5 Written Questions
5 Matching Questions
- paradoxic movement of chest wall
- Surgical procedures which carry higher risk for postoperative respiratory failure.
- a a circumscribed area of suppuration and destruction of lung parenchyma. Formation follows consolidation of lung tissue, in which inflammation causes alveoli to fill with fluid, pus and microorganisms.
- b a type of pneumoconiosis resulting from the inhalation of free silica (silicon dioxide) and silica-containing compounds. occurs in mining and other industries involved with the extraction and processing of ores, prep and use of sand, and manufacture of pipe, building, and roofing materials
- c deficiency of oxygen in the blood
- d those that involve the central nervous system, thorax, or upper abdomen. Individuals usually have had a period of hypotension during surgery, and many have sepsis
- e During inspiration the unstable portion of the chest wall moves inward, and during exhalation it moves outward, impairing movement of gas in and out of the lungs.
5 Multiple Choice Questions
- infected pleural effusion; the presence of pus in the pleural space, it is a complication of respiratory infection. Thought to develop when the pulmonary lymphatics become blocked.
- atelectasis, pneumonia, pulmonary edema, and pulmonary emboli. These problems usually results in reduced FRC, decreased compliance, and ventilation-perfusion mismatch.
- an excessive amount of fibrous or connective tissue in the lung. It can be caused by formation of scar tissue after active disease, or by inhalation of harmful substances (e.g. coal dust or asbestos)
- the passage of fluid and solid particles into the lung. It tends to occur in individuals whose normal swallowing mechanism and cough reflex are impaired by a decreased level of consciousness or CNS abnormalities.
- an infection caused by mycobacterium tuberculosis, an acid-fast bacillus that usually affects the lungs by may also invade other body systems, bacterial infection of lungs, spread by airborne droplets, active infection may not occur for years, s/s tiredness, loss of appetite, weight loss, fever, night sweats, cough and sputum production increase over time
5 True/False Questions
chronic bronchitis → hypersecretion of mucus and chronic productive cough that continues for at least 3 months of the year, for at least 2 consecutive years. Incidence is increased in smokers, and workers exposed to air pollution. repeated infections are common.
nosocomial pneumonia → often caused by Streptococcus pneumoniae; is the only form of pneumonia that can be prevented through vaccination, bactera enter the lung through bloodstream inflammatroy response cause dead cell debries to obstruct airway. whinitis, coough, high fever, chills, chest pain, nasal flaring, retratctions
ARDS steps → 1. injury to the pulmonary capillaries, endothelium, 2. inflammation and platelet activation, 3. surfactant inactivation, 4. atelectasis
postoperative respiratory failure → smokers are at a higher risk for this, especially if they have a preexisting lung disease. Limited cardiac reserve, chronic renal failure, chronic hepatic disease, and infection also increase the tendency to this.
tension pneumothorax → the site of pleural rupture acts as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing up during expiration. Causes compression atelectasis