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Bioscience I - Quiz 1

128 Questions  I  By Scottishduffy
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A quiz to review the respiratory material for test 1 in bioscience.

  
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1.  You are the SRNA for Mr. Becker today. During the middle of the ENT case the surgeon moves the patients head down, so that his chin is to his chest. Your preceptor asks how this will effect your ETT, what do you tell him?
A.
B.
C.
D.
2.  What is the minute volume for a patient breathing  12 breaths per minutes at 450 ml tidal volume?               
A.
B.
C.
D.
3.  Concerns related to an appendectomy may include:
A.
B.
C.
D.
4.  Which of the following ABG’s would you expect to see on a patient in septic shock?
A.
B.
C.
D.
5.  What is the primary function of the Tracheobronchial tree?
A.
B.
C.
D.
6.  A VQ ratio of 0.8 would indicate what?
A.
B.
C.
D.
7.  Which of the following ABG’s would expect to see on a pt with severe vomiting who has been NG suctioned for 3 days?
A.
B.
C.
D.
8.  An intrapulmonary shunt is characterized by perfusion with no ventilation.
A.
B.
9.  Vital Capacity is NOT dependent on which of the following?
A.
B.
C.
D.
10.  Interpret this ABG: pH  7.45   CO2  55    HCO3   32
A.
B.
C.
D.
11.  The ease at which the lungs and thoracic wall can be expanded is known as what?
A.
B.
C.
D.
12.  Why do we pre-oxygenate a patient prior to induction?
A.
B.
C.
D.
13.  You are in the middle of a hernia repair on a patient with a PMH of Asthma. During  the procedure you notice and increase in your PIP, decreased exhaled volume, an rising capnograph. You ausculatate the patients lungs and hear wheezing. His vital signs are currently stable. What should you do now?
A.
B.
C.
D.
14.  After inducing a patient for general anesthesia you can expect that their FRC will be…
A.
B.
C.
15.  How will systemic vasoconstriction effect pulmonary blood volume?
A.
B.
C.
16.  Which of the following reduces the risk of stimulation of the oculocardiac reflex during ocular surgery?
A.
B.
C.
D.
17.  How will an increase in dead space effect your end tidal CO2?
A.
B.
C.
18.  Which of the following is one of the single cartilage formations of the larynx?
A.
B.
C.
D.
19.  Which of the following is NOT an effect of anesthesia on Gas Exchange?
A.
B.
C.
D.
20.  What is the function of the pharynx?
A.
B.
C.
D.
21.  The normal FEV1/FVC ratio is greater than or equal to what?
A.
B.
C.
D.
22.  Which regional anesthesia used for eye surgeries  is associated with the greatest incidence of complications?
A.
B.
C.
D.
23.  What would be the hallmark of a patient with COPD?
A.
B.
C.
D.
24.  The vast majority of oxygen stores in adults is contained where?
A.
B.
C.
D.
25.  What is Internal Respiration?
A.
B.
C.
D.
26.  A patient with cystic fibrosis is likely to have all of the following except:
A.
B.
C.
D.
27.  The ______ the degree of pre-op pulmonary impairment the ________ the risk of pulmonary complications intra-op and post-op.
A.
B.
C.
D.
28.  You are assessing lung volumes on a patient today. You ask your patient to take a very deep breath (as much as he can) and then to promptly exhale as much as he can. What are you measuring?
A.
B.
C.
D.
29.  The chief support for the larynx is provided by…
A.
B.
C.
D.
30.  Which of the following is NOT a metabolic function of the lungs?
A.
B.
C.
D.
31.  Which of the following is a risk associated with prolonged nasal intubations?
A.
B.
C.
D.
32.  The Chest wall has a tendency to _____, while the lungs have a tendency to _____.
A.
B.
C.
D.
33.  Chronic Bronchitis is characterized by what?
A.
B.
C.
D.
34.  Which of the following will NOT shift the oxyhemoglobin dissociation curve to the Left?
A.
B.
C.
D.
35.  Which of the following is not a predictor of post-op pulm complications?
A.
B.
C.
D.
36.  You need to be cautious when administering which of the following to a COPD patient due to the possibility of knocking out their respiratory drive?
A.
B.
C.
D.
37.  You are the SRNA for Mr. Troner today, who is an oncology patient. He has recently had radiation and chemotherapy with bleomycin. He was recently diagnosed with radiation pneumonitis. What special considerations do you need to take during surgery?
A.
B.
C.
D.
38.  Which of the following would not be an Acute Intrinsic Pulmonary Disease?
A.
B.
C.
D.
39.  Which of the following would be considered safe to give to an asthmatic patient?
A.
B.
C.
D.
40.  As the bronchial branching becomes more extensive in the bronchial tree the epithelium changes from _______________ to _____________ in the terminal bronchioles.
A.
B.
C.
D.
41.  You are caring for a patient with severe COPD, Pulm HTN, and Cor Pulmonale.  During the surgery you notice the patient  has an increase in their CVP, CI and PAP pressures. The patient is also beginning to develop peripheral edema.  What should be your first intervention?
A.
B.
