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roddyrodrod roddyrodrod
wrote...
Posts: 564
Rep: 1 0
6 years ago
Which of the following are among the treatment options for the patient with myasthenia gravis?
 
  1. Pyridostigmine (Mestinon)
  2. Plasmapheresis
  3. Thymectomy
  4. Mechanical ventilation
  a. 1, 3
  b. 2, 4
  c. 1, 2, 4
  d. 1, 2, 3, 4



Q. 2  The management of COPD may include:
 
  1. annual influenza immunization.
  2. bronchopulmonary hygiene procedures.
  3. bronchodilators.
  4. smoking cessation.
  a. 1, 2
  b. 2, 3
  c. 2, 3, 4
  d. 1, 2, 3, 4



Q. 3  The respiratory therapist is reviewing a patient's electronic medical record to try to verify if the patient has tissue hypoxia. Which of the following laboratory values is MOST likely to correlate with tissue hypoxia?
 
  a. Metabolic acidosis
  b. Thrombocytopenia
  c. Hypokalemia
  d. Bilirubinemia



Q. 4  Chest assessment findings in a patient with ILD would include:
 
  1. pleural friction rub.
  2. increased vocal fremitus.
  3. vesicular breath sounds.
  4. hyperresonant percussion note.
  a. 1, 2
  b. 2, 3
  c. 1, 3, 4
  d. 1, 2, 3, 4



Q. 5  Which of the following values would be associated with impending ventilatory failure in a patient with myasthenia gravis?
 
  1. NIF 15cm H2O
  2. VC 10 mL/kg
  3. PaCO2 43 mm Hg
  4. pH 7.36
  a. 1
  b. 1, 2
  c. 2, 4
  d. 1, 2, 3



Q. 6  What is the major anatomic pathology associated with new BPD?
 
  a. Alveolar hypoplasia
  b. Alveolar hyperplasia
  c. Alveolar atelectasis
  d. Alveolar-capillary wall thickening
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Replies
wrote...
6 years ago
(Answer to Q. 1)  D
All of the listed options may be required to help in the treatment and management of a patient with myasthenia gravis.

(Answer to Q. 2)  D
Because COPD is a mixture of emphysema and chronic bronchitis, all of the listed options may prove beneficial in the overall management of COPD. Additional therapeutic options are available but must be tailored to each patient.

(Answer to Q. 3)  A
When hypoxia exists, alternate anaerobic mechanisms are activated in the tissues that produce dangerous metabolitessuch as lactic acidas waste products. Lactic acid is a nonvolatile acid and causes the pH to decrease, resulting in metabolic acidosis.

(Answer to Q. 4)  A
A patient with ILD would have a pleural friction rub and increased vocal (and tactile) fremitus.

(Answer to Q. 5)  B
A VC of 10 mL/kg and an NIF of 15 cm H2O indicate loss of muscle strength and impending ventilatory failure.

(Answer to Q. 6)  A
Alveolar hypoplasia is the major anatomic pathology associated with new BPD.
roddyrodrod Author
wrote...
6 years ago
So smart
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