Deck 18: Fungal Diseases of the Lungs

Question 1

MATCHING
The clinical scenarios associated with respiratory diseases 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 listed below, match the major anatomic alterations of the lungs that cause the clinical scenario associated with fungal diseases of the lung.
Atelectasis Clinical Scenario

A)YES-This is associated with fungal diseases of the lung.
B)NO-This is not associated with fungal diseases of the lung.

Answer 1

NO-This is not associated with fungal diseases of the lung.

Question 2

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Distortion and dilation of the bronchi

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

Answer 2

YES-This is associated with fungal diseases.

Question 3

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Distortion and dilation of the bronchi

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

Answer 3

YES-This is associated with fungal diseases.

Question 4

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Distal airway and alveolar weakening

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

Question 5

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Pulmonary capillary congestion

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

Question 6

MATCHING
The clinical scenarios associated with respiratory diseases 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 listed below, match the major anatomic alterations of the lungs that cause the clinical scenario associated with fungal diseases of the lung.
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with fungal diseases of the lung.
B)NO-This is not associated with fungal diseases of the lung.

Question 7

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Fibrosis and calcification of lung parenchyma

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

Question 8

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Hyaline membrane formation

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

Question 9

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Atelectasis

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

Question 10

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Bronchial airway obstruction

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

Question 11

MATCHING
The clinical scenarios associated with respiratory diseases 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 listed below, match the major anatomic alterations of the lungs that cause the clinical scenario associated with fungal diseases of the lung.
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with fungal diseases of the lung.
B)NO-This is not associated with fungal diseases of the lung.

Question 12

MATCHING
The clinical scenarios associated with respiratory diseases 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 listed below, match the major anatomic alterations of the lungs that cause the clinical scenario associated with fungal diseases of the lung.
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with fungal diseases of the lung.
B)NO-This is not associated with fungal diseases of the lung.

Question 13

MATCHING
The clinical scenarios associated with respiratory diseases 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 listed below, match the major anatomic alterations of the lungs that cause the clinical scenario associated with fungal diseases of the lung.
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with fungal diseases of the lung.
B)NO-This is not associated with fungal diseases of the lung.

Question 14

MATCHING
The clinical scenarios associated with respiratory diseases 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 listed below, match the major anatomic alterations of the lungs that cause the clinical scenario associated with fungal diseases of the lung.
Bronchospasm Clinical Scenario

A)YES-This is associated with fungal diseases of the lung.
B)NO-This is not associated with fungal diseases of the lung.

Question 15

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Alveolar hyperinflation (air-trapping)

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

Question 16

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Honeycombing

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

Question 17

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Interstitial edema

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

Question 18

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Bronchospasm (smooth muscle constriction of bronchial airways)

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

Question 19

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Alveolar-capillary destruction

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

Question 20

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

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

Question 21

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 fungal diseases of the lungs.
Chronic inflammation and swelling of airways

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

Question 23

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 24

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 25

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 26

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 27

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
ous tubercles or granulomas

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

Question 28

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items be used once, more than once, or not at all.
FEV_T

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

Question 29

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 30

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

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

Question 31

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 32

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 33

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 34

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Increased bronchial secretions

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

Question 35

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 36

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 37

Identify the major anatomic alterations of the lungs associated with fungal diseases of the lungs.
Permanent enlargement and deterioration of alveoli

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

Question 38

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 39

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

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

Question 40

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 41

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
CVP

A)Normal
B)Decreases
C)Increases

Question 42

Match what develops in the oxygen indices of patients with fungal disease with the items listed below. Items 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 43

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
PCWP

A)Normal
B)Decreases
C)Increases

Question 44

Match what arterial blood gas changes occur in extensive fungal disease with pulmonary fibrosis with the items below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 45

Match what arterial blood gas changes occur in extensive fungal disease with pulmonary fibrosis with the items below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 46

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 47

Match what develops in the oxygen indices of patients with fungal disease with the items listed below. Items 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 48

Match what develops in the oxygen indices of patients with fungal disease with the items listed below. Items 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 49

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have a fungal disease. Items 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 50

Match what arterial blood gas changes occur in mild to moderate fungal disease with the items below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 51

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
CO

A)Normal
B)Decreases
C)Increases

Question 52

Match what develops in the oxygen indices of patients with fungal disease with the items listed below. Items may be used once, more than once, or not at all.
C(a-v)

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

Question 53

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
SV

A)Normal
B)Decreases
C)Increases

Question 54

Match what arterial blood gas changes occur in mild to moderate fungal disease with the items below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 55

Match what develops in the oxygen indices of patients with fungal disease with the items listed below. Items 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 56

Match what develops in the oxygen indices of patients with fungal disease with the items listed below. Items 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 57

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
RAP

A)Normal
B)Decreases
C)Increases

Question 58

Match what arterial blood gas changes occur in mild to moderate fungal disease with the items below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 59

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
PA

A)Normal
B)Decreases
C)Increases

Question 60

Match what arterial blood gas changes occur in extensive fungal disease with pulmonary fibrosis with the items below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 61

Histoplasmosis is commonly found in the soil that is near chicken houses, pigeon lofts, and barns.

Question 62

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
PVR

A)Normal
B)Decreases
C)Increases

Question 63

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
SVR

A)Normal
B)Decreases
C)Increases

Question 64

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
CI

A)Normal
B)Decreases
C)Increases

Question 65

In fungal diseases, tactile and vocal fremitus are decreased.

Question 66

Coccidioidomycosis is also known as "desert fever."

Question 67

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
LVSWI

A)Normal
B)Decreases
C)Increases

Question 68

Which of the following is considered the drug of choice for severe fungal diseases of the lungs?

A) Ketoconazole
B) Amphotercin B
C) Miconazole
D) Penicillin

Question 69

Fungal diseases and tuberculosis cause similar anatomic changes of the lungs.

Question 70

Fungal diseases most commonly involve the apical and posterior segments of the upper lung lobes.

Question 71

Which of the following is the most common spore of fungi?

A) Candidaalbicans
B) Coccidiodomycosis
C) Histoplasmosis
D) Blastomycosis

Question 72

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
RVSWI

A)Normal
B)Decreases
C)Increases

Question 73

Match what hemodynamic indices develop during the severe stages of fungal disease to the items listed below. Items may be used once, more than once, or not at all.
SVI

A)Normal
B)Decreases
C)Increases