C.
D.
42.  What is Closing Capacity?
A.
B.
C.
D.
43.  What is the proper technique for a nasal intubation?
A.
B.
C.
D.
44.  Why are Cervical injuries above the level of C5 incompatible with spontaneous ventilation?
A.
B.
C.
D.
45.  Which Cartilage is attached to the posterior ends of the vocal cords and serves as their focal point for movement?
A.
B.
C.
D.
46.  You are SRNA for Mr. Teesh who is a 31 yr old male and has a PMH of Asthma. He has not been hospitalized within the last 2 years but he has been to the ER several times. He takes daily medication to control his asthma and brought his inhaler with him. You auscultate his lungs and hear slight expiratory wheezes. He is having a minor outpatient procedure today, What should you do?
A.
B.
C.
D.
47.  Chronic Intrinsic Pulmonary disorders are characterized by…
A.
B.
C.
D.
48.  You are caring for Ms. Garo today. She came in with a hip and femur fracture following an MVA 2 days ago and has been on bedrest.  She has a PMH of childhood asthma, no attacks for 10 years. She is trying to get comfortable in the bed when she suddenly complains of chest pain and shortness of breath. Her respiratory rate is now 36, when it has been 16. She looks very distressed, what do you think is wrong?               
A.
B.
C.
D.
49.  Which of the following is not true regarding management of a pt with COPD?
A.
B.
C.
D.
50.  Which of the following would have the GREATEST risk for post-op pulmonary complications?
A.
B.
C.
D.
51.  Which of the following is not likely to cause respiratory alkalosis?
A.
B.
C.
D.
52.  The work of breathing is performed primarily by what?
A.
B.
C.
D.
53.  Which of the following is not correct regarding a wrist ORIF?
A.
B.
C.
D.
54.  How will anemia effect oxygen delivery to tissues?
A.
B.
C.
55.  Elevated levels of carboxyhemoglobin and methemoglobin are directly related to…
A.
B.
C.
D.
56.  Which of the following ABG’s would you expect to see on a patient with severe pneumonia?
A.
B.
C.
D.
57.  Interpret the following ABG:  pH 7.37  CO2 44  HCO3  25
A.
B.
C.
D.
E.
58.  General anesthesia will have what effects of cellular metabolism?
A.
B.
C.
D.
59.  Which of the following is not a valid reason for inserting a nasogastric tube in a patient undergoing an appendectomy?
A.
B.
C.
D.
60.  Patients with increased airflow resistance will have a rapid, shallow breathing pattern.
A.
B.
61.  Which lung contains the greater proportion of lung capacity?
A.
B.
C.
62.  FEV1 and FVC are effort  _______ while forced midexpiratory flow is effort ________.
A.
B.
C.
D.
63.  A patient with ARDS is likely to have all of the following except:
A.
B.
C.
D.
64.  The names of two layers of serous membranes that enclose and protect the lungs are … (Two Answers)               
A.
B.
C.
D.
65.  Which of the following is not true regarding functional residual capacity?
A.
B.
C.
D.
66.  2)  It is extremely important preoperative to a wrist ORIF to….
A.
B.
C.
D.
67.  Restrictive Pulmonary disease is characterized by…
A.
B.
C.
D.
68.  What symptoms would you expect to see in a patient with Asthma?
A.
B.
C.
D.
69.  The enlargement of the airways distal to the terminal bronchioles associated with emphysema is usually reversible. 
A.
B.
70.  Which protective pulmonary mechanism diverts blood flow away from poorly ventilated or atelectic areas to minimize pulmonary shunting?
A.
B.
C.
D.
71.  Which of the following is not likely to cause metabolic acidosis?
A.
B.
C.
D.
72.  Alveoli collapse is directly proportional to…
A.
B.
C.
D.
73.  Which of the following ABG’s would you expect to see on a patient who has an acute pulmonary embolism?
A.
B.
C.
D.
74.  Which of the following is not likely to cause metabolic alkalosis?
A.
B.
C.
D.
75.  During general anesthesia Expiration will become…
A.
B.
C.
D.
76.  Interpret the following ABG:  pH  7.51    CO2 44   HCO3   32
A.
B.
C.
D.
E.
77.  Interpret this ABG:  pH  7. 49    CO2   30     HCO3   18
A.
B.
C.
D.
78.  Interpret this ABG:   pH  7.24   CO2  31     HCO3 19
A.
B.
C.
D.
79.  During an asthma attack there is resistance to gas flow where?
A.
B.
C.
D.
80.  What would be a normal Vital Capacity for a female who is 5’4” and 60 kg?
A.
B.
C.
D.
81.  Use of regional anesthesia for orthopedic procedures will decrease the risk of DVT and PE.
A.
B.
82.  How is the respiratory drive of a COPD pt different from that of a normal person?
A.
B.
C.
D.
83.  Due to pulmonary anatomy, a risk associated with inserting subclavian lines is…
A.
B.
C.
D.
84.  You are caring for a patient whose ABG is:  pH 7.29  PaO2 82  PaCO2 60  HCO3 25. Would this have any effect on the oxygen-hemoglobin dissociation curve?
