Deck 10: Pulmonary Problems

Question 1

Which pathogen is commonly found in 5% to 10% of patients with chronic obstructive pulmonary disease (COPD) exacerbations?

A)Chlamydia pneumoniae
B)Haemophilus influenzae
C)Moraxella catarrhalis
D)Streptococcus pneumonia

Answer 1

Chlamydia pneumoniae

Question 2

Which antibiotic should be used for a patient who has community-acquired pneumonia (CAP) and the suspected organism is penicillin susceptible?

A)Amoxicillin
B)Cephalosporin
C)Macrolide
D)Trimethoprim-sulfamethoxazole

Answer 2

Amoxicillin

Question 3

What is the most common pathogen associated with community-acquired pneumonia (CAP)?

A)Chlamydia pneumoniae
B)Gram-negative bacilli
C)Haemophilus influenzae
D)Streptococcus pneumoniae

Answer 3

Streptococcus pneumoniae

Question 4

What is the focus of the GOLD guidelines for chronic obstructive pulmonary disease (COPD) management?

A)Curing the condition
B)Improving quality of life by preventing exacerbations
C)Increasing exercise tolerance
D)Smoking cessation

Question 5

In a person who has chronic alcoholism, a provider should suspect which organism as a potential cause of pneumonia?

A)Coccidioides immitis
B)Haemophilus influenzae
C)Legionella pneumophila
D)Streptococcus pneumoniae

Question 6

In the United States, lung cancer mortality rates are greater than which cancers combined?

A)Breast and prostate
B)Breast and colon
C)Colon and prostate
D)Breast, colon, and prostate

Question 7

In an obese patient at risk for obstructive sleep apnea (OSA), a clinical nurse specialist (CNS) can advise a patient that a 10% reduction in weight will result in what percentage reduction of risk for OSA?

A)13%
B)26%
C)39%
D)52%

Question 8

A patient with lung cancer is not considered a good candidate for a lobectomy if the patient has an FEV₁ of less than:

A)2.0 L.
B)1.5 L.
C)1.1 L.
D)1.0 L.

Question 9

For patients with mild chronic obstructive pulmonary disease (COPD), mild obstruction treatment should begin with an influenza vaccine and:

A)a short-acting bronchodilator.
B)a long-acting bronchodilator.
C)cardiac rehabilitation.
D)inhaled glucocorticoids.

Question 10

In 2005, how many people suffered from asthma worldwide, according to the World Health Organization (WHO)?

A)100 million
B)200 million
C)300 million
D)400 million

Question 11

Patients with chronic obstructive pulmonary disease (COPD) who have a severe hereditary deficiency of alpha-1 antitrypsin are most commonly of what origin?

A)African
B)Asian
C)Northern European
D)South American

Question 12

A patient with pulmonary hypotension who is able to tolerate ordinary physical activity without dyspnea or fatigue is said to have which level of severity of the disease?

A)Class I
B)Class II
C)Class III
D)Class IV

Question 13

Acute respiratory failure is characterized by a PaO₂ of less than 60 mm Hg or a PaCO₂ of more than:

A)30 mm Hg.
B)40 mm Hg.
C)50 mm Hg.
D)60 mm Hg.

Question 14

Patient A is 80 years old and is an 80-pack-year smoker. This means :

A)he has been smoking a pack a day for 80 years.
B)he has been smoking two packs a day for 40 years.
C)he has smoked 80 packs of cigarettes in his entire life.
D)he has smoked 80 cigarettes in his entire life.

Question 15

Which species of bacteria is a common cause of hospital-acquired pneumonia (HAP) in the ICU?

A)Acinetobacter
B)Escherichia coli
C)Klebsiella
D)Streptococcus pneumoniae

Question 16

As many as what percentage of the lung cancers in persons who do not smoke are believed to be caused by secondary smoke?

A)10%
B)15%
C)20%
D)25%