Deck 13: Asthma

Question 1

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Distal airway and alveolar weakening

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

Answer 1

NO-This is not associated with asthma.

Question 2

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Excessive bronchial secretions

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

Answer 2

YES-This is associated with asthma.

Question 3

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Chronic dilation and distortion of bronchial airway

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

Answer 3

NO-This is not associated with asthma.

Question 4

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Interstitial edema

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

Question 5

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Compression of great vessels and decreased cardiac return

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

Question 6

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Pulmonary capillary congestion

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

Question 7

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Granulomas

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

Question 8

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Atelectasis (severe s)

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

Question 9

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Destruction of pulmonary capillaries

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

Question 10

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Honeycombing

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

Question 11

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

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

Question 12

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Trachea shift

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

Question 13

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Hyaline membrane formation

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

Question 14

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

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

Question 15

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

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

Question 16

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Fibrotic thickening of the alveoli (parenchymal fibrosis)

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

Question 17

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

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

Question 18

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Mucus plugging

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

Question 19

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Chronic inflammation and swelling of airways

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

Question 20

MATCHING
Identify the major anatomic alterations of the lungs associated with asthma.
Permanent enlargement and deterioration of alveoli

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

Question 21

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" options below, identify the major anatomic alterations of the lungs that cause the clinical scenario associated with asthma.
Alveolar Consolidation Clinical Scenario

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

Question 22

Match the findings that typically develop during an asthmatic episode 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 23

Match the findings that typically develop during an asthmatic episode 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 24

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" options below, identify the major anatomic alterations of the lungs that cause the clinical scenario associated with asthma.
Atelectasis Clinical Scenario

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

Question 25

Match the findings that typically develop during an asthmatic episode 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 26

Match the findings that typically develop during an asthmatic episode 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 27

Match the findings that typically develop during an asthmatic episode 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 28

Match the findings that typically develop during an asthmatic episode 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 29

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" options below, identify the major anatomic alterations of the lungs that cause the clinical scenario associated with asthma.
Excessive Bronchial Secretions Clinical Scenario

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

Question 30

Match the findings that typically develop during an asthmatic episode 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 31

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" options below, identify the major anatomic alterations of the lungs that cause the clinical scenario associated with asthma.
Distal Airway and Alveolar Weakening Clinical Scenario

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

Question 32

Match the findings that typically develop during an asthmatic episode 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 33

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" options below, identify the major anatomic alterations of the lungs that cause the clinical scenario associated with asthma.
Bronchospasm Clinical Scenario

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

Question 34

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" options below, identify the major anatomic alterations of the lungs that cause the clinical scenario associated with asthma.
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

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

Question 35

Match the findings that typically develop during an asthmatic episode 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 36

Match the findings that typically develop during an asthmatic episode 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 37

Match the findings that typically develop during an asthmatic episode with the pulmonary function studies. Items may 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 38

Match the findings that typically develop during an asthmatic episode 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 39

Match the findings that typically develop during an asthmatic episode 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 40

Match the findings that typically develop during an asthmatic episode 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

Match the arterial blood gas changes that occur during a mild to moderate asthmatic episode with the items below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 42

Match what develops during an asthmatic episode to the oxygen indices. Items may be used once, more than once, or not at all.
Svo₂

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

Question 43

Match the arterial blood gas changes that occur during a severe asthmatic episode (status asthmaticus) 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 44

Match what develops during an asthmatic episode to the oxygen indices. Items may be used once, more than once, or not at all.
C(a-v)

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

Question 45

Match what develops during an asthmatic episode to the oxygen indices. Items may be used once, more than once, or not at all.
DO₂

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

Question 46

Match what develops during an asthmatic episode to the oxygen indices. Items may be used once, more than once, or not at all.
_S/ _T

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

Question 47

Match the findings that typically develop during an asthmatic episode with the pulmonary function studies. Items may be used once, more than once, or not at all.
RV/TLC ratio

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

Question 48

Intrinsic asthma is an asthmatic episode that can be clearly associated with exposure to a specific antigenic agent.

Question 49

Match the arterial blood gas changes that occur during a mild to moderate asthmatic episode with the items below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 50

Match the findings that typically develop during an asthmatic episode 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 51

Match the arterial blood gas changes that occur during a severe asthmatic episode (status asthmaticus) 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 52

Match what develops during an asthmatic episode to the oxygen indices. Items may be used once, more than once, or not at all.
O₂ER

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

Question 53

Allergic asthma often disappears after puberty.

Question 54

During an asthmatic episode, the bronchial mucosa is edematous and infiltrated with eosinophils and other inflammatory cells.

Question 55

Match what develops during an asthmatic episode to the oxygen indices. Items may be used once, more than once, or not at all.
O₂

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

Question 56

Match the arterial blood gas changes that occur during a mild to moderate asthmatic episode with the items below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 57

The patient's C(av)O₂ level remains the same during an asthmatic episode.

Question 58

Intrinsic asthma is family-related and usually appears in children and in adults under 30 years.

Question 59

In patients with intrinsic asthma, there is typically no strong family history of allergy.

Question 60

Match the arterial blood gas changes that occur during a severe asthmatic episode (status asthmaticus) 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 61

Percussion notes during a severe asthmatic episode are dull.

Question 62

During an asthmatic episode, pulsus paradoxus is when a patient's blood pressure increases during inspiration.

Question 63

Both the FEV₁/FVC ratio and the FEV₁ are decreased during an asthmatic episode.

Question 64

During an asthmatic episode, the patient's O₂ remains the same.

Question 65

The onset of extrinsic asthma usually appears in children and in adults under 30 years.

Question 66

With regard to the Asthma Zone Management System, the "Yellow Zone" is defined as 50% to 80% of personal best PEFR.

Question 67

Step 4, in the Stepwise Approach for the Management of Asthma in Adults and Children (National Institutes of Health), is described as the "severe and persistent" stage of asthma.

Question 68

During an asthmatic episode, tactile and vocal fremitus increase.

Question 69

During an asthmatic episode, the DO₂ increases.

Question 70

Extrinsic asthma is also known as nonallergic asthma.

Question 71

Asthma that occurs in the absence of or without clear evidence of an antigen-antibody reaction is called extrinsic asthma.