Question 1

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

Accepted Answer

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

Question 2

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 A

Question 3

All of the following would prevent a physician from performing bronchoscopy for a patient except for a/an ______________________.

Accepted Answer

A) PaO₂ of 45 mm Hg 
B) international normalized ratio (INR) of 4.5 
C) PaCO₂ of 38 mm Hg 
D) current heart rate of 120 beats/min and rhythm of atrial fibrillation. 
A) PaO₂ of 45 mm Hg 
B) international normalized ratio (INR) of 4.5 
C) PaCO₂ of 38 mm Hg 
D) current heart rate of 120 beats/min and rhythm of atrial fibrillation. C

Question 4

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 (Mucomyst) 
B) epinephrine 
C) sterile water 
D) midazolam (Versed) 
A) acetylcysteine (Mucomyst) 
B) epinephrine 
C) sterile water 
D) midazolam (Versed)

Question 5

What is the most common indication for the use of a bronchoscope?

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 6

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 7

For what condition 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 8

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 9

Which of the following criteria is least important before a patient is discharged after bronchoscopy?

Accepted Answer

A) Gag reflex is present 
B) Stable vital signs 
C) No bleeding is present 
D) Ability to swallow without pain 
A) Gag reflex is present 
B) Stable vital signs 
C) No bleeding is present 
D) Ability to swallow without pain

Question 10

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 11

What are double-shielded brushes used for during bronchoscopy?

Accepted Answer

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

Question 12

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 13

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.

Question 14

What complication associated with bronchoscopy is most common?

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 15

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 16

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 17

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

Question 18

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

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

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

All of the following would prevent a physician from performing bronchoscopy for a patient except for a/an ______________________.

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 indication for the use of a bronchoscope?

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

For what condition is the rigid bronchoscope most likely to be used?

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?

Which of the following criteria is least important before a patient is discharged after bronchoscopy?

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

What are double-shielded brushes used for during bronchoscopy?

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

How are lung brushings handled?

What complication associated with bronchoscopy is most common?

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

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

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

For what purpose are lasers used during bronchoscopy?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

Filters

Exam 17: Bronchoscopy

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

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

All of the following would prevent a physician from performing bronchoscopy for a patient except for a/an ______________________.

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 indication for the use of a bronchoscope?

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

For what condition is the rigid bronchoscope most likely to be used?

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?

Which of the following criteria is least important before a patient is discharged after bronchoscopy?

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

What are double-shielded brushes used for during bronchoscopy?

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

How are lung brushings handled?

What complication associated with bronchoscopy is most common?

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

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

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

For what purpose are lasers used during bronchoscopy?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

Filters