Deck 23: Restrictive Pulmonary Disorders

Question 1

A patient exhibiting respiratory distress who has a tracheal shift should be evaluated for

A) pneumonia.
B) pneumothorax.
C) pulmonary edema.
D) pulmonary embolus.

Answer 1

pneumothorax.

Question 2

Noncardiogenic pulmonary edema occurs when inflammatory exudate leaks into the alveoli.

Answer 2

True

Question 3

Restrictive diseases are characterized by small tidal volumes and faster respiratory rates.

Answer 3

True

Question 4

An empyema is a collection of lymphatic fluid within the pleural space.

Question 5

Which of the following would be indicative of a left tension pneumothorax?

A) Course crackles throughout the left chest
B) Tracheal deviation to the left
C) Absent breath sounds on the left
D) Increased lung density on the left

Question 6

The type of ventilation-perfusion imbalance that occurs in areas of atelectasis or consolidation is called

A) dead space.
B) high V/Q.
C) low V/Q.
D) true shunt.

Question 7

The characteristic x-ray findings in tuberculosis include

A) diffuse white-out.
B) Ghon tubercles.
C) bibasilar infiltrates.
D) tracheal deviation.

Question 8

The classic features of acute respiratory distress syndrome include

A) increased functional residual capacity.
B) increased compliance.
C) hyperinflated terminal air sacs.
D) large pulmonary shunt fraction.

Question 9

The hypoxia associated with acute respiratory distress syndrome responds well to supplemental oxygen.

Question 10

A lack of surfactant as occurs with acute respiratory distress syndrome causes airway collapse and hyperinflation of alveoli.

Question 11

Widespread atelectasis, noncardiogenic pulmonary edema, and fibrosis are characteristic of

A) acute respiratory distress syndrome.
B) chronic obstructive pulmonary disease.
C) asthma.
D) cor pulmonale.

Question 12

The presence of a Ghon tubercle in a patient's lung is indicative of acute respiratory distress syndrome.

Question 13

A patient with a productive cough and a localized area of infiltrate or atelectasis on x-ray probably has

A) bacterial pneumonia.
B) viral pneumonia.
C) tuberculosis.
D) acute respiratory distress syndrome.

Question 14

Patients with restrictive chest wall disorders usually exhibit

A) hyperventilation.
B) hyperinflation.
C) tachypnea.
D) increased airway resistance.

Question 15

Occupational lung diseases are also called pneumoconioses.

Question 16

Infants born prematurely may develop infant respiratory distress syndrome because their production of surfactant is insufficient.

Question 17

Viral pneumonia is characterized by

A) a productive cough.
B) a dry cough.
C) exudative consolidation.
D) significant ventilation-perfusion imbalance.

Question 18

Deposition of antigen-antibody complexes in the lung after inhalation of organic particles occurs with hypersensitivity pneumonitis.

Question 19

A reduced peak expiratory flow rate is a common finding in restrictive disorders.

Question 20

A collection of air in the pleural space that develops a positive pressure is called _____ pneumothorax.

A) positive-pressure
B) simple-pressure
C) paradoxical
D) tension

Question 21

The organism that causes pulmonary tuberculosis is

A) Mycobacterium tuberculosis.
B) Haemophilus tuberculosis.
C) Tuberculosis tuberculoci.
D) Mycococcidio tuberculosis.

Question 22

Which of the following clinical manifestations is not likely in the patient with tuberculosis infection?

A) Productive cough
B) Low-grade fever
C) Night sweats
D) Cyanosis