Chapter 34

65 Questions

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Syndrome Quizzes & Trivia

Questions and Answers
  • 1. 
    During times of respiratory distress, the infant's chest wall may flex inward and limit functional respiratory capacity because the chest wall -_____________ andn ____________.
    • A. 

      Flexibility and compliance

    • B. 

      Muscluature and rigidity

  • 2. 
    At birth, the infant has small, immature alveoli that cause  _____________ to airflow.
    • A. 

      No limits

    • B. 

      Increased resistance

  • 3. 
    Surfactant production begins by_____________ weeks gestation,
    • A. 

      18-22

    • B. 

      20-24

    • C. 

      230-34

  • 4. 
    Failure to prodcuce surfactant at brith results in severe__________ and RDS of the newborn
    • A. 

      Atelactesis

    • B. 

      Pain

  • 5. 
    ____________ is a disease process primarlly caused by hyperresponsive airways that are sensitive to certain environmental triggers.
    • A. 

      Emphysema

    • B. 

      Asthma

  • 6. 
    Children have greater__________ and )__________________ than adutls
    • A. 

      Flexibility cilia

    • B. 

      Metabolic rates and O2 consumption

  • 7. 
    Epiglottitis is charcterized by
    • A. 

      Gradual onset

    • B. 

      Severe stridor

    • C. 

      Harsh cough

    • D. 

      Nasal discharge

  • 8. 
    Laryngotracheobronchitis is characterized by
    • A. 

      Drooling

    • B. 

      H- Flu infections

    • C. 

      Group A streptococcal infections

    • D. 

      Inflammation from vacal cords to bronchial lumina

  • 9. 
    The most common cause of bronchiolitis is
    • A. 

      H. influenza

    • B. 

      Exposure to allergens

    • C. 

      Parainfluenza virus

    • D. 

      RSV

  • 10. 
    Most children who aspirate foreign objects:
    • A. 

      Exhibit quiescent intervals before symptoms appear

    • B. 

      Remove the offending object by coughing

    • C. 

      Lodged in the trachea exhibit wheezing

    • D. 

      Lodged in airways, exhibit stridor

  • 11. 
    Staphylococcal pneumonia results in:
    • A. 

      Mild system symptoms

    • B. 

      Upper respiratory tract involvement

    • C. 

      Lobar involvement

    • D. 

      A typical pneumonia

  • 12. 
    Which is true of childhood pneumonias?
    • A. 

      All pneumonia's are mostly lobar

    • B. 

      Systemic involvement is greater involvement in viral than in bacterial pneumonias

    • C. 

      Viral pneumonia's are often preceded by a cold

    • D. 

      All of the above

  • 13. 
    Which statement about SIDS is true?
    • A. 

      It commonly occurs during autumn

    • B. 

      Its etiology is known

    • C. 

      Is occurs between 3 and 4 months of age

    • D. 

      It may be effectively treated

  • 14. 
    Cystic fibrosis is
    • A. 

      A multisystem disease

    • B. 

      A defect that results in overproduction of viscous mucus

    • C. 

      A disease for which is it difficult to detect carriers through genetic testing

    • D. 

      Diagnosed by sweat chloride testing

    • E. 

      A, b and d

  • 15. 
    Asthma
    • A. 

      Triggers include allergens and viruses

    • B. 

      Of affected individuals may be assumed to be cured if ther are asymptomatic for a number of years

    • C. 

      Is characterized by hyperresponsive airways

    • D. 

      Both a and c are correct

    • E. 

      A, b and c are correct

  • 16. 
    • A. 

      Exhibits vasodilation of the pulmonary vascular bed

    • B. 

      Develops less capillary permeability, which causes fibrin deposits

    • C. 

      Can be treated with nitric oxide to alleviate pulmonary htn

    • D. 

