Deck 4: Pulmonology - Respiratory System
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Deck 4: Pulmonology - Respiratory System
1
A patient with cystic fibrosis would have which treatments?
A) postural drainage
B) bronchodilator drugs
C) daily percussion
D) All of the above.
A) postural drainage
B) bronchodilator drugs
C) daily percussion
D) All of the above.
All of the above.
2
The medical procedure performed with a stethoscope is called:
A) aspiration.
B) intubation.
C) auscultation.
D) expectoration.
A) aspiration.
B) intubation.
C) auscultation.
D) expectoration.
auscultation.
3
Breathing that is easier in an upright position is called:
A) bradypnea.
B) tachypnea.
C) orthopnea.
D) dyspnea.
A) bradypnea.
B) tachypnea.
C) orthopnea.
D) dyspnea.
orthopnea.
4
Reactive airway disease is also known as:
A) asthma.
B) atelectasis.
C) asbestosis.
D) aspiration.
A) asthma.
B) atelectasis.
C) asbestosis.
D) aspiration.
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5
Antibiotic drugs are used to treat pneumococcal pneumonia because it is caused by a:
A) virus.
B) fungus.
C) bacterium.
D) dust particle.
A) virus.
B) fungus.
C) bacterium.
D) dust particle.
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6
Which abbreviation does not stand for a type of dyspnea or difficulty breathing?
A) SOB
B) DOE
C) PPD
D) PND
A) SOB
B) DOE
C) PPD
D) PND
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7
Which is a breath sound that could be heard on inspiration?
A) clubbing
B) rales
C) sputum
D) tubercles
A) clubbing
B) rales
C) sputum
D) tubercles
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8
For the patient's cough,the physician prescribed the antitussive drug:
A) albuterol (Proventil).
B) cromolyn (Intal).
C) hydrocodone (Hycodan).
D) rifampin (Rifadin).
A) albuterol (Proventil).
B) cromolyn (Intal).
C) hydrocodone (Hycodan).
D) rifampin (Rifadin).
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9
Which patient would have an elevated serum carboxyhemoglobin?
A) a premature newborn
B) a man who attempted suicide by staying in a running car in a closed garage
C) a former cigarette smoker with advanced emphysema
D) an elderly woman with Legionnaires' disease with multiple organ involvement
A) a premature newborn
B) a man who attempted suicide by staying in a running car in a closed garage
C) a former cigarette smoker with advanced emphysema
D) an elderly woman with Legionnaires' disease with multiple organ involvement
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10
Which measuring device would tell the physician that the patient has hypoxemia?
A) a nasal cannula
B) a ventilator
C) an oximeter
D) a face mask
A) a nasal cannula
B) a ventilator
C) an oximeter
D) a face mask
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11
Which is a condition that accompanies left-sided heart failure and is characterized by noninfectious fluid build-up in the alveoli and lung tissues?
A) pulmonary edema
B) empyema
C) pneumonia
D) pleural effusion
A) pulmonary edema
B) empyema
C) pneumonia
D) pleural effusion
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12
Which of these would cause an abnormal ABG result?
A) rhonchi
B) hemoptysis
C) hypercapnia
D) expectoration
A) rhonchi
B) hemoptysis
C) hypercapnia
D) expectoration
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13
Which is a type of pneumoconiosis?
A) tuberculosis
B) anthracosis
C) atelectasis
D) bronchiectasis
A) tuberculosis
B) anthracosis
C) atelectasis
D) bronchiectasis
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14
A patient who needs mechanical ventilation may also have a ____________ done to provide permanent access to the lungs.
A) tracheostomy
B) bronchoscopy
C) thoracotomy
D) thoracentesis
A) tracheostomy
B) bronchoscopy
C) thoracotomy
D) thoracentesis
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15
Which word is misspelled?
A) eupnea
B) expectoration
C) empyema
D) exspiration
A) eupnea
B) expectoration
C) empyema
D) exspiration
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16
The ______________ is posterior to the mouth.
A) oropharynx
B) nasopharynx
C) trachea
D) laryngopharynx
A) oropharynx
B) nasopharynx
C) trachea
D) laryngopharynx
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17
The patient had a positive reaction to the Mantoux test.What test would the physician order next for this patient?
