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smcc617 smcc617
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Posts: 594
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6 years ago
What parts of the lungs are most commonly affected by a fungal infection?
 
  a. Mainstem bronchi
  b. Lingula
  c. Lower lobes
  d. Upper lobes



Q. 2  Fungal infection of the lungs is closest in similarity to:
 
  a. pleural disease.
  b. interstitial lung disease.
  c. tuberculosis.
  d. bronchiectasis.



Q. 3  Which of the following chest radiograph findings would confirm the presence of PIE?
 
  1. Mediastinal shift to the unaffected side
  2. Air below the diaphragms
  3. Lung hyperinflation
  4. Fine, bubbly appearance of the lungs
  a. 2, 3
  b. 1, 4
  c. 3, 4
  d. 1, 3, 4



Q. 4  A physician is performing transillumination to determine whether a neonate has a pneumothorax. What finding would confirm the presence of a pneumothorax?
 
  a. The trachea will be illuminated.
  b. Light will shine through the hole in the lung.
  c. There will be increased illumination on the unaffected side.
  d. There will be increased illumination on the affected side.



Q. 5  Anatomic alterations found in the lungs of patients with a fungal infection include:
 
  1. fibrosis of lung parenchyma.
  2. alveolar-capillary destruction.
  3. hyperinflation.
  4. mucosal edema.
  a. 1, 2
  b. 2, 3
  c. 3, 4
  d. 1, 2, 4



Q. 6  A neonate with pulmonary interstitial emphysema has developed a pneumothorax. In the early stages, a pneumothorax will manifest itself clinically as _____ disorder.
 
  a. an equally restrictive and obstructive
  b. an obstructive pulmonary
  c. a restrictive pulmonary
  d. neither a restrictive nor an obstructive



Q. 7  What clinical manifestations are associated with the more negative intrapleural pressures generated during inspiration by a patient with pulmonary air leak syndrome?
 
  1. Cyanosis of dependent thorax and abdomen
  2. Intercostal and substernal retractions
  3. Flaring nostrils
  4. Inspiratory stridor
  a. 1, 3
  b. 2, 3
  c. 1, 2, 3
  d. 1, 2, 3, 4
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wrote...
6 years ago
(Answer to Q. 1)  D
In most patients who have a fungal lung infection, the apical and posterior segments of the upper lobes are affected.

(Answer to Q. 2)  C
Because of the fibrosis and scarring that can occur with a fungal lung infection, it resembles tuberculosis more closely than the other listed options.

(Answer to Q. 3)  C
PIE is identified on the chest radiograph film by lung hyperinflation and the fine, bubbly appearance of the lungs.

(Answer to Q. 4)  D
When free air is in the pleural space, transillumination will result in increased illumination on the affected side. This would confirm a pneumothorax.

(Answer to Q. 5)  A
Fibrosis of lung parenchyma and alveolar-capillary destruction will be among the changes found in the lungs of patients with a fungal infection. Hyperinflation and mucosal edema are not typically found.

(Answer to Q. 6)  C
In the early stages, a pneumothorax will manifest itself clinically as a restrictive pulmonary disorder.

(Answer to Q. 7)  C
When more negative intrapleural pressures are needed during inspiration, the associated clinical manifestations include cyanosis of the dependent thoracic and abdominal areas, intercostal and substernal retractions, and flaring nostrils.
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