Restrictive Lung Disease And Pneumo/Hemothorax N180 Stokke
As always, the usual disclaimers apply. . .
- 1.
Restrictive lung disease is also known as _______________________.
- A.
Intrinsic Lung Disease
- B.
Extrinsic Lung Disease
- C.
Interstitial Lung Disease
Correct Answer
C. Interstitial Lung DiseaseExplanation
Restrictive lung disease is a term used to describe a group of lung disorders that cause a decrease in lung volume and restrict airflow. Interstitial lung disease is a specific type of restrictive lung disease that affects the interstitium, which is the tissue that surrounds and supports the air sacs in the lungs. It is characterized by inflammation and scarring of the interstitium, leading to difficulty in breathing and reduced lung function. Therefore, interstitial lung disease is the correct term used to refer to restrictive lung disease.Rate this question:
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- 2.
Restrictive Lung Disease can be described as _______________________.
- A.
Reduced lung volume
- B.
Reduced lung compliance
- C.
Reduced gas exchange due to deterioration of pulmonary vascular system
Correct Answer
A. Reduced lung volumeExplanation
Restrictive Lung Disease is characterized by reduced lung volume, meaning that the lungs are unable to expand fully during inhalation. This can be caused by various factors such as inflammation, scarring, or stiffness of the lung tissue. As a result, the lungs are unable to hold as much air as they should, leading to reduced lung capacity and impaired breathing.Rate this question:
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- 3.
All of the following are true of intrinsic restrictive lung disease EXCEPT:
- A.
It is a problem with the parenchyma of the lung
- B.
It is an inflammatory process
- C.
The alveoli fill with exudate and fluid
- D.
Causes include Scleroderma, Lupus, and Scoliosis
- E.
None of the above
Correct Answer
D. Causes include Scleroderma, Lupus, and ScoliosisExplanation
Intrinsic restrictive lung disease is a problem with the parenchyma of the lung, characterized by an inflammatory process where the alveoli fill with exudate and fluid. However, causes of intrinsic restrictive lung disease do not include Scleroderma, Lupus, and Scoliosis.Rate this question:
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- 4.
Pneumoconiosis is an intrinsic/extrinsic type of Restrictive Lung Disease and can be described as _____________________.
- A.
Extrinsic; swelling caused by damage to the thoracic cavity
- B.
Intrinsic; decreased space in the thoracic cavity due to pregnancy
- C.
Extrinsic; black lung disease
- D.
Intrinsic; a general term for occupational lung diseases such as asbestosis
Correct Answer
D. Intrinsic; a general term for occupational lung diseases such as asbestosisExplanation
Pneumoconiosis is an intrinsic type of Restrictive Lung Disease because it is a general term for occupational lung diseases such as asbestosis. It is not caused by external factors or damage to the thoracic cavity. Instead, it refers to lung diseases that result from the inhalation of dust or other occupational hazards over a prolonged period of time. Asbestosis, for example, is a type of pneumoconiosis that occurs due to the inhalation of asbestos fibers. Therefore, the correct answer is intrinsic; a general term for occupational lung diseases such as asbestosis.Rate this question:
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- 5.
All of the following are true of extrinsic restrictive lung disease EXCEPT:
- A.
It is extrapyramidal
- B.
It can be caused by chest wall problems such as scoliosis, chronic PE, and abdominal problems
- C.
It can be caused by cardiac and neuromuscular problems
- D.
None of the above
Correct Answer
D. None of the aboveExplanation
Extrinsic restrictive lung disease refers to conditions that restrict the expansion of the lungs from outside factors, such as chest wall problems, cardiac issues, and neuromuscular problems. The statement "it is extrapyramidal" is not true because extrapyramidal refers to a group of movement disorders caused by dysfunction of the basal ganglia and does not relate to lung disease. Therefore, the correct answer is "none of the above."Rate this question:
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- 6.
CHECK ALL THAT APPLY: Which of the following are signs and symptoms of restrictive lung disease?
- A.
Dyspnea that gets worse with exertion
- B.
Absent breath sounds on one side
- C.
Chest pain
- D.
Fatigue
- E.
Use of accessory muscles during breathing
- F.
Subcutaneous emphysema
- G.
Rapid, shallow respirations
- H.
Aspiration due to difficulty managing secretions
- I.
Decreased chest wall movement
- J.
ABGs may be normal at rest, but hypoxemic during exercise
- K.
CXR may be normal
- L.
Wheezing
- M.
Dry cough (if intrinsic)
Correct Answer(s)
A. Dyspnea that gets worse with exertion
C. Chest pain
D. Fatigue
E. Use of accessory muscles during breathing
G. Rapid, shallow respirations
H. Aspiration due to difficulty managing secretions
I. Decreased chest wall movement
J. ABGs may be normal at rest, but hypoxemic during exercise
K. CXR may be normal
L. Wheezing
M. Dry cough (if intrinsic)Explanation
Signs and symptoms of restrictive lung disease include dyspnea that gets worse with exertion, chest pain, fatigue, use of accessory muscles during breathing, rapid shallow respirations, aspiration due to difficulty managing secretions, decreased chest wall movement, ABGs may be normal at rest but hypoxemic during exercise, CXR may be normal, wheezing, and dry cough (if intrinsic).Rate this question:
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- 7.