A) culture and sensitivity of the throat
B) pulmonary function tests to measure breathing capacity
C) arterial blood gases to determine the level of oxygen
D) a chest x-ray to identify active tuberculosis
A) culture and sensitivity of the throat
B) pulmonary function tests to measure breathing capacity
C) arterial blood gases to determine the level of oxygen
D) a chest x-ray to identify active tuberculosis
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18
An example of a URI would be:
A) a head cold.
B) acute bronchitis.
C) pneumonitis.
D) pleuritis.
A) a head cold.
B) acute bronchitis.
C) pneumonitis.
D) pleuritis.
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19
One of the components of COPD is:
A) acute bronchitis.
B) chronic bronchitis.
C) bronchiectasis.
D) bronchospasm.
A) acute bronchitis.
B) chronic bronchitis.
C) bronchiectasis.
D) bronchospasm.
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20
Which combining form means lung?
A) alveol/o-
B) pulmon/o-
C) thorac/o-
D) pleur/o-
A) alveol/o-
B) pulmon/o-
C) thorac/o-
D) pleur/o-
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21
The irregularly shaped area between the lungs that contains the trachea is called the:
A) diaphragm.
B) sternum.
C) thorax.
D) mediastinum.
A) diaphragm.
B) sternum.
C) thorax.
D) mediastinum.
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22
As the nasal cavity continues posteriorly,it merges with the upper part of the throat or:
A) larynx.
B) trachea.
C) bronchus.
D) pharynx.
A) larynx.
B) trachea.
C) bronchus.
D) pharynx.
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23
Pulmonology is the study of the __________ and associated structures.
A) lungs.
B) trachea.
C) alveoli.
D) sternum.
A) lungs.
B) trachea.
C) alveoli.
D) sternum.
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24
The abbreviation COPD stands for:
A) chronic obstructive pulmonary disease.
B) chronic obstructive pulmonary distress.
C) cardiopulmonary disease.
D) cardiopulmonary distress.
A) chronic obstructive pulmonary disease.
B) chronic obstructive pulmonary distress.
C) cardiopulmonary disease.
D) cardiopulmonary distress.
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25
Which is the medical word for voice box?
A) pharynx
B) trachea
C) larynx
D) epiglottis
A) pharynx
B) trachea
C) larynx
D) epiglottis
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26
The lidlike structure that seals off the larynx is called the:
A) esophagus.
B) pharynx.
C) epiglottis.
D) trachea.
A) esophagus.
B) pharynx.
C) epiglottis.
D) trachea.
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27
Which is a high-pitched,harsh,crowing sound due to obstruction in the trachea or larynx?
A) wheezes
B) rales
C) stridor
D) rhonchi
A) wheezes
B) rales
C) stridor
D) rhonchi
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28
Which is not something the respiratory system does?
A) warming and moistening incoming air
B) transporting oxygen and carbon dioxide to and from the cells
C) mechanically causing air to flow into the lungs
D) serving as a passageway through which air can enter and leave the body
A) warming and moistening incoming air
B) transporting oxygen and carbon dioxide to and from the cells
C) mechanically causing air to flow into the lungs
D) serving as a passageway through which air can enter and leave the body
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29
Pneumonia that affects all the lobes of one lung is called ___________ pneumonia.
A) lobar.
B) panlobar.
C) double.
D) single.
A) lobar.
B) panlobar.
C) double.
D) single.
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30
Which structure is composed of smooth muscle rather than cartilage?
A) bronchiole
B) larynx
C) trachea
D) nasal cavity
A) bronchiole
B) larynx
C) trachea
D) nasal cavity
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31
Another name for anthracosis is:
A) charcoal lung disease.
B) black lung disease.
C) gray lung disease.
D) green lung disease.
A) charcoal lung disease.
B) black lung disease.
C) gray lung disease.
D) green lung disease.
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32
Which is a severe and sometimes fatal bacterial infection that begins with flu-like symptoms,body aches,and fever,followed by severe pneumonia with possible liver and kidney degeneration?
A) upper respiratory infection (URI)
B) emphysema
C) cystic fibrosis (CF)
D) Legionnaire's disease
A) upper respiratory infection (URI)
B) emphysema
C) cystic fibrosis (CF)
D) Legionnaire's disease
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33
Which drug is not used to treat asthma?