      Can be treated at birth by the administration of glucocorticoids

  • 17. 
    Match the circumstance or cause with the alteration: (may have more than one answer) Chronic condition
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 18. 
    Match the circumstance or cause with the alteration: (may have more than one answer) genetic predisposition
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 19. 
    Match the circumstance or cause with the alteration: (may have more than one answer) may result in persistant fetal circulation
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 20. 
    Match the circumstance or cause with the alteration: (may have more than one answer) may be a consequence of prematurity
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 21. 
    Match the circumstance or cause with the alteration: (may have more than one answer) Acute, life threatening infection
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 22. 
    Match the circumstance or cause with the alteration: (may have more than one answer) Parainfluenza virus
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 23. 
    Match the circumstance or cause with the alteration: (may have more than one answer)   Neonatal chronic lung disesae
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 24. 
    Match the circumstance or cause with the alteration: (may have more than one answer) Occurs epidemically in the fall and winter
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 25. 
    Match the circumstance or cause with the alteration: (may have more than one answer) Inflammatory basis with hyperresponsive airways
    • A. 

      Asthma

    • B. 

      Cystic fibrosis

    • C. 

      Laryngotracheobronchitis

    • D. 

      Bronchopulmonary dysplasia

    • E. 

      Epiglottitis

    • F. 

      Respiratory distress syndrome

  • 26. 
    What hormones are necessary for growth and development of female breasts
    • A. 

      Estrogen and progesterone

    • B. 

      Tsh

    • C. 

      Trh

  • 27. 
    How do you diagnose a PE
    • A. 

      CT scan

    • B. 

      VQ scan

    • C. 

      MRI

    • D. 

      CT/VQ

  • 28. 
    Which electrolytes change in adrenal insufficiency
    • A. 

      Phosphorus

    • B. 

      Potassium

    • C. 

      Sodium

    • D. 

      Both b and c

  • 29. 
    Panhypopituitarism causes ______ in children
    • A. 

      Giantism

    • B. 

      Thyroid disease

    • C. 

      Dwarfism

  • 30. 
    What is a life threatening consequence of coronary artery disease
    • A. 

      MI

    • B. 

      PE

    • C. 

      CHF

  • 31. 
    What is the chief role played by the SA node
    • A. 

      Transmission

    • B. 

      Pacemaker

    • C. 

      Begins depolorization

  • 32. 
    Would a child with tetrology of fallot be expected to have blue spells
    • A. 

      Yes

    • B. 

      No

  • 33. 
    Blood pressure is measured by the pressure exerted on the arteries by the blood
    • A. 

      True

    • B. 

      False

  • 34. 
    What is the diastolic B/P a reflection of
    • A. 

      Resting pressure

    • B. 

      Diastoly of the ventricel

    • C. 

      Time when the heart is at rest

  • 35. 
    Does oxygenated blood flow through the pulmonary veins
    • A. 

      Yes

    • B. 

      No

  • 36. 
    What does the QRS complex of the ECG represent?
    • A. 

      Repolarization and depolarization

    • B. 

      Ventricular systole

    • C. 

      Vetricular depolorization

  • 37. 
    If you have a pt with hypocalemia, what would you see, what gland is affected
    • A. 

      Tetany, parathyroid

    • B. 

      Changes to ecg, hypothalmus

  • 38. 
    What is the most common cause of acromegly
    • A. 

      Pituitary tumor

    • B. 

      GH

    • C. 

      Overproduction of HGH

    • D. 

      Pituitary adenoma

  • 39. 
    Excessive GH cause sympotms of diabetes mellitus
    • A. 

      Yes

    • B. 

      No

  • 40. 
    Why does excessive GH cause s/s of diabetes
    • A. 

      Increased blood sugar d/t excess steroid production

    • B. 

      Increased metabolic rate

    • C. 

      Increased demand of glucose production

    • D. 

      Becuase GH, epi and other hormones are know as diabetogenic hormones (increases blood sugar)

  • 41. 
    What is the target organ for ACTH/
    • A. 

      Adrenal cortex

    • B. 

      Adrenal medulla

    • C. 

      Hypothalmus

  • 42. 
    What hormones are produced by the adrenal cortex/
    • A. 

