Bioscience I - Quiz 1

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

  
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1.  Interpret the following ABG:  pH   7.28    CO2  41    HCO3  19
A.
B.
C.
D.
E.
2.  What is the primary function of the Tracheobronchial tree?
A.
B.
C.
D.
3.  During an ORIF of the wrist, After the tourniquet is released from the arm the patient will
A.
B.
C.
D.
4.  Vital Capacity is NOT dependent on which of the following?
A.
B.
C.
D.
5.  Which of the following reduces the risk of stimulation of the oculocardiac reflex during ocular surgery?
A.
B.
C.
D.
6.  Which of the following is true regarding Aleveoli?
A.
B.
C.
D.
7.  A patient with ARDS is likely to have all of the following except:
A.
B.
C.
D.
8.  Interpret the following ABG:  pH  7.51    CO2 44   HCO3   32
A.
B.
C.
D.
E.
9.  Which of the following is not a valid reason for inserting a nasogastric tube in a patient undergoing an appendectomy?
A.
B.
C.
D.
10.  You are doing a pre-op on a patient with a PMH of asthma. What important questions should you ask?               
A.
B.
C.
D.
11.  Which regional anesthesia used for eye surgeries  is associated with the greatest incidence of complications?
A.
B.
C.
D.
12.  The inhalation of air from the atmosphere into the lungs is known as…
A.
B.
C.
13.  Restrictive Pulmonary disease is characterized by…
A.
B.
C.
D.
14.  How will an increase in dead space effect your end tidal CO2?
A.
B.
C.
15.  Which of the following is NOT part of the pharynx?
A.
B.
C.
D.
16.  Why are Cervical injuries above the level of C5 incompatible with spontaneous ventilation?
A.
B.
C.
D.
17.  Interpret this ABG:  pH  7. 49    CO2   30     HCO3   18
A.
B.
C.
D.
18.  Which of the following would not be an Acute Intrinsic Pulmonary Disease?
A.
B.
C.
D.
19.  Which lung contains a hilus?
A.
B.
C.
20.  How is the respiratory drive of a COPD pt different from that of a normal person?
A.
B.
C.
D.
21.  The Tracheobronchial Tree is composed of how many different dichotomous divisions?
A.
B.
C.
D.
22.  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.
23.  Use of regional anesthesia for orthopedic procedures will decrease the risk of DVT and PE.
A.
B.
24.  Which protective pulmonary mechanism diverts blood flow away from poorly ventilated or atelectic areas to minimize pulmonary shunting?
A.
B.
C.
D.
25.  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.
26.  Which of the following would have the GREATEST risk for post-op pulmonary complications?
A.
B.
C.
D.
27.  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.
28.  Gas flow in the lungs is…
A.
B.
C.
D.
29.  Which of the following is not likely to cause metabolic acidosis?
A.
B.
C.
D.
30.  2)  It is extremely important preoperative to a wrist ORIF to….
A.
B.
C.
D.
31.  During an asthma attack there is resistance to gas flow where?
A.
B.
C.
D.
32.  Which of the following is not true regarding management of a pt with COPD?
A.
B.
C.
D.
33.  The work of breathing is performed primarily by what?
A.
B.
C.
D.
34.  The names of two layers of serous membranes that enclose and protect the lungs are … (Two Answers)               
A.
B.
C.
D.
35.  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.
36.  COMIC RELIEF:http://www.youtube.com/watch?v=Usm9SpnHYJQ&feature=related
A.
B.
C.
D.
37.  Which lung contains the greater proportion of lung capacity?
A.
B.
C.
38.  What would be a normal Vital Capacity for a female who is 5’4” and 60 kg?
A.
B.
C.
D.
39.  What is the function of the pharynx?
A.
B.
C.
D.
40.  Which of the following will decrease Pulmonary blood volume?
A.
B.
C.
D.
41.  A person with asthma may have PERMANENT changes in airway anatomy. 
A.
B.
42.  Which of the following would be considered safe to give to an asthmatic patient?
A.
B.
C.
D.
43.  Interpret the following ABG:  pH 7.37  CO2 44  HCO3  25
A.