A.
B.
C.
D.
85.  A person with asthma may have PERMANENT changes in airway anatomy. 
A.
B.
86.  Interpret the following ABG:   pH 7.19   CO2   58    HCO3 24
A.
B.
C.
D.
E.
87.  When you swallow food, what cartilage of the larynx guards the laryngeal entrance and protects you from aspiration?
A.
B.
C.
D.
88.  During an ORIF of the wrist, After the tourniquet is released from the arm the patient will
A.
B.
C.
D.
89.  A VQ ratio of 0.3 on a patient would indicate what?
A.
B.
C.
D.
90.  You are doing a pre-op on a patient with a PMH of asthma. What important questions should you ask?               
A.
B.
C.
D.
91.  Which of the following is true regarding the trachea?
A.
B.
C.
D.
92.  Which form of cellular metabolism produces the greatest amount of ATP?
A.
B.
C.
D.
93.  What is the function of the alveolar capillary membrane?
A.
B.
C.
D.
94.  Patient G.K. presents with sharp pains to right lower abdomen. Patient complains of nausea and vomiting, loss of appetite, and fever. G.K is diagnosed with appendicitis and is en route to the OR for an appendectomy. Which airway management is best for this patient?
A.
B.
C.
D.
95.  Which laryngeal cartilage corresponds to the beginning of the trachea?
A.
B.
C.
D.
96.  Interpret the following ABG:  pH  7. 53   CO2   26     HCO3   23
A.
B.
C.
D.
E.
97.  Interpret the following ABG:  pH   7.28    CO2  41    HCO3  19
A.
B.
C.
D.
E.
98.  Vagal Activity in the lungs is responsible for  Broncho_______ and it ______ secretions.
A.
B.
C.
D.
99.  The Tracheobronchial Tree is composed of how many different dichotomous divisions?
A.
B.
C.
D.
100.  Which of the following is not likely to cause respiratory acidosis?
A.
B.
C.
D.
101.  Following acute changes in ventilation the rate of fall in arterial CO2 tension is slower than it’s rise.
A.
B.
102.  Gases in non-respiratory airways are known as what?
A.
B.
C.
D.
103.  In the supine position, abdominal breathing predominates.
A.
B.
104.  The inhalation of air from the atmosphere into the lungs is known as…
A.
B.
C.
105.  Gas flow in the lungs is…
A.
B.
C.
D.
106.  Which lung contains a hilus?
A.
B.
C.
107.  You are SRNA for a patient from the unit coming for a procedure. This patient has ARDS. The patient is 5’5” and weighs 60 kg. What would be an appropriate tidal volume and resp rate for this pt?
A.
B.
C.
D.
108.  During spontaneous ventilation the gradients for gas exchange are created by…
A.
B.
C.
D.
109.  The cardiac notch is contained within which lung?
A.
B.
C.
110.  Which of the following is NOT part of the pharynx?
A.
B.
C.
D.
111.  At what level of tracheobronchial division does flat epithelium begin to appear?
A.
B.
C.
D.
112.  Inhalational agents affect the respiratory pattern by resulting in slow, deep breaths during anesthesia.
A.
B.
113.  Smoking should be discontinued how many weeks prior to surgery?
A.
B.
C.
D.
114.  Which area of the brain is responsible for control of basic respiratory rhythm?
A.
B.
C.
D.
115.  Why is the use of succhinylcholine contraindicated within 20 minutes of forced duction testing?
A.
B.
C.
D.
116.  COMIC RELIEF:http://www.youtube.com/watch?v=Usm9SpnHYJQ&feature=related
A.
B.
C.
D.
117.  Interpret this ABG:  pH  7.35   CO2    54     HCO3    30
A.
B.
C.
D.
118.  What substance within the alveoli serves to decrease surface tension?
A.
B.
C.
D.
119.  Why is it that adults need cuffed tubes and children do not?
A.
B.
C.
D.
120.  In ARDS, reduced lung compliance is primarily due to…
A.
B.
C.
D.
121.  Which of the following will decrease Pulmonary blood volume?
A.
B.
C.
D.
122.  Which of the following would you not expect to see on a patient with an intra-op pulmonary embolism?               
A.
B.
C.
D.
123.  What is the Hering-Breuer Reflex?
A.
B.
C.
D.
124.  Which of the following ABG’s would you expect to see on a patient with a CNS injury?
A.
B.
C.
D.
125.  Which of the following is true regarding Aleveoli?
A.
B.
C.
D.
126.  You are taking care of Ms. Weezy, who came into the ER today. When she first came in she stated she had asthma and was displaying expiratory wheezing. A short while later she had both inspiratory and expiratory wheezing. She was given some aspirin for a headache prior to a respiratory treatment, after which she stopped wheezing. She is still using accessory muscle and appears to have trouble speaking, but the wheezes are now gone. What do you think about this?
A.
B.
C.
127.  Emphysema is characterized by…
A.
B.
C.
D.
128.  Which of the following are part of the 5 functions of the respiratory system? (Check all that apply)
A.
B.
C.
D.
E.
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