Pulmonology Lect 7- Croup ETC

71 Questions | Total Attempts: 164

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Pulmonology Lect 7- Croup ETC

Croup, influenza, acute bronchitis, bronchiolitis, pertussis, ARDS, SARS


Questions and Answers
  • 1. 
    Which disorder is charaacterized by a distincively brassy cough combined with  hoarseness, inspiratory stridor, and signs of respiratory distress?
    • A. 

      Influenza

    • B. 

      Croup

    • C. 

      Acute Bronchitis

    • D. 

      Bronchiolitis

    • E. 

      Pertussis

  • 2. 
    T/F Viral croup has a gradual onset and course
    • A. 

      True

    • B. 

      False

  • 3. 
    What are the signs and symptoms of croup?
    • A. 

      Respiratory distress

    • B. 

      Inspiratory stridor

    • C. 

      Barking cough

    • D. 

      Low or high grade fever (more often high)

    • E. 

      Low or high grade fever (more often low)

  • 4. 
    How do you diagnose croup?
    • A. 

      Chest X ray showing bilateral infiltrates

    • B. 

      CT scan showing calcifications in the lungs and spleen

    • C. 

      Soft tissue neck x ray showing the classic narrowing of the trachea in the AP view showing steeple sign or wine bottle sign

    • D. 

      Soft tissue neck CT showing narrowing of the epiglottis

  • 5. 
    T/F Croup in children is more serious than croup in an adult
    • A. 

      True

    • B. 

      False

  • 6. 
    What is the non drug treatment for croup?
    • A. 

      Analgesics and a cough preparation

    • B. 

      Rest in bed

    • C. 

      Humidified air from a hot shower or bath or hot or cold steam from a vaporizer or nebulizer- continue until the cough subsides

    • D. 

      Cough supressants, fluids to prevent drying of secretions, smoking cessation, and antihistamines

    • E. 

      Hydration, humidification, and oxygen supplementation

  • 7. 
    What are the signs a croup patient exhibits when they are in need of hospitalization?
    • A. 

      Cyanosis, decreased LOC, progressive stridor, or toxic appearing

    • B. 

      Necrosis of epithelium

    • C. 

      Acute sinusitis, otitis media, and purulent bronchitis, and pneumonia

    • D. 

      Rhabdomyolysis

    • E. 

      Reye's syndrome

  • 8. 
    T/F Inspiratory stridor at rest in a child is very worry-some
    • A. 

      True

    • B. 

      False

  • 9. 
    What medication should be used for hospitalized croup patients or moderately ill patients to try to eliminate the need for intubation during the first 24-48 hours when the illness is most severe?Keep the child in the ER for at least 4 hours to avoid a rebound with worse symptoms
    • A. 

      Albuterol

    • B. 

      Racemic epinephrine (Vaponefrin)

    • C. 

      Oseltamivir (Tamiflu)

    • D. 

      Aznamivir (Relenza)

  • 10. 
    George recommends giving a steroid to treat croup. What is the recommended steroid?
    • A. 

      Budesonide

    • B. 

      Glucocorticoids

    • C. 

      Prednisone

    • D. 

      Dexamethasone

  • 11. 
    A child presents with a fever of 38.9, a runny nose, cough, and noisy breathing on inspiration. After further evaluation, the child's mother describes the symptoms as getting worse at night. What is the most likely diagnosis?
    • A. 

      Influenza

    • B. 

      Acute bronchitis

    • C. 

      Acute laryngotracheitis (viral croup)

    • D. 

      Pertussis

  • 12. 
    T/F Croup involves the larynx, trachea, and bronchi
    • A. 

      True

    • B. 

      False

  • 13. 
    T/F People who die from the flu usually die from secondary bacteria pneumonia
    • A. 

      True

    • B. 

      False

  • 14. 
    T/F Influenza is transmitted by the respiratory route?
    • A. 

      True

    • B. 

      False

  • 15. 
    T/F You as a clinician can distinguish influenza A and B from each other based on the patients presentation
    • A. 

      True

    • B. 

      False

  • 16. 
    When is flu season? (Click all that apply)
    • A. 

      Winter

    • B. 

      Summer

    • C. 

      Spring

    • D. 

      Fall

  • 17. 
    T/F Pandemics are associated with type A influenza infections
    • A. 

      True

    • B. 

      False

  • 18. 
    A patient presents with a fever for the last 6 days, chills, malaise, myalgias, substernal soreness, headache, nasal congestion, and nausea. The patient denies a productive cough, but does have symptoms of a head cold (coryza) and a sore throat. What is the probable diagnosis based on this description?
    • A. 

      Croup

    • B. 

      Avian Flu

    • C. 

      Influenza

    • D. 

      Bronchiolitis

  • 19. 
    How do you diagnose influenza?
    • A. 

      Rapid lab testing from bronchial or throat swabs (usually available during the epidemic season)

    • B. 

      Rapid lab testing from nasal or throat swabs (usually available during the epidemic season)

    • C. 

      Over-night lab testing from bronchial or throat swabs

    • D. 

      Over-night lab testing from nasal or throat swabs

  • 20. 
    What is the treatment window for influenza?
    • A. 

      24 hours

    • B. 

      24-48 hours

    • C. 

      48-72 hours

    • D. 

      72 hours

  • 21. 
    What predisposes a patient with influenza to secondary bacterial infections?
    • A. 

      Necrosis of the nasal mucosa only

    • B. 

      Necrosis of the oral mucosa only

    • C. 

      Necrosis of the primary bronchioles only

    • D. 

      Necrosis of the respiratory epithelium

  • 22. 
    What are the complications of influenza? (click all that apply)
    • A. 

      Coccidiomycosis pneumonia

    • B. 

      Pneumococcal pneumonia

    • C. 

      Streptococcal pneumonia

    • D. 

      Staphylococcal pneumonia

  • 23. 
    What groups of people are at high risk for influenza complicaitons?
    • A. 

      Young and old

    • B. 

      Middle aged men

    • C. 

      Middle aged women

    • D. 

      Elderly and chronically ill

    • E. 

      Chronically ill patients only

  • 24. 
    What is also known as fatty liver with encephalopathy that is associated with aspirin in children during a viral infection? Hint: it is characterized by progressive hepatic failure and encephalopathy
    • A. 

      ARDS

    • B. 

      SARS

    • C. 

      Crutzfield-jacob syndrome

    • D. 

      Reye's syndrome

  • 25. 
    How do you treat Reye's syndrome?
    • A. 

      Cephalosporins

    • B. 

      Bronchodilators

    • C. 

      Intubate patient and wait 24 hours

    • D. 

      Supportive treatment and directed toward the management of cerebral edema

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