Question 1

What are double-shielded brushes used for during bronchoscopy?

Accepted Answer

A)  To clean the fiber-optics 
B)  To obtain microbiologic samples 
C)  To assist in cleaning the smaller airways of mucous plugs 
D)  To assist in diagnosing malignant tumors 
A)  To clean the fiber-optics 
B)  To obtain microbiologic samples 
C)  To assist in cleaning the smaller airways of mucous plugs 
D)  To assist in diagnosing malignant tumors B

Question 2

In which patients or situations is hypoxemia most likely to develop?

Accepted Answer

A)  Patients who have not been well sedated 
B)  Prolonged bronchoscopic procedures 
C)  Patients with pronounced anxiety 
D)  Patients who experience vagal stimulation during a procedure 
A)  Patients who have not been well sedated 
B)  Prolonged bronchoscopic procedures 
C)  Patients with pronounced anxiety 
D)  Patients who experience vagal stimulation during a procedure B

Question 3

The respiratory therapist (RT) who is assisting the pulmonologist during bronchoscopy should have medication cups of xylocaine, normal saline, and ________ ready before beginning the procedure.

Accepted Answer

A)  acetylcysteine 
B)  epinephrine 
C)  sterile water 
D)  midazolam 
A)  acetylcysteine 
B)  epinephrine 
C)  sterile water 
D)  midazolam B

Question 4

What is the most common complication associated with bronchoscopy?

Accepted Answer

A)  A complication associated with medications used in the procedure 
B)  Pneumothorax 
C)  Secondary infection 
D)  Excessive bleeding 
A)  A complication associated with medications used in the procedure 
B)  Pneumothorax 
C)  Secondary infection 
D)  Excessive bleeding

Question 5

What is the most common sign of xylocaine overdose during bronchoscopy?

Accepted Answer

A)  Tachycardia 
B)  Bradycardia 
C)  Seizures 
D)  Apnea 
A)  Tachycardia 
B)  Bradycardia 
C)  Seizures 
D)  Apnea

Question 6

What is the maximum depth that the standard adult bronchoscope can visualize in some patients?

Accepted Answer

A)  Third-level bronchi 
B)  Fourth-level bronchi 
C)  Fifth-level bronchi 
D)  Sixth-level bronchi 
A)  Third-level bronchi 
B)  Fourth-level bronchi 
C)  Fifth-level bronchi 
D)  Sixth-level bronchi

Question 7

What is the primary purpose of bronchoscopy in a patient with pneumonia?

Accepted Answer

A)  To obtain biopsy specimens 
B)  To identify the causative organism 
C)  To control hemoptysis 
D)  To remove secretions 
A)  To obtain biopsy specimens 
B)  To identify the causative organism 
C)  To control hemoptysis 
D)  To remove secretions

Question 8

What is the smooth-cusped flexible forceps used for during bronchoscopy?

Accepted Answer

A)  To clean the suction channel of the bronchoscope 
B)  To obtain microbiologic samples 
C)  To cut into large, bulky airway lesions 
D)  To obtain a biopsy of the lung parenchyma 
A)  To clean the suction channel of the bronchoscope 
B)  To obtain microbiologic samples 
C)  To cut into large, bulky airway lesions 
D)  To obtain a biopsy of the lung parenchyma

Question 9

What is the most common indication for the use of bronchoscopy?

Accepted Answer

A)  To retrieve inhaled foreign objects 
B)  To obtain microbiologic samples 
C)  To help diagnose abnormalities seen on chest roentgenogram 
D)  To treat hemoptysis 
A)  To retrieve inhaled foreign objects 
B)  To obtain microbiologic samples 
C)  To help diagnose abnormalities seen on chest roentgenogram 
D)  To treat hemoptysis

Question 10

Which of the following conditions is the rigid bronchoscope most likely to be used?

Accepted Answer

A)  Pneumonia 
B)  Massive hemoptysis 
C)  Tumor 
D)  Interstitial lung disease 
A)  Pneumonia 
B)  Massive hemoptysis 
C)  Tumor 
D)  Interstitial lung disease

Question 11

What aerosolized medication is administered to most patients before the bronchoscopic procedure is begun?