      Glucocorticoids

    • B. 

      Cortisol

    • C. 

      Aldosterone

    • D. 

      Androgens

    • E. 

      A and d

  • 43. 
    What is the target organ of prolactin
    • A. 

      Uterus

    • B. 

      Mammary glands

  • 44. 
    Which cells produce testosterone
    • A. 

      Leydig

    • B. 

      Sperm

    • C. 

      Interstitial endocrinocites

  • 45. 
    Almost all PE arise from the deep veins of the lower extremeties
    • A. 

      True

    • B. 

      False

  • 46. 
    Circulatory chock represents the inability of the circulation to adequeately perfuse the tissues
    • A. 

      True

    • B. 

      False

  • 47. 
    Are hormones chemical messengers transported in body fluids
    • A. 

      Yes

    • B. 

      No

  • 48. 
    What is the most common viral infection of the upper respiratory system?
    • A. 

      common cold

    • B. 

      Influenza

  • 49. 
    What is the term for painful intercourse
    • A. 

      Dysparnuea

    • B. 

      Dysuteria

  • 50. 
    BPH- the enlargement of the periurethral tissue of the prostate can cause?
    • A. 

      Retention

    • B. 

      Urethral obstruction

    • C. 

      Occlusion of the urethra

    • D. 

      Pressure on the ureters

  • 51. 
    Graves disease is an auto immune system disease what are the constellation of symptoms;
    • A. 

      Increased metabolic rate, anxiety, exopthalmus, wt loss, heat intollerance

    • B. 

      Hyperthyroid state, exopthalmus, goiterous enlargement

  • 52. 
    Your patient has had head trauma and has lost pituitary function.  What 3 hormones must be given to sustain life?
    • A. 

      Catecholamines

    • B. 

      Thyroid

    • C. 

      Vasopressin, cortisol and sythroid

    • D. 

      Steroids, adh

  • 53. 
    Is metabolic syndrom and unavoidable problem
    • A. 

      Yes

    • B. 

      No

  • 54. 
    Diabetes insipidus occurs because there is a defecit of
    • A. 

      Adrenaline

    • B. 

      Insulin

    • C. 

      ADH

  • 55. 
    Can you diagnose diabetes on a fasting BG/
    • A. 

      Yes

    • B. 

      No

  • 56. 
    PE are usually composed of blood clots, what else can form a PE
    • A. 

      Fat

    • B. 

      Air

    • C. 

      Amniotic fluid in blood

    • D. 

      All of the above

  • 57. 
    What are the 4 factors that enable the heart to increase its output according to body needs/
    • A. 

      Volume

    • B. 

      Preload, afterload, HR, contractility

    • C. 

      HR, Strok volume, resistance and volume

  • 58. 
    What are risk factors for essential htn?
    • A. 

      Renal disease

    • B. 

      Family history

    • C. 

      Obesity

    • D. 

      Race

    • E. 

      Smoking

    • F. 

      Diet

    • G. 

      B through f

  • 59. 
    Does FSH stimulate both the ova and sperm
    • A. 

      Yes

    • B. 

      No

  • 60. 
    Is hypoxemia usually caused by ventilation- perfusion inequality
    • A. 

      Yes

    • B. 

      No

  • 61. 
    The tendency of lung tissue to collapse inward at all times is called elastic recoil
    • A. 

      Yes

    • B. 

      No

  • 62. 
    Can respiratory distress syndrome be a consequence of prematurity
    • A. 

      Yes

    • B. 

      No

  • 63. 
    Where is the cardiac pacemaker found?
    • A. 

      AV node

    • B. 

      Bundle branches

    • C. 

      SA node of right atrium

  • 64. 
    What is the source of calcium for the cardiac muscle contraction
    • A. 

      Intracellular

    • B. 

      Extracellular

    • C. 

      Both a and b

  • 65. 
    TB is an ______________ bacilla
    • A. 

      Anaerobic

    • B. 

      Aerobic