Otterbein/Grant CRNA Basics II Lung Stuff

40 Questions | Total Attempts: 186

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Otterbein/Grant CRNA Basics II Lung Stuff - Quiz

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Questions and Answers
  • 1. 
    FEV1 is more predictive of COPD severity than the FEV1/FVC ratio.
    • A. 

      True

    • B. 

      False

  • 2. 
    Home O2 recommended if Pao2 is less than __ mmHg, the hematocrit is more than 55% or there is evidence of cor pulmonale.
  • 3. 
    Which of the following lung diseases is described as an abnormal, permanent enlargement of the alveoli causing irreversible damage to alveolar tissue without obvious fibrosis.
    • A. 

      Emphysema

    • B. 

      Chronic bronchitis

    • C. 

      Asthma

    • D. 

      ARDS

  • 4. 
    B2 agonists are helpful in curing emphysema.
    • A. 

      True

    • B. 

      False

  • 5. 
    Chronic bronchitis results in polycythemia
    • A. 

      True

    • B. 

      False

  • 6. 
    Which disease causes more structural lung damage?
    • A. 

      Emphysema

    • B. 

      Chronic bronchitis

  • 7. 
    Which condition is best described as: Decreased airway lumen diameter due to mucus and inflammation.
    • A. 

      Chronic bronchitis

    • B. 

      Emphysema

    • C. 

      Cystic fibrosis

    • D. 

      Pneumothorax

  • 8. 
    Optimal timing of smoking cessation is:
    • A. 

      6 weeks

    • B. 

      2 weeks

    • C. 

      1 week

    • D. 

      12 hours

  • 9. 
    Which level is the highest at which it is safe to provide spinal anesthesia to a patient with COPD?
    • A. 

      T6

    • B. 

      T4

    • C. 

      T12

    • D. 

      L1

  • 10. 
    Which of the following surgery types have the greatest decrease in FRC and PaO2 as well as the highest post-op pulmonary complications?
    • A. 

      Upper abdominal

    • B. 

      Extremity

    • C. 

      Cervical

    • D. 

      Eye

  • 11. 
    Patients with pre-op FEV1/FVC ratios of less than 0.5 or with a pre-op Paco2 of more than __ mmHg are likely to need post-op mechanical ventilation
  • 12. 
    Most common ABG findings during an asthma exacerbation:
    • A. 

      Respiratory alkalosis

    • B. 

      Respiratory acidosis

    • C. 

      Metabolic acidosis

    • D. 

      Normal blood gas

  • 13. 
    All of the following drugs should be avoided in a patient with asthma except:
    • A. 

      Fentanyl

    • B. 

      Morphine

    • C. 

      Labetolol

    • D. 

      Atracurium

  • 14. 
    Ketamine decreases airway secretions.
    • A. 

      True

    • B. 

      False

  • 15. 
    Beta blockers cause:
    • A. 

      Bronchoconstriction

    • B. 

      Bronchodilation

    • C. 

      Tachycardia

    • D. 

      Hypertension

  • 16. 
    Which of the following can cause unopposed histamine release and bronchospasm?
    • A. 

      Ranitidine

    • B. 

      Cimetidine

    • C. 

      Diphenhydramine

    • D. 

      Famotodine

  • 17. 
    Which of the following indicate an asthma attack during the intraoperative period?
    • A. 

      High PIP

    • B. 

      Low PIP

    • C. 

      Blunted etCO2 waveform

    • D. 

      Hypoxemia

  • 18. 
    Your pediatric patient presents with a symptomatic acute upper respiratory tract infection.  How long should elective surgery be delayed in order for airway reactivity to recover?
    • A. 

      6 weeks

    • B. 

      2 days

    • C. 

      24 hours

    • D. 

      1 year

  • 19. 
    Which of the following would you be most likely to avoid while caring for a patient with cystic fibrosis?
    • A. 

      Anticholinergic drugs

    • B. 

      B2 agonists

    • C. 

      Vitamin K

    • D. 

      IV fluid

  • 20. 
    Tracheal stenosis can occur after prolonged ETT intubation and becomes symptomatic when the lumen of the trachea is less than __ mm.
  • 21. 
    Which of the following should be avoided when treating a patient with pulmonary hypertension?
    • A. 

      Ketamine

    • B. 

      Desflurane

    • C. 

      Inhaled nitric oxide

    • D. 

      Acidosis

  • 22. 
    With restrictive disease:  All lung volumes are ________ and flow rates and ratios are normal.
    • A. 

      Reduced

    • B. 

      Increased

    • C. 

      Normal

  • 23. 
    When is aspiration most likely to occur?
    • A. 

      Induction/intubation

    • B. 

      Emergence within 5 minutes of extubation

    • C. 

      Maintenance phase of anesthesia

    • D. 

      Pre-operatively

  • 24. 
    Arterial hypocarbia is the most consistent and reliable clinical finding in aspiration pneumonia.
    • A. 

      True

    • B. 

      False

  • 25. 
    Antibiotics should always be initiated after aspiration occurs.
    • A. 

      True

    • B. 

      False

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