Accepted Answer

A)  Albuterol 
B)  Racemic epinephrine 
C)  Fentanyl 
D)  Lidocaine 
A)  Albuterol 
B)  Racemic epinephrine 
C)  Fentanyl 
D)  Lidocaine

Question 12

For what purpose are lasers used during bronchoscopy?

Accepted Answer

A)  To obliterate obstructing tumors 
B)  To stop excessive bleeding 
C)  To open mucus-plugged airways 
D)  To improve visualization of smaller airways 
A)  To obliterate obstructing tumors 
B)  To stop excessive bleeding 
C)  To open mucus-plugged airways 
D)  To improve visualization of smaller airways

Question 13

Which of the following criteria must be met before a patient is discharged after bronchoscopy?
1) Gag reflex is present
2) Stable vital signs
3) No bleeding is present
4) Ability to swallow without pain

Accepted Answer

A) 1 and 3 
B) 2 and 3 
C) 1, 2, and 3 
D) 2, 3, and 4 
A) 1 and 3 
B) 2 and 3 
C) 1, 2, and 3 
D) 2, 3, and 4

Question 14

The bronchoscopy technique that flushes 100 mL of normal saline through the scope's suction channel in four or five increments of 20 to 30 mL to distend the distal bronchioles and fill the alveoli, thereby washing out samples of any microorganisms, is which of the following?

Accepted Answer

A)  Rigid bronchoscopy 
B)  Bronchoalveolar lavage 
C)  Bronchial fluoroscopy 
D)  Transbronchial biopsy 
A)  Rigid bronchoscopy 
B)  Bronchoalveolar lavage 
C)  Bronchial fluoroscopy 
D)  Transbronchial biopsy

Question 15

What is the primary purpose of bronchoscopy in a patient with interstitial lung disease?

Accepted Answer

A)  To perform microscopic assessment of the biopsy sample, which often is diagnostic 
B)  To stop massive hemoptysis 
C)  To identify the causative agent 
D)  To remove excessive secretions 
A)  To perform microscopic assessment of the biopsy sample, which often is diagnostic 
B)  To stop massive hemoptysis 
C)  To identify the causative agent 
D)  To remove excessive secretions

Question 16

What is the advantage of using fluoroscopy during bronchoscopy for peripheral lesions?

Accepted Answer

A)  Less contamination of samples 
B)  Increased diagnostic yield 
C)  Increased sample size 
D)  Less tissue destruction 
A)  Less contamination of samples 
B)  Increased diagnostic yield 
C)  Increased sample size 
D)  Less tissue destruction

Question 17

Which of the following would prevent a physician from performing bronchoscopy?
1) PaO2 of 45 mm Hg
2) International normalized ratio (INR) of 4.5
3) PaCO2 of 38 mm Hg
4) Current heart rate of 120 beats/min and rhythm of atrial fibrillation

Accepted Answer

A) 1 and 2 
B) 3 and 4 
C) 1, 2, and 4 
D) 2, 3, and 4 
A) 1 and 2 
B) 3 and 4 
C) 1, 2, and 4 
D) 2, 3, and 4

Question 18

To obtain a sample how are lung brushings handled?

Accepted Answer

A)  They are flushed in a saline wash. 
B)  They are secured in gauze and labeled. 
C)  They are preserved in formaldehyde. 
D)  They are smeared onto a glass slide. 
A)  They are flushed in a saline wash. 
B)  They are secured in gauze and labeled. 
C)  They are preserved in formaldehyde. 
D)  They are smeared onto a glass slide.

What are double-shielded brushes used for during bronchoscopy?

In which patients or situations is hypoxemia most likely to develop?

The respiratory therapist (RT) who is assisting the pulmonologist during bronchoscopy should have medication cups of xylocaine, normal saline, and ________ ready before beginning the procedure.

What is the most common complication associated with bronchoscopy?

What is the most common sign of xylocaine overdose during bronchoscopy?

What is the maximum depth that the standard adult bronchoscope can visualize in some patients?

What is the primary purpose of bronchoscopy in a patient with pneumonia?

What is the smooth-cusped flexible forceps used for during bronchoscopy?

What is the most common indication for the use of bronchoscopy?

Which of the following conditions is the rigid bronchoscope most likely to be used?