A) salmeterol (Serevent)
B) isoniazid (INH)
C) cromolyn (Intal)
D) triamcinolone (Azmacort)
A) salmeterol (Serevent)
B) isoniazid (INH)
C) cromolyn (Intal)
D) triamcinolone (Azmacort)
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34
The abbreviation AFB stands for:
A) acid formed bacillus.
B) acid-fast bacterium.
C) acid formed bacteria.
D) acid-fast bacillus.
A) acid formed bacillus.
B) acid-fast bacterium.
C) acid formed bacteria.
D) acid-fast bacillus.
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35
Which serious disease is genetically linked and inherited?
A) cystic fibrosis
B) respiratory distress syndrome
C) chronic bronchitis
D) sudden infant death syndrome
A) cystic fibrosis
B) respiratory distress syndrome
C) chronic bronchitis
D) sudden infant death syndrome
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36
Coughing up blood-tinged sputum is known as:
A) pulmonary embolus.
B) hemothorax.
C) hemoptysis.
D) expectoration.
A) pulmonary embolus.
B) hemothorax.
C) hemoptysis.
D) expectoration.
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37
The abbreviation PND stands for:
A) pulmonary nasal disease.
B) paroxysmal nocturnal disease.
C) paroxysmal nasal dyspnea.
D) pleural nocturnal dyspnea.
A) pulmonary nasal disease.
B) paroxysmal nocturnal disease.
C) paroxysmal nasal dyspnea.
D) pleural nocturnal dyspnea.
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38
A prolonged,extremely severe,life-threatening asthma attack is known as:
A) bronchospasm.
B) status asthmaticus.
C) bronchitis.
D) bronchiectasis.
A) bronchospasm.
B) status asthmaticus.
C) bronchitis.
D) bronchiectasis.
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39
The turbinates are located in the:
A) hilum.
B) thorax.
C) pleural cavity.
D) nasal cavity.
A) hilum.
B) thorax.
C) pleural cavity.
D) nasal cavity.
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40
A localized collection of pus in the thoracic cavity is:
A) emphysema.
B) influenza.
C) empyema.
D) asthma.
A) emphysema.
B) influenza.
C) empyema.
D) asthma.
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41
The anatomical part of the lungs where oxygen and carbon dioxide are exchanged is the:
A) trachea.
B) alveoli.
C) bronchioles.
D) bronchi.
A) trachea.
B) alveoli.
C) bronchioles.
D) bronchi.
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42
A patient comes into the hospital for treatment of an acute infection of the bronchi that he has had for two days.He has a fever of 104 degrees and a productive cough.The most likely name of this condition is:
A) chronic bronchitis.
B) acute bronchitis.
C) asthma.
D) bronchiectasis.
A) chronic bronchitis.
B) acute bronchitis.
C) asthma.
D) bronchiectasis.
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43
All of these things can block a bronchus and cause incomplete expansion or collapse of a lung except:
A) stridor.
B) mucus.
C) a tumor.
D) a foreign body.
A) stridor.
B) mucus.
C) a tumor.
D) a foreign body.
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44
Irregular crackling or bubbling sounds during inspiration are called:
A) rhonchi.
B) stridor.
C) wheezes.
D) rales.
A) rhonchi.
B) stridor.
C) wheezes.
D) rales.
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45
An abnormally low level of oxygen at the cellular level is called:
A) hypercapnia.
B) cyanosis.
C) hypoxemia.
D) hypoxia.
A) hypercapnia.
B) cyanosis.
C) hypoxemia.
D) hypoxia.
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46
A muscle that lies between the ribs is called:
A) the diaphragm.
B) a thoracic muscle.
C) the pleura.
D) an intercostal muscle.
A) the diaphragm.
B) a thoracic muscle.
C) the pleura.
D) an intercostal muscle.
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47
Which is a waste product of metabolism that is exhaled by the respiratory system?
A) carbon dioxide
B) oxygen
C) carbon monoxide
D) oxyhemoglobin
A) carbon dioxide
B) oxygen
C) carbon monoxide
D) oxyhemoglobin
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48
The parenchyma is the:
A) respiratory mucosa.
B) functional cells of an organ.
C) site of oxygen and carbon dioxide exchange.
D) wall of the thoracic cavity.
A) respiratory mucosa.
B) functional cells of an organ.
C) site of oxygen and carbon dioxide exchange.
D) wall of the thoracic cavity.
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49
The diagnostic procedure to measure the capacity of the lungs and the volume of air during inhalation and exhalation is called:
A) pulse oximetry.
B) Heimlich maneuver.
C) pulmonary function test.
D) arterial blood gases.
A) pulse oximetry.
B) Heimlich maneuver.
C) pulmonary function test.
D) arterial blood gases.
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50
In an unventilated space,carbon monoxide from smoke or car exhaust builds up in the blood,combining with hemoglobin to form:
A) oxyhemoglobin.
B) carboxyhemoglobin.
C) carbon dioxide.
D) an embolus.
A) oxyhemoglobin.
B) carboxyhemoglobin.
C) carbon dioxide.
D) an embolus.
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51
The form in which oxygenated blood travels from the lungs to the heart is called:
A) respiration.
B) inhalation.
C) deoxygenated blood.
D) oxyhemoglobin.
A) respiration.
B) inhalation.
C) deoxygenated blood.
D) oxyhemoglobin.
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52
Which is a procedure that removes one entire lung?
A) pneumonectomy
B) thoracotomy
C) lobectomy
D) tracheostomy
A) pneumonectomy
B) thoracotomy
C) lobectomy
D) tracheostomy
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53
Which is the word for an abnormally high level of carbon dioxide in the arterial blood?
A) cyanosis
B) hypoxemia
C) hypercapnia
D) carboxyhemoglobin
A) cyanosis
B) hypoxemia
C) hypercapnia
D) carboxyhemoglobin
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54
Which of the following can cause sick building syndrome?
A) inadequate ventilation
B) volatile organic compounds (VOCs)
C) cleaning agents
D) All of the above
A) inadequate ventilation
B) volatile organic compounds (VOCs)
C) cleaning agents
D) All of the above
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55
Which of the following types of pneumonia affects only one lobe of a lung?
A) lobar pneumonia
B) panlobar pneumonia
C) double pneumonia
D) bronchopneumonia
A) lobar pneumonia
B) panlobar pneumonia
C) double pneumonia
D) bronchopneumonia
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56
Which is an inherited,eventually fatal disease of the exocrine cells that is carried by a recessive gene?
A) atelectasis
B) bronchiectasis
C) emphysema
D) cystic fibrosis
A) atelectasis
B) bronchiectasis
C) emphysema
D) cystic fibrosis
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57
Which drug category is used to suppress the cough center in the brain?
A) antitussive
B) antibiotic
C) antitubercular
D) expectorant
A) antitussive
B) antibiotic
C) antitubercular
D) expectorant
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58
Which is a handheld device that is used to manually breathe for the patient on a temporary basis?
A) metered-dose inhaler
B) Ambu bag
C) ventilator
D) nasal cannula
A) metered-dose inhaler
B) Ambu bag
C) ventilator
D) nasal cannula
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59
The combining form mucos/o- means :
A) lung.
B) respiration.
C) mucous membrane.
D) nasal.
A) lung.
B) respiration.
C) mucous membrane.
D) nasal.
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60
Which is true of the thoracic cavity?
A) It is surrounded by the bony sternum, diaphragm, and larynx.
B) It contains the lungs and mediastinum.
C) It is inferior to the pelvic cavity.
D) It is superior to the cranial cavity.
A) It is surrounded by the bony sternum, diaphragm, and larynx.
B) It contains the lungs and mediastinum.
C) It is inferior to the pelvic cavity.
D) It is superior to the cranial cavity.
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61
A normal depth and rate of respiration is known as:
A) dyspnea.
B) eupnea.
C) tachypnea.
D) apnea.
A) dyspnea.
B) eupnea.
C) tachypnea.
D) apnea.
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62
Emphysema is part of which disease?
A) SIDS
B) RDS
C) COPD
D) TB
A) SIDS
B) RDS
C) COPD
D) TB
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63
A car accident patient with a hemothorax has ____________ in the chest cavity.
A) pus
B) blood
C) fluid
D) air
A) pus
B) blood
C) fluid
D) air
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64
Which instrument is used to visualize the area when an endotracheal intubation is performed?
A) bronchoscope
B) laryngoscope
C) incentive spirometer
D) nasal cannula
A) bronchoscope
B) laryngoscope
C) incentive spirometer
D) nasal cannula
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65
Which of these healthcare professionals would perform endotracheal intubation?