B.
C.
D.
E.
44.  What is the proper technique for a nasal intubation?
A.
B.
C.
D.
45.  In the supine position, abdominal breathing predominates.
A.
B.
46.  General anesthesia will have what effects of cellular metabolism?
A.
B.
C.
D.
47.  Interpret the following ABG:  pH  7. 53   CO2   26     HCO3   23
A.
B.
C.
D.
E.
48.  A VQ ratio of 0.8 would indicate what?
A.
B.
C.
D.
49.  A patient with cystic fibrosis is likely to have all of the following except:
A.
B.
C.
D.
50.  Which of the following is not true regarding functional residual capacity?
A.
B.
C.
D.
51.  What is the function of the alveolar capillary membrane?
A.
B.
C.
D.
52.  Which of the following would you not expect to see on a patient with an intra-op pulmonary embolism?               
A.
B.
C.
D.
53.  FEV1 and FVC are effort  _______ while forced midexpiratory flow is effort ________.
A.
B.
C.
D.
54.  Which of the following is not likely to cause respiratory acidosis?
A.
B.
C.
D.
55.  In ARDS, reduced lung compliance is primarily due to…
A.
B.
C.
D.
56.  The Chest wall has a tendency to _____, while the lungs have a tendency to _____.
A.
B.
C.
D.
57.  How will anemia effect oxygen delivery to tissues?
A.
B.
C.
58.  The chief support for the larynx is provided by…
A.
B.
C.
D.
59.  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.
60.  Vagal Activity in the lungs is responsible for  Broncho_______ and it ______ secretions.
A.
B.
C.
D.
61.  Which Cartilage is attached to the posterior ends of the vocal cords and serves as their focal point for movement?
A.
B.
C.
D.
62.  How will systemic vasoconstriction effect pulmonary blood volume?
A.
B.
C.
63.  Which of the following is a risk associated with prolonged nasal intubations?
A.
B.
C.
D.
64.  Patients with increased airflow resistance will have a rapid, shallow breathing pattern.
A.
B.
65.  Which of the following ABG’s would you expect to see on a patient with a CNS injury?
A.
B.
C.
D.
66.  Chronic Bronchitis is characterized by what?
A.
B.
C.
D.
67.  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.
68.  Which of the following is NOT a metabolic function of the lungs?
A.
B.
C.
D.
69.  Which of the following is true regarding the trachea?
A.
B.
C.
D.
70.  Smoking should be discontinued how many weeks prior to surgery?
A.
B.
C.
D.
71.  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.
72.  Interpret the following ABG:   pH 7.19   CO2   58    HCO3 24
A.
B.
C.
D.
E.
73.  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.
74.  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.
75.  Which laryngeal cartilage corresponds to the beginning of the trachea?
A.
B.
C.
D.
76.  Which of the following are part of the 5 functions of the respiratory system? (Check all that apply)
A.
B.
C.
D.
E.
77.  The cardiac notch is contained within which lung?
A.
B.
C.
78.  What is Closing Capacity?
A.
B.
C.
D.
79.  Following acute changes in ventilation the rate of fall in arterial CO2 tension is slower than it’s rise.
A.
B.
80.  The enlargement of the airways distal to the terminal bronchioles associated with emphysema is usually reversible. 
A.
B.
81.  Chronic Intrinsic Pulmonary disorders are characterized by…
A.
B.
C.
D.
82.  Gases in non-respiratory airways are known as what?
A.
B.
C.
D.
83.  Concerns related to an appendectomy may include:
A.
B.
C.
D.
84.  Which of the following will NOT shift the oxyhemoglobin dissociation curve to the Left?
A.
B.
C.
D.
85.  Why is it that adults need cuffed tubes and children do not?
A.
B.
C.
D.
86.  Why is the use of succhinylcholine contraindicated within 20 minutes of forced duction testing?
A.
B.
C.
D.
87.  After inducing a patient for general anesthesia you can expect that their FRC will be…
A.
B.
C.
88.  Which of the following is not a predictor of post-op pulm complications?
A.
B.
C.
D.
89.  During general anesthesia Expiration will become…
A.
