Deck 11: Chronic Obstructive Pulmonary Disease Copd: Chronic Bronchitis, and Emphysema

Question 1

According to the GOLD report, which of the following is the greatest worldwide risk factor for COPD?

A) AIDS
B)Genetic predisposition
C)Marijuana smoke
D)Tobacco smoke

Answer 1

Tobacco smoke

Question 2

Which of the following is true of the diffusing capacity test (DLCO) findings in a patient with COPD?

A) Normal in all cases
B)Decreased in emphysema
C)Decreased in chronic bronchitis
D)Increased in all cases

Answer 2

Decreased in emphysema

Question 3

Which of the following would indicate a diagnosis of advanced COPD?
1) Arterial blood gases show low O₂ and high CO₂.
2) Arterial blood gases show high O₂ and low CO₂.
3) Pulmonary function tests show low flow of air on expiration.
4) Pulmonary function tests show low flow of air on inspiration.

A)1, 3
B)2, 4
C)1, 4
D)2, 3

Answer 3

1, 3

Question 4

Emphysema:
1) is most closely associated with chronic bronchitis.
2) is most closely associated with cystic fibrosis.
3) leads to the destruction of alveolar walls.
4) is characterized by mucus plugging.

A)1, 3
B)1, 4
C)2, 3
D)1, 2, 4

Question 5

Which of the following terms is/are commonly applied to a patient with emphysema?
1) Pink puffer
2) Blue bloater
3) Type A COPD
4) Type B COPD

A)1
B)2
C)1, 3
D)2, 4

Question 6

Which of the following are associated with chronic bronchitis?
1) Cyanosis
2) Purulent sputum
3) Right heart failure
4) Elevated CO₂ level

A)1, 2
B)3, 4
C)1, 3
D)1, 2, 3, 4

Question 7

A patient with emphysema will often have the following clinical manifestations:
1) Polycythemia
2) Barrel chest
3) Pursed-lip breathing
4) Normal percussion note

A)1, 4
B)2, 3
C)2, 3, 4
D)1, 2, 3, 4

Question 8

Which of the following are anatomic alterations found with emphysema?
1) Hyperinflation
2) Mucus plugs
3) Decreased surface area for gas exchange
4) Weakened distal airways

A)1, 2
B)2, 4
C)1, 3, 4
D)1, 2, 3, 4

Question 9

Emphysema is probably caused by all of the following EXCEPT:

A) inhaling asbestos fibers.
B)( $\alpha$ ₁)-antitrypsin deficiency.
C)second-hand cigarette smoke.
D)air pollution.

Question 10

A genetically linked cause of panlobular emphysema is:

A) bronchiectasis.
B)( $\alpha$ ₁)-antitrypsin deficiency.
C)cystic fibrosis.
D)bronchial asthma.

Question 11

At which stage of COPD does the patient usually first seek medical attention because of worsening symptoms?

A) Stage I
B)Stage II
C)Stage III
D)Stage IV

Question 12

The genetic reference to a person with a normal level of $\alpha$ ₁-antitrypsin is:

A) Z phenotype.
B)MZ.
C)MM.
D)ZZ.

Question 13

A patient with chronic bronchitis will have which of the following clinical manifestations?
1) Rhonchi
2) Cor pulmonale
3) Use of accessory muscles
4) Stocky, overweight build

A)1, 2
B)3, 4
C)2, 3
D)1, 2, 4

Question 14

The management of chronic obstructive pulmonary disease (COPD) includes:
1) annual influenza immunization.
2) bronchopulmonary hygiene procedures.
3) lung volume-reduction surgery.
4) smoking cessation.

A)1, 2
B)2, 3
C)2, 3, 4
D)1, 2, 3, 4

Question 15

Which of the following are anatomic alterations found with chronic bronchitis?
1) Increased size of submucosal bronchial glands
2) Destruction of pulmonary capillaries
3) Chronic bronchial wall inflammation
4) Bronchospasm

A)2, 3
B)3, 4
C)1, 2, 3
D)1, 3, 4