CHECK ALL THAT APPLY: Which of the following are signs and symptoms of a pneumo or hemothorax?
- A.
Dyspnea that gets worse with exertion
- B.
Absent breath sounds on one side
- C.
Chest pain
- D.
Fatigue
- E.
Use of accessory muscles during breathing
- F.
Subcutaneous emphysema
- G.
Rapid, shallow respirations
- H.
Aspiration due to difficulty managing secretions
- I.
Decreased chest wall movement
- J.
ABGs may be normal at rest, but hypoxemic during exercise
- K.
CXR may be normal
- L.
Wheezing
- M.
Dry cough (if intrinsic)
Correct Answer(s)
B. Absent breath sounds on one side
C. Chest pain
F. Subcutaneous emphysemaExplanation
Absent breath sounds on one side, chest pain, and subcutaneous emphysema are signs and symptoms of a pneumo or hemothorax. Absent breath sounds on one side indicate a loss of lung function in that area, chest pain can be caused by the pressure or irritation in the chest cavity, and subcutaneous emphysema is the presence of air under the skin, typically felt as a crackling sensation. These findings are indicative of a pneumo or hemothorax and should be further evaluated and managed accordingly.Rate this question:
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- 8.
CHECK ALL THAT APPLY: Which of the following are appropriate management interventions for restrictive lung disease?
- A.
O2 therapy
- B.
CPAP (if refractory)
- C.
Chest tube
- D.
Chest wall surgery (if extrinsic)
- E.
Pleurodesis
- F.
Heart valve replacement, cardiac meds (if cardiac problem)
- G.
Antibiotics or steroids (if inflammatory)
- H.
Ventilator (if severe refractory)
- I.
Wedge resection
- J.
Lobectomy
- K.
Pneumonectomy
Correct Answer(s)
A. O2 therapy
B. CPAP (if refractory)
D. Chest wall surgery (if extrinsic)
F. Heart valve replacement, cardiac meds (if cardiac problem)
G. Antibiotics or steroids (if inflammatory)
H. Ventilator (if severe refractory)Explanation
Appropriate management interventions for restrictive lung disease include O2 therapy to provide supplemental oxygen, CPAP (continuous positive airway pressure) if the patient is unresponsive to other treatments, chest wall surgery if the cause of the disease is extrinsic, heart valve replacement or cardiac medications if there is an underlying cardiac problem, antibiotics or steroids if the disease is inflammatory, and a ventilator if the disease is severe and refractory to other interventions. These interventions aim to improve lung function and manage the underlying cause of the restrictive lung disease.Rate this question:
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- 9.
All of the following are possible causes of a pneumothorax EXCEPT:
- A.
Spontaneous blood leak from the lung
- B.
Traumatic injury
- C.
Iatrogenic (surgery)
- D.
Spontaneous lung collapse
- E.
None of the above
Correct Answer
A. Spontaneous blood leak from the lungExplanation
A pneumothorax is the presence of air in the pleural space, which can cause the lung to collapse. Spontaneous blood leak from the lung is not a possible cause of a pneumothorax. The other options, traumatic injury, iatrogenic (surgery), and spontaneous lung collapse, can all lead to a pneumothorax. Therefore, the correct answer is "Spontaneous blood leak from the lung".Rate this question:
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- 10.
CHECK ALL THAT APPLY: Which of the following are appropriate management interventions for pneumo/hemothorax?
- A.
O2 therapy
- B.
CPAP (if refractory)
- C.
Chest tube
- D.
Chest wall surgery (if extrinsic)
- E.
Pleurodesis
- F.
Heart valve replacement, cardiac meds (if cardiac problem)
- G.
Antibiotics or steroids (if inflammatory)
- H.
Ventilator (if severe refractory)
- I.
Wedge resection
- J.
Lobectomy
- K.
Pneumonectomy
Correct Answer(s)
A. O2 therapy
C. Chest tube
E. Pleurodesis
I. Wedge resection
J. Lobectomy
K. PneumonectomyExplanation
Appropriate management interventions for pneumo/hemothorax include O2 therapy to improve oxygenation, chest tube insertion to drain the air or blood from the pleural space, pleurodesis to prevent recurrence of pneumothorax, wedge resection to remove a small section of the lung tissue if there is a localized lesion, lobectomy to remove an entire lobe of the lung if there is a larger lesion, and pneumonectomy to remove the entire lung if necessary. These interventions aim to relieve symptoms, improve lung function, and prevent complications associated with pneumo/hemothorax.Rate this question:
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- 11.
Pleurodesis can be described as ___________________________.
- A.
Surgically removing a section of the lung.
- B.
A procedure in which the surgeon opens the chest wall and irritates the surface of the lung so it will adhere to the chest wall as it heals.
- C.
A procedure in which a talc solution is injected into the pleural space, which irritates the surface of the lung, causing it to adhere to the chest wall as it heals.
Correct Answer
C. A procedure in which a talc solution is injected into the pleural space, which irritates the surface of the lung, causing it to adhere to the chest wall as it heals. -
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Mar 20, 2023Quiz Edited by
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Apr 28, 2011Quiz Created by
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