3

Aspiration

Question 4

Mechanical ventilation would be justified in the management of a patient with bronchiectasis under the following circumstances:

A) Patient has a reversible lung problem
B)To prevent atelectasis
C)To provide supplemental oxygen
D)To help to mobilize secretions

Question 5

Congenital causes of bronchiectasis include:
1) Influenza
2) Cystic fibrosis
3) COPD
4) Kartagener's syndrome

A)2, 4
B)1, 3
C)1, 2, 3
D)2, 3, 4

Question 6

Management of the patient with bronchiectasis may include:
1) Expectorants
2) Early childhood immunizations
3) Lung resection
4) Lung transplant

A)1, 3
B)3, 4
C)1, 2, 3
D)1, 2, 3, 4

Question 7

For religious reasons, a young couple has not given their 4-year-old daughter the usual childhood immunizations. She has been repeatedly hospitalized with pulmonary infections. As the respiratory therapist caring for the child, what would you tell the parents that she is a risk of developing?

A) Chronic bronchitis
B)Asthma
C)Bronchiectasis
D)Left ventricular hypertrophy

Question 8

Which form of bronchiectasis causes the greatest amount of damage to the tracheobronchial tree?

A) Triphasic
B)Varicose
C)Cystic
D)Fusiform

Question 9

A patient with long-standing bronchiectasis also has pneumonia. Which of the following hematology test results would be expected?
1) Decreased red blood cell (RBC) count
2) Decreased white blood cell (WBC) count
3) Elevated WBC count
4) Increased hemoglobin and hematocrit

A)1, 2
B)3, 4
C)2, 4
D)1, 3, 4

Question 10

Severe bronchiectasis is associated with all of the following EXCEPT:

A) vesicular breath sounds.
B)cor pulmonale.
C)distended neck veins.
D)polycythemia.

Question 11

Which of the following pulmonary function testing values would be found in a patient with severe, obstructive bronchiectasis?

A) Decreased RV/TLC ratio
B)Increased PEFR
C)Increased FEF_25%-75%
D)Decreased FEF_25%-75%

Question 12

Irregularly dilated and constricted bronchi are the key anatomic alterations found in which type of bronchiectasis?

A) Cystic
B)Varicose
C)Tubular
D)Saccular

Question 13

Your patient has rhinosinusitis, right-sided heart placement, and bronchiectasis. She is likely to have which of the following conditions?

A) Pierre Robin syndrome
B)Kartagener's syndrome
C)Down syndrome
D)cystic fibrosis

Question 14

Rigid and dilated bronchi are the key anatomic alterations found in which type of bronchiectasis?

A) Varicose
B)Cystic
C)Emphysematous
D)Cylindrical

Question 15

For a patient with bronchiectasis to reduce the risk of his/her condition worsening, which of the following should be done?
1) Avoid air pollution.
2) Get an influenza vaccination.
3) Take an antibiotic every day.
4) Avoid smoking.

A)3, 4
B)1, 2, 4
C)2, 3, 4
D)1, 2, 3, 4