Deck 27: Acute Respiratory Distress Syndrome

Question 1

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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

Answer 1

Decreases

Question 2

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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

Answer 3

Normal

Question 4

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 5

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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

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 Acute Respiratory Distress Syndrome (ARDS).
Atelectasis Clinical Scenario

A)YES-This is associated with ARDS.
B)NO-This is not associated with ARDS.

Question 7

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 8

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 Acute Respiratory Distress Syndrome (ARDS).
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with ARDS.
B)NO-This is not associated with ARDS.

Question 9

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 10

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 11

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 12

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 13

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 14

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 15

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 Acute Respiratory Distress Syndrome (ARDS).
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with ARDS.
B)NO-This is not associated with ARDS.

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 Acute Respiratory Distress Syndrome (ARDS).
Bronchospasm Clinical Scenario

A)YES-This is associated with ARDS.
B)NO-This is not associated with ARDS.

Question 17

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 Acute Respiratory Distress Syndrome (ARDS).
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with ARDS.
B)NO-This is not associated with ARDS.

Question 18

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 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 Acute Respiratory Distress Syndrome (ARDS).
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with ARDS.
B)NO-This is not associated with ARDS.

Question 20

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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

Question 21

Match the arterial blood gas changes that occur during severe ARDS 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 22

Match what develops in the oxygen indices of a patient with ARDS 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 23

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
PA

A)Normal
B)Decreases
C)Increases

Question 24

Match what develops in the oxygen indices of a patient with ARDS 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 25

Match the arterial blood gas changes that occur during a mild to moderate ARDS 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 26

Match what develops in the oxygen indices of a patient with ARDS 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 27

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 28

Match what develops in the oxygen indices of a patient with ARDS 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 29

Match the arterial blood gas changes that occur during a mild to moderate ARDS 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 30

Match the arterial blood gas changes that occur during a mild to moderate ARDS 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 31

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
CVP

A)Normal
B)Decreases
C)Increases

Question 32

Match the arterial blood gas changes that occur during severe ARDS 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

Match what develops in the oxygen indices of a patient with ARDS 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

Question 34

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
PCWP

A)Normal
B)Decreases
C)Increases

Question 35

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
CO

A)Normal
B)Decreases
C)Increases

Question 36

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
SV

A)Normal
B)Decreases
C)Increases

Question 37

Match the arterial blood gas changes that occur during severe ARDS 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 38

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
RAP

A)Normal
B)Decreases
C)Increases

Question 39

Next to the pulmonary function studies listed below, match the findings that typically develop in patients who have ARDS. 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 40

Match what develops in the oxygen indices of a patient with ARDS 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 41

Intercostal retractions may be seen in patients with ARDS during expiration.

Question 42

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
PVR

A)Normal
B)Decreases
C)Increases

Question 43

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
SVR

A)Normal
B)Decreases
C)Increases

Question 44

Because of the consolidation and atelectasis associated with ARDS, whispered sounds will be more unintelligible over the affected area during auscultation.

Question 45

The clinical manifestations associated with ARDS are based on the clinical scenarios activated by which of the following?

A) I and V only
B) II and VI only
C) I, II, and IV only
D) II, III, IV, and V only
E) I, II, III, IV, V, and VI

Question 46

Percussion notes on patients with ARDS are hyperresonant.

Question 47

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
LVSWI

A)Normal
B)Decreases
C)Increases

Question 48

ARDS has been called many different names in the medical literature. Primarily, the names have been based on the etiology believed to be responsible for the disease.

Question 49

An increased RVSWI is associated with ARDS.

Question 50

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
SVI

A)Normal
B)Decreases
C)Increases

Question 51

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
RVSWI

A)Normal
B)Decreases
C)Increases

Question 52

Match what hemodynamic indices develop during the severe stages of ARDS to the items listed below. Items may be used once, more than once, or not at all.
CI

A)Normal
B)Decreases
C)Increases