Deck 38: Bronchopulmonary Dysplasia
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Deck 38: Bronchopulmonary Dysplasia
1
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
FEF 200-1200
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Normal
2
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FEF50%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FEF50%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Normal
3
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
FRC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Decreases
4
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
VT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
VT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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5
MATCHING
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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6
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
ERV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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7
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
TLC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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8
MATCHING
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Bronchospasm Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Bronchospasm Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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9
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
MVV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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10
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
PEFR
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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11
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
VC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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12
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
IC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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13
MATCHING
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Alveolar Consolidation Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Alveolar Consolidation Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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14
MATCHING
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Atelectasis Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Atelectasis Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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15
MATCHING
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Excessive Bronchial Secretions Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Excessive Bronchial Secretions Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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16
MATCHING
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Distal Airway and Alveolar Weakening Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Bronchopulmonary Dysplasia (BPD).
Distal Airway and Alveolar Weakening Clinical Scenario
A)YES-This is associated with BPd.
B)NO-This is not associated with BPD.
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17
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
FVC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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18
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FEVT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FEVT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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19
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
RV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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20
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
FEF 25%-75%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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21
In the newborn with BPD, match what develops in the oxygen indices listed 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
SVO2
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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22
Match the arterial blood gas changes that develop in advanced BPD to the items listed below. Items may be used once, more than once, or not at all.
PaCO2
A)Increases
B)Decreases
C)Normal
PaCO2
A)Increases
B)Decreases
C)Normal
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23
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FEV1%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FEV1%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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24
BPD can be subdivided into how may stages?
A) 2
B) 4
C) 6
D) 8
A) 2
B) 4
C) 6
D) 8
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25
Match the arterial blood gas changes that develop in mild to moderate BPD to the items listed below. Items may be used once, more than once, or not at all.
pH
A)Increases
B)Decreases
C)Normal
pH
A)Increases
B)Decreases
C)Normal
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26
In the newborn with BPD, match what develops in the oxygen indices listed 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
DO2
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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27
Stage IV of bronchopulmonary dysplasia occurs beyond
A) 2 to 3 days of life.
B) 4 to 10 days of life.
C) 10 to 20 days of life.
D) 30 days of life.
A) 2 to 3 days of life.
B) 4 to 10 days of life.
C) 10 to 20 days of life.
D) 30 days of life.
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28
In the newborn with BPD, match what develops in the oxygen indices listed 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
O2ER
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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29
Match the arterial blood gas changes that develop in mild to moderate BPD to the items listed below. Items may be used once, more than once, or not at all.
HCO3-
A)Increases
B)Decreases
C)Normal
HCO3-
A)Increases
B)Decreases
C)Normal
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30
BPD is commonly seen in infants with a history of which of the following conditions?
A) Infant respiratory distress syndrome
B) Meconium aspiration syndrome
C) Pulmonary air leak syndrome
D) Transient tachypnea of the newborn
E) Respiratory synctial virus infection
A) Infant respiratory distress syndrome
B) Meconium aspiration syndrome
C) Pulmonary air leak syndrome
D) Transient tachypnea of the newborn
E) Respiratory synctial virus infection
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31
Which of the following radiologic findings is/are associated with Stage I on bronchopulmonary dysplasia? 
A) I only
B) III only
C) II and IV only
D) I, II, III, and IV

A) I only
B) III only
C) II and IV only
D) I, II, III, and IV
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32
In the newborn with BPD, match what develops in the oxygen indices listed to the items listed below. Items may be used once, more than once, or not at all.
S/
T
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
S/
TA)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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33
Match the arterial blood gas changes that develop in advanced BPD to the items listed below. Items may be used once, more than once, or not at all.
HCO3-
A)Increases
B)Decreases
C)Normal
HCO3-
A)Increases
B)Decreases
C)Normal
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34
Next to the pulmonary function studies, match the findings listed below that typically develop in the newborn who has BPD (when airways are not partially obstructed). 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
RV/TLC %
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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35
Match the arterial blood gas changes that develop in mild to moderate BPD to the items listed below. Items may be used once, more than once, or not at all.
PaCO2
A)Increases
B)Decreases
C)Normal
PaCO2
A)Increases
B)Decreases
C)Normal
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36
Match the arterial blood gas changes that develop in advanced BPD to the items listed below. Items may be used once, more than once, or not at all.
pH
A)Increases
B)Decreases
C)Normal
pH
A)Increases
B)Decreases
C)Normal
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37
In the newborn with BPD, match what develops in the oxygen indices listed 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
O2A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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38
BPD is commonly seen in infants who
I. Weigh more than 1500 g.
II. Are treated with low positive-pressure mechanical ventilation.
III. Have a history of IRDS.
IV. Receive high concentrations of oxygen.
A) II only
B) III and IV only
C) I, III, and IV only
D) I, II, III, and IV
I. Weigh more than 1500 g.
II. Are treated with low positive-pressure mechanical ventilation.
III. Have a history of IRDS.
IV. Receive high concentrations of oxygen.
A) II only
B) III and IV only
C) I, III, and IV only
D) I, II, III, and IV
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39
In the newborn with BPD, match what develops in the oxygen indices listed to the items listed below. Items may be used once, more than once, or not at all.
C(a-v)02
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
C(a-v)02
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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