Deck 37: Respiratory Syncytial Virus Bronchiolitis or Pneumonitis

Question 1

Identify the major anatomic alterations of the lungs associated with RSV.
Inflammation and swelling of the peripheral airways

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Answer 1

YES-This is associated with RSV.

Question 2

Identify the major anatomic alterations of the lungs associated with RSV.
Alveolar consolidation

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Answer 2

YES-This is associated with RSV.

Question 3

Identify the major anatomic alterations of the lungs associated with RSV.
Intraalveolar hyaline membrane

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Answer 3

NO-This is not associated RSV.

Question 4

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Respiratory Syncytial Virus (RSV).
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with RSV.
B)NO-This is not associated with RSV.

Question 5

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Respiratory Syncytial Virus (RSV).
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with RSV.
B)NO-This is not associated with RSV.

Question 6

Identify the major anatomic alterations of the lungs associated with RSV.
Destruction of alveoli and adjacent pulmonary capillaries

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 7

Identify the major anatomic alterations of the lungs associated with RSV.
Complete obstruction and atelectasis

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 8

Identify the major anatomic alterations of the lungs associated with RSV.
Bronchospasm

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 9

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Respiratory Syncytial Virus (RSV).
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with RSV.
B)NO-This is not associated with RSV.

Question 10

Identify the major anatomic alterations of the lungs associated with RSV.
Granulomas

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 11

Identify the major anatomic alterations of the lungs associated with RSV.
Compression of great veins

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 12

Identify the major anatomic alterations of the lungs associated with RSV.
Pulmonary infarction

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 13

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Respiratory Syncytial Virus (RSV).
Atelectasis Clinical Scenario

A)YES-This is associated with RSV.
B)NO-This is not associated with RSV.

Question 14

Identify the major anatomic alterations of the lungs associated with RSV.
Honeycombing

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 15

Identify the major anatomic alterations of the lungs associated with RSV.
Pulmonary surfactant deficiency

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 16

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Respiratory Syncytial Virus (RSV).
Bronchospasm Clinical Scenario

A)YES-This is associated with RSV.
B)NO-This is not associated with RSV.

Question 17

Identify the major anatomic alterations of the lungs associated with RSV.
Fibrotic thickening of the alveoli

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 18

Identify the major anatomic alterations of the lungs associated with RSV.
Partial airway obstruction and alveolar hyperinflation

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 19

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Respiratory Syncytial Virus (RSV).
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with RSV.
B)NO-This is not associated with RSV.

Question 20

Identify the major anatomic alterations of the lungs associated with RSV.
Sloughing of necrotic airway epithelium

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 21

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
IC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 22

Identify the major anatomic alterations of the lungs associated with RSV.
Excessive airway secretions

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 23

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
PEFR

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 24

Identify the major anatomic alterations of the lungs associated with RSV.
Chronic dilation and distortion of bronchial airways

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 25

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
FVC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 26

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
FEV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 27

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
MVV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 28

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
VC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 29

Identify the major anatomic alterations of the lungs associated with RSV.
Hypoxia-induced pulmonary vasospasm and vasoconstriction

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 30

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
V_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 31

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
FRC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 32

Identify the major anatomic alterations of the lungs associated with RSV.
Cavity formation

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 33

Identify the major anatomic alterations of the lungs associated with RSV.
Interstitial and intra-alveolar edema and hemorrhage

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 34

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
TLC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 35

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
FEF_200-1200

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 36

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
FEF_50%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 37

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
RV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 38

Identify the major anatomic alterations of the lungs associated with RSV.
Frothy white (or pink) bronchial secretions

A)YES-This is associated with RSV.
B)NO-This is not associated RSV.

Question 39

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
FEF _25%-75%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 40

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
ERV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 41

Between 0.5% and 2% of infants with severe lower respiratory tract RSV infections require hospitalization.

Question 42

Match the arterial blood gas changes that develop in mild to moderate RSV infection to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 43

Match what develops in the oxygen indices of the newborn with an RSV infection with the items listed below. Items below may be used once, more than once, or not at all.
O₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 44

Virtually all children experience an RSV infection by 3 years of age.

Question 45

Match the arterial blood gas changes that develop in mild to moderate RSV infection to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 46

About 15% of infants experience RSV infections within the first year of life.

Question 47

Match what develops in the oxygen indices of the newborn with an RSV infection with the items listed below. Items below may be used once, more than once, or not at all.
_S/ _T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 48

Match what develops in the oxygen indices of the newborn with an RSV infection with the items listed below. Items below may be used once, more than once, or not at all.
O₂ER

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 49

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
FEV_1%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 50

RSV outbreaks are seasonal. In the northern hemisphere the RSV season is usually between April and September.

Question 51

Match what develops in the oxygen indices of the newborn with an RSV infection with the items listed below. Items below may be used once, more than once, or not at all.
DO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 52

Match the arterial blood gas changes that develop in the advanced stages of RSV infection to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 53

Match the arterial blood gas changes that develop in the advanced stages of RSV infection to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 54

Match what develops in the oxygen indices of the newborn with an RSV infection with the items listed below. Items below may be used once, more than once, or not at all.
SVO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 55

Match the arterial blood gas changes that develop in mild to moderate RSV infection to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 56

Match the findings listed below that typically develop in the newborn who has an RSV infection (when airways are not partially obstructed) with the pulmonary function studies. Items may be used once, more than once, or not at all.
RV/TLC %

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 57

Match the arterial blood gas changes that develop in the advanced stages of RSV infection to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 58

Palivizumab is a preventive agent against RSV.

Question 59

Match what develops in the oxygen indices of the newborn with an RSV infection with the items listed below. Items below may be used once, more than once, or not at all.
C(a-v)0₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased