Deck 25: Interstitial Lung Diseases

Question 1

Your patient has asbestosis. What major pathologic and structural changes are associated with this and other types of ILD?
1) Fibrocalcific pleural plaques
2) Excessive secretions
3) Bronchospasm
4) Mediastinal shift

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

Answer 1

1, 2, 3

Question 2

Your patient has systemic lupus erythematosus (SLE) of the lungs. What is the most commonly found pulmonary complication of SLE?

A) Bronchospasm
B)Pleurisy
C)Atelectasis
D)Diaphragmatic dysfunction

Answer 2

Pleurisy

Question 3

Progressive systemic sclerosis affects the following organs :
1) Skin
2) Reproductive organs
3) Lungs
4) Brain

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

Answer 3

1, 3

Question 4

Chest radiograph findings in a patient with ILD can include:
1) pleural effusion.
2) honeycombing.
3) cavity formation.
4) granulomas.

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

Question 5

The interstitial lung diseases include:
1) asbestosis.
2) sarcoidosis.
3) staphylococcus.
4) silicosis.

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

Question 6

Your patient has been diagnosed with Wegener's granulomatosis. Her long-term prognosis is:

A) excellent, with full recovery expected.
B)fair, with recovery expected after proper treatment.
C)guarded, recovery is possible after proper treatment.
D)poor, recovery is not expected.

Question 7

Generally, a patient with ILD will have a lung compliance that is:

A) higher than normal.
B)normal.
C)less than normal.
D)variable based on the etiology.

Question 8

Which of the following classes of drugs has the largest group of agents that can cause interstitial lung disease?

A) Anticancer
B)Cardiovascular
C)Antibiotics
D)Antiinflammatory

Question 9

Chest assessment findings in a patient with ILD would include:
1) pleural friction rub.
2) increased vocal fremitus.
3) vesicular breath sounds.
4) hyperresonant percussion note.

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

Question 10

What medication group is commonly administered to patients with interstitial lung disease?

A) Antibiotics
B)Mucolytics
C)Corticosteroids
D)Diuretics

Question 11

What group of people are the most likely to get sarcoidosis?
1) African-American women
2) White men
3) 20- to 30-year age bracket
4) >50-year age bracket

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

Question 12

Your patient with mild to moderate ILD has hypoxemia and will be given oxygen therapy. All of the following are possible causes of hypoxemia EXCEPT:

A) hypoventilation.
B)capillary shunting.
C)alveolar thickening.
D)fibrosis.

Question 13

In a patient with coal worker's pneumoconiosis or silicosis, the diffusing capacity would be:

A) unaffected.
B)increased.
C)decreased.
D)variable based on the age of the patient.

Question 14

Cryptogenic organizing pneumonia (COP) (also known as bronchiolitis obliterans with organizing pneumonia [BOOP]) has been associated with which of the following?

A) COPD
B)Heart failure
C)Infection
D)Asthma

Question 15

All of the following are anatomic alterations of the lungs that may be found with the chronic stage of interstitial lung disease (ILD) EXCEPT:

A) honeycombing.
B)edema.
C)interstitial thickening.
D)granulomas.