What aerosolized medication is administered to most patients before the bronchoscopic procedure is begun?

For what purpose are lasers used during bronchoscopy?

Which of the following criteria must be met before a patient is discharged after bronchoscopy? 1) Gag reflex is present 2) Stable vital signs 3) No bleeding is present 4) Ability to swallow without pain

The bronchoscopy technique that flushes 100 mL of normal saline through the scope's suction channel in four or five increments of 20 to 30 mL to distend the distal bronchioles and fill the alveoli, thereby washing out samples of any microorganisms, is which of the following?

What is the primary purpose of bronchoscopy in a patient with interstitial lung disease?

What is the advantage of using fluoroscopy during bronchoscopy for peripheral lesions?

Which of the following would prevent a physician from performing bronchoscopy? 1) PaO₂ of 45 mm Hg 2) International normalized ratio (INR) of 4.5 3) PaCO₂ of 38 mm Hg 4) Current heart rate of 120 beats/min and rhythm of atrial fibrillation

To obtain a sample how are lung brushings handled?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment of the Respiratory Care Patient

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Clinical Application of the Chest Radiograph

Interpretation of the Electrocardiogram

Assessment of the Neonatal and Pediatric Patient

Assessment of the Older Patient

Respiratory Monitoring in the Intensive Care Unit

Assessment of Cardiac Output

Assessment of Hemodynamic Pressures

Nutritional Assessment of Patients With Respiratory Disease

Assessment of Sleep and Breathing

Assessment of the Home Care Patient

Documentation of the Patient Assessment

Filters

Exam 17: Flexible Fiber-Optic Bronchoscopy

What are double-shielded brushes used for during bronchoscopy?

In which patients or situations is hypoxemia most likely to develop?

The respiratory therapist (RT) who is assisting the pulmonologist during bronchoscopy should have medication cups of xylocaine, normal saline, and ________ ready before beginning the procedure.

What is the most common complication associated with bronchoscopy?

What is the most common sign of xylocaine overdose during bronchoscopy?

What is the maximum depth that the standard adult bronchoscope can visualize in some patients?

What is the primary purpose of bronchoscopy in a patient with pneumonia?

What is the smooth-cusped flexible forceps used for during bronchoscopy?

What is the most common indication for the use of bronchoscopy?

Which of the following conditions is the rigid bronchoscope most likely to be used?

What aerosolized medication is administered to most patients before the bronchoscopic procedure is begun?

For what purpose are lasers used during bronchoscopy?

Which of the following criteria must be met before a patient is discharged after bronchoscopy? 1) Gag reflex is present 2) Stable vital signs 3) No bleeding is present 4) Ability to swallow without pain

The bronchoscopy technique that flushes 100 mL of normal saline through the scope's suction channel in four or five increments of 20 to 30 mL to distend the distal bronchioles and fill the alveoli, thereby washing out samples of any microorganisms, is which of the following?

What is the primary purpose of bronchoscopy in a patient with interstitial lung disease?

What is the advantage of using fluoroscopy during bronchoscopy for peripheral lesions?

Which of the following would prevent a physician from performing bronchoscopy? 1) PaO2 of 45 mm Hg 2) International normalized ratio (INR) of 4.5 3) PaCO2 of 38 mm Hg 4) Current heart rate of 120 beats/min and rhythm of atrial fibrillation

To obtain a sample how are lung brushings handled?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment of the Respiratory Care Patient

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Clinical Application of the Chest Radiograph

Interpretation of the Electrocardiogram

Assessment of the Neonatal and Pediatric Patient

Assessment of the Older Patient

Respiratory Monitoring in the Intensive Care Unit

Assessment of Cardiac Output

Assessment of Hemodynamic Pressures

Nutritional Assessment of Patients With Respiratory Disease

Assessment of Sleep and Breathing

Assessment of the Home Care Patient

Documentation of the Patient Assessment

Filters

Which of the following would prevent a physician from performing bronchoscopy? 1) PaO₂ of 45 mm Hg 2) International normalized ratio (INR) of 4.5 3) PaCO₂ of 38 mm Hg 4) Current heart rate of 120 beats/min and rhythm of atrial fibrillation