B.
C.
D.
90.  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.
91.  At what level of tracheobronchial division does flat epithelium begin to appear?
A.
B.
C.
D.
92.  The ease at which the lungs and thoracic wall can be expanded is known as what?
A.
B.
C.
D.
93.  What is Internal Respiration?
A.
B.
C.
D.
94.  What substance within the alveoli serves to decrease surface tension?
A.
B.
C.
D.
95.  The vast majority of oxygen stores in adults is contained where?
A.
B.
C.
D.
96.  The ______ the degree of pre-op pulmonary impairment the ________ the risk of pulmonary complications intra-op and post-op.
A.
B.
C.
D.
97.  Which area of the brain is responsible for control of basic respiratory rhythm?
A.
B.
C.
D.
98.  What would be the hallmark of a patient with COPD?
A.
B.
C.
D.
99.  Which of the following ABG’s would you expect to see on a patient with severe pneumonia?
A.
B.
C.
D.
100.  Why do we pre-oxygenate a patient prior to induction?
A.
B.
C.
D.
101.  An intrapulmonary shunt is characterized by perfusion with no ventilation.
A.
B.
102.  Interpret this ABG:   pH  7.24   CO2  31     HCO3 19
A.
B.
C.
D.
103.  Emphysema is characterized by…
A.
B.
C.
D.
104.  Which of the following is not likely to cause metabolic alkalosis?
A.
B.
C.
D.
105.  Interpret this ABG: pH  7.45   CO2  55    HCO3   32
A.
B.
C.
D.
106.  Which of the following ABG’s would you expect to see on a patient in septic shock?
A.
B.
C.
D.
107.  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.
108.  During spontaneous ventilation the gradients for gas exchange are created by…
A.
B.
C.
D.
109.  When you swallow food, what cartilage of the larynx guards the laryngeal entrance and protects you from aspiration?
A.
B.
C.
D.
110.  Which form of cellular metabolism produces the greatest amount of ATP?
A.
B.
C.
D.
111.  The normal FEV1/FVC ratio is greater than or equal to what?
A.
B.
C.
D.
112.  Which of the following is not correct regarding a wrist ORIF?
A.
B.
C.
D.
113.  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.
114.  What is the minute volume for a patient breathing  12 breaths per minutes at 450 ml tidal volume?               
A.
B.
C.
D.
115.  Interpret this ABG:  pH  7.35   CO2    54     HCO3    30
A.
B.
C.
D.
116.  What symptoms would you expect to see in a patient with Asthma?
A.
B.
C.
D.
117.  Due to pulmonary anatomy, a risk associated with inserting subclavian lines is…
A.
B.
C.
D.
118.  Which of the following is NOT an effect of anesthesia on Gas Exchange?
A.
B.
C.
D.
119.  What is the Hering-Breuer Reflex?
A.
B.
C.
D.
120.  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.
121.  Elevated levels of carboxyhemoglobin and methemoglobin are directly related to…
A.
B.
C.
D.
122.  Which of the following is one of the single cartilage formations of the larynx?
A.
B.
C.
D.
123.  As the bronchial branching becomes more extensive in the bronchial tree the epithelium changes from _______________ to _____________ in the terminal bronchioles.
A.
B.
C.
D.
124.  A VQ ratio of 0.3 on a patient would indicate what?
A.
B.
C.
D.
125.  Which of the following ABG’s would you expect to see on a patient who has an acute pulmonary embolism?
A.
B.
C.
D.
126.  Inhalational agents affect the respiratory pattern by resulting in slow, deep breaths during anesthesia.
A.
B.
127.  Alveoli collapse is directly proportional to…
A.
B.
C.
D.
128.  Which of the following is not likely to cause respiratory alkalosis?
A.
B.
C.
D.
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Quiz Comments (1)
Kind of a tough one here. Know your ABG's! How to interpret them, what different conditions may cause certain ABG's to occur. Know your obstructive and restrictive disorders: What ABG's to expect, anesthetic management, PFT results your would see, hallmark signs and symptoms. Know about control of respirations and peripheral receptors. Basically, you really need to know all his "You should know's"
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