Deck 43: Smoke Inhalation and Thermal Injuries

Question 1

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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

Answer 1

Decreases

Question 2

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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

Answer 2

Normal or decreased

Question 3

MATCHING
The clinical scenarios associated with respiratory disease 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, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Smoke Inhalation And Thermal Injuries.
Atelectasis Clinical Scenario

A)YES-This is associated with smoke inhalation and thermal injuries.
B)NO-This is not associated with smoke inhalation and thermal injuries.

Answer 3

YES-This is associated with smoke inhalation and thermal injuries.

Question 4

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 5

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 6

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 7

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 8

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 9

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 10

MATCHING
The clinical scenarios associated with respiratory disease 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, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Smoke Inhalation And Thermal Injuries.
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with smoke inhalation and thermal injuries.
B)NO-This is not associated with smoke inhalation and thermal injuries.

Question 11

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 12

MATCHING
The clinical scenarios associated with respiratory disease 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, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Smoke Inhalation And Thermal Injuries.
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with smoke inhalation and thermal injuries.
B)NO-This is not associated with smoke inhalation and thermal injuries.

Question 13

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 14

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 15

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 16

MATCHING
The clinical scenarios associated with respiratory disease 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, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Smoke Inhalation And Thermal Injuries.
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with smoke inhalation and thermal injuries.
B)NO-This is not associated with smoke inhalation and thermal injuries.

Question 17

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 18

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 19

MATCHING
The clinical scenarios associated with respiratory disease 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, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Smoke Inhalation And Thermal Injuries.
Bronchospasm Clinical Scenario

A)YES-This is associated with smoke inhalation and thermal injuries.
B)NO-This is not associated with smoke inhalation and thermal injuries.

Question 20

MATCHING
The clinical scenarios associated with respiratory disease 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, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Smoke Inhalation And Thermal Injuries.
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with smoke inhalation and thermal injuries.
B)NO-This is not associated with smoke inhalation and thermal injuries.

Question 21

Match the arterial blood gas changes that occur during the late stages of smoke inhalation 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 22

What is the approximate healing time for a first-degree burn?

A) 6 to 10 days
B) 7 to 21 days
C) 25 to 35 days
D) Greater than 35 days

Question 23

Match the arterial blood gas changes that occur during the late stages of smoke inhalation 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 24

The approximate percentage of body surface area for the average adult's leg is 18%.

Question 25

A throbbing headache, nausea, vomiting, and impaired judgment are common clinical manifestations when the blood COHb is at what level?

A) 0% to 10%
B) 10% to 20%
C) 20% to 30%
D) 30% to 50%

Question 26

Match the arterial blood gas changes that occur during early stages of smoke inhalation 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 27

Match the arterial blood gas changes that occur during early stages of smoke inhalation 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 28

Match what develops in the oxygen indices of the patient with smoke inhalation and burns during the early and intermediate stages to 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 29

When a patient has been exposed to smoke, carbon monoxide poisoning must be assumed.

Question 30

Match what develops in the oxygen indices of the patient with smoke inhalation and burns during the early and intermediate stages to 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 31

A burn that is described as superficial-to-deep thickness of skin is considered a first-degree burn.

Question 32

Match the arterial blood gas changes that occur during the late stages of smoke inhalation 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 33

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. 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 34

Match the arterial blood gas changes that occur during early stages of smoke inhalation 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 35

The DL_CO is decreased in the patient with smoke inhalation and thermal burns.

Question 36

Match what develops in the oxygen indices of the patient with smoke inhalation and burns during the early and intermediate stages to 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 37

If available, hyperbaric oxygen therapy is usually used at a COHb > 5%.

Question 38

Match what develops in the oxygen indices of the patient with smoke inhalation and burns during the early and intermediate stages to 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 39

Match what develops in the oxygen indices of the patient with smoke inhalation and burns during the early and intermediate stages to 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 40

Next to the pulmonary function studies listed, match the findings listed below that typically develop in patients with smoke inhalation and thermal injuries. Items may 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 41

Cyanide poisoning should be suspected in comatose patients who have inhaled fumes from burning plastic.