A) anesthesiologist in the operating room
B) paramedic in an ambulance
C) physician in the emergency department
D) all of the above
A) anesthesiologist in the operating room
B) paramedic in an ambulance
C) physician in the emergency department
D) all of the above
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66
Which of these abbreviations stands for a device that delivers a premeasured dose of medication to the lungs when the patient inhales?
A) TPR
B) CPAP
C) O₂
D) MDI
A) TPR
B) CPAP
C) O₂
D) MDI
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67
The Heimlich maneuver is performed on persons who:
A) have stopped breathing.
B) have carbon monoxide poisoning from a fire.
C) are choking on food.
D) are having an asthma attack.
A) have stopped breathing.
B) have carbon monoxide poisoning from a fire.
C) are choking on food.
D) are having an asthma attack.
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68
Which respiratory disease is seen almost exclusively in patients with AIDS?
A) Pneumocystis jiroveci pneumonia
B) COPD
C) anthracosis
D) eupnea
A) Pneumocystis jiroveci pneumonia
B) COPD
C) anthracosis
D) eupnea
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69
The medical abbreviation for shortness of breath when exercising is:
A) URI.
B) DOE.
C) CPR.
D) CXR.
A) URI.
B) DOE.
C) CPR.
D) CXR.
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70
Intercostal retractions in respiratory distress syndrome are visible:
A) in the flaring nostrils.
B) as bluish discoloration of the skin.
C) between the ribs.
D) none of the above
A) in the flaring nostrils.
B) as bluish discoloration of the skin.
C) between the ribs.
D) none of the above
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71
Which word means incomplete expansion or collapse of part or all of a lung?
A) ARDS
B) atelectasis
C) abnormal breath sounds
D) stridor
A) ARDS
B) atelectasis
C) abnormal breath sounds
D) stridor
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72
Sick building syndrome causes all of the following symptoms except:
A) headache
B) fatigue
C) eye, nose, or throat irritation
D) lung cancer
A) headache
B) fatigue
C) eye, nose, or throat irritation
D) lung cancer
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73
The phrase lobar pneumonia indicates:
A) what part of the lung is affected by pneumonia.
B) that a bacteria caused the pneumonia.
C) when the pneumonia occurred.
D) that the patient aspirated food into the lungs.
A) what part of the lung is affected by pneumonia.
B) that a bacteria caused the pneumonia.
C) when the pneumonia occurred.
D) that the patient aspirated food into the lungs.
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74
The medical word for a collapsed lung is:
A) aspiration pneumonia.
B) cystic fibrosis.
C) atelectasis.
D) apnea.
A) aspiration pneumonia.
B) cystic fibrosis.
C) atelectasis.
D) apnea.
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75
Respiration consists of:
A) breathing in and inhalation.
B) breathing out and exhalation.
C) inspiration and inhalation.
D) inspiration and exhalation.
A) breathing in and inhalation.
B) breathing out and exhalation.
C) inspiration and inhalation.
D) inspiration and exhalation.
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76
A lobectomy is the surgical removal of:
A) the trachea.
B) the mediastinum.
C) the larynx.
D) a part of the lung.
A) the trachea.
B) the mediastinum.
C) the larynx.
D) a part of the lung.
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77
Which of the following is true about an opportunistic infection?
A) The microorganism waits in the body for an opportunity to cause disease.
B) It always occurs as a lung infection.
C) It is seldom serious or critical.
D) It is also called SARS.
A) The microorganism waits in the body for an opportunity to cause disease.
B) It always occurs as a lung infection.
C) It is seldom serious or critical.
D) It is also called SARS.
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78
Empyema is:
A) extra air filling the alveoli.
B) bluish discoloration of the skin.
C) an occupational lung disease.
D) pus in the thoracic cavity.
A) extra air filling the alveoli.
B) bluish discoloration of the skin.
C) an occupational lung disease.
D) pus in the thoracic cavity.
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79
Pulmonary edema (fluid in the lungs) is caused by:
A) smoking.
B) tuberculosis.
C) left-sided congestive heart failure.
D) obstructive sleep apnea.
A) smoking.
B) tuberculosis.
C) left-sided congestive heart failure.
D) obstructive sleep apnea.
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80
Difficult,labored,or painful respiration due to lung disease is known as:
A) cough.
B) pneumonia.
C) dyspnea.
D) expectoration.
A) cough.
B) pneumonia.
C) dyspnea.
D) expectoration.
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