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AlfredDieselGuy AlfredDieselGuy
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Posts: 576
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6 years ago
During the advanced stages of a fungal lung infection, which of the following is commonly seen on the chest radiograph?
 
  a. Hyperinflation
  b. Spherical nodules
  c. Right shift of the heart
  d. Cavities



Q. 2  An infant with RSV will show what clinical manifestations associated with the more negative intrapleural pressures needed during inspiration?
 
  1. Seesaw breathing movement
  2. Breath sounds reveal pleural friction rub
  3. Inspiratory stridor
  4. Cyanosis of the dependent abdominal areas
  a. 2, 4
  b. 1, 4
  c. 1, 3, 4
  d. 1, 2, 3, 4



Q. 3  What can be given to a premature baby in order to prevent an RSV infection?
 
  a. An inhaled corticosteroid agent
  b. Ribavirin (Virazole)
  c. Palivizumab (Synagis)
  d. A sympathomimetic agent



Q. 4  Pulmonary function testing results on a patient with advanced fungal pneumonia will display all of the following EXCEPT:
 
  a. increased ERV.
  b. decreased IRV.
  c. decreased IC.
  d. decreased TLC.



Q. 5  A patient with an RSV is hypoxemic. What could cause this?
 
  1. Atelectasis
  2. Excessive airway fluid
  3. Persistent pulmonary hypertension of the newborn (PPHN)
  4. Consolidation
  a. 1, 2
  b. 3, 4
  c. 1, 2, 4
  d. 1, 2, 3, 4



Q. 6  A patient with an advanced pulmonary fungal infection has cor pulmonale. How will this manifest itself?
 
  a. Distended neck veins
  b. Poor skin turgor
  c. Wheezy breath sounds
  d. Asymmetrical chest movement when breathing
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wrote...
6 years ago
(Answer to Q. 1)  D
Cavities are commonly seen in the advanced stages of a fungal lung infection. Spherical nodules may be seen early in the disease process. The other options are not seen.

(Answer to Q. 2)  B
Clinical manifestations associated with the more negative intrapleural pressures needed during inspiration include, but are not limited to, seesaw breathing movement and cyanosis of the dependent thoracic areas. Pleural friction rub and inspiratory stridor are not associated with an infant with RSV.

(Answer to Q. 3)  C
The injectable drug palivizumab is given to high-risk babies to help prevent an RSV infection. Ribavirin is only given if the patient has an RSV infection. Corticosteroid and sympathomimetic drugs do not prevent an RSV infection.

(Answer to Q. 4)  A
RV will be decreased rather than increased. Because advanced fungal pneumonia causes a restrictive lung disease pattern, volumes and capacities will be decreased.

(Answer to Q. 5)  C
Atelectasis, excessive airway fluid, and consolidation seen in an RSV patient can cause hypoxemia. Persistent pulmonary hypertension of the newborn (PPHN) is not associated with RSV.

(Answer to Q. 6)  A
Cor pulmonale is right-sided heart failure. Patients with this problem will have distended neck veins and other findings associated with fluid overload. Often they will have peripheral edema rather than poor skin turgor. Breath sounds may reveal crackles but not wheezes. Chest movement is not affected.
wrote...
6 years ago
I can't even begin to explain how much your help meant to me.
wrote...
6 years ago
Happy to hear that, good luck with the rest of them
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