NUR 3227 VSIM MARY RICHARDS
FEEDBACK LOG COMPREHENSIVE EXAM
SCRIPT 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
⩥ What is Cor pulmonale? Answer: Right-sided heart failure due to
increased workload from pulmonary hypertension.
⩥ What are examples of restrictive lung diseases? Answer: Aspiration,
pulmonary edema, ARDS, and pneumoconiosis.
⩥ What is pneumoconiosis? Answer: Lung changes caused by inhalation
of inorganic dust particles, often irreversible.
⩥ What is the leading cause of community-acquired pneumonia (CAP)?
Answer: Viral infections, primarily influenza.
⩥ What is the most common cause of hospital-acquired pneumonia
(HAP)? Answer: It is the second most common nosocomial infection
after urinary tract infections.
⩥ What is a pulmonary embolism (PE)? Answer: A blockage in a
pulmonary artery, often caused by a deep vein thrombosis (DVT).
,⩥ What are the risk factors for pulmonary embolism according to
Virchow's triad? Answer: Venous stasis, injury to epithelial cells, and
hypercoagulability.
⩥ What are the two main categories of lung cancer? Answer: Non-Small
Cell Lung Cancer (NSCLC) and Small Cell Lung Cancer (SCLC).
⩥ What is squamous cell carcinoma? Answer: A type of NSCLC that
accounts for about 30% of bronchogenic carcinomas, typically located
centrally.
⩥ What are common symptoms of squamous cell carcinoma? Answer:
Nonproductive cough, hemoptysis, and chest pain in advanced stages.
⩥ What percentage of bronchogenic carcinomas does adenocarcinoma
of the lung constitute? Answer: 35% to 40%
⩥ What are some risk factors associated with pulmonary
adenocarcinoma? Answer: Environmental tobacco smoke, occupational
carcinogens, viruses, hormones, and positive family history.
⩥ What is the progression of pulmonary adenocarcinoma? Answer:
Atypical adenomatous hyperplasia → adenocarcinoma in situ →
minimally invasive adenocarcinoma → invasive carcinoma.
, ⩥ Where do adenocarcinomas of the lung typically arise? Answer: In the
peripheral regions of the pulmonary parenchyma.
⩥ What symptoms may indicate the presence of pulmonary
adenocarcinoma? Answer: Pleuritic chest pain and shortness of breath.
⩥ What percentage of bronchogenic carcinomas are large cell
carcinomas? Answer: Approximately 10%.
⩥ What characterizes large cell carcinomas? Answer: Transformed
epithelial cells that are undifferentiated and exhibit rapid growth and
early metastasis.
⩥ What are small cell lung carcinomas (SCLCs) known for? Answer:
They are the most common type of neuroendocrine lung tumors with the
worst prognosis.
⩥ How is staging for small cell lung carcinoma categorized? Answer:
Limited disease and extensive disease.
⩥ What is a major contributor to lung cancer development? Answer:
Tobacco smoke, which contains over 7000 chemicals, including 69
carcinogens.
FEEDBACK LOG COMPREHENSIVE EXAM
SCRIPT 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
⩥ What is Cor pulmonale? Answer: Right-sided heart failure due to
increased workload from pulmonary hypertension.
⩥ What are examples of restrictive lung diseases? Answer: Aspiration,
pulmonary edema, ARDS, and pneumoconiosis.
⩥ What is pneumoconiosis? Answer: Lung changes caused by inhalation
of inorganic dust particles, often irreversible.
⩥ What is the leading cause of community-acquired pneumonia (CAP)?
Answer: Viral infections, primarily influenza.
⩥ What is the most common cause of hospital-acquired pneumonia
(HAP)? Answer: It is the second most common nosocomial infection
after urinary tract infections.
⩥ What is a pulmonary embolism (PE)? Answer: A blockage in a
pulmonary artery, often caused by a deep vein thrombosis (DVT).
,⩥ What are the risk factors for pulmonary embolism according to
Virchow's triad? Answer: Venous stasis, injury to epithelial cells, and
hypercoagulability.
⩥ What are the two main categories of lung cancer? Answer: Non-Small
Cell Lung Cancer (NSCLC) and Small Cell Lung Cancer (SCLC).
⩥ What is squamous cell carcinoma? Answer: A type of NSCLC that
accounts for about 30% of bronchogenic carcinomas, typically located
centrally.
⩥ What are common symptoms of squamous cell carcinoma? Answer:
Nonproductive cough, hemoptysis, and chest pain in advanced stages.
⩥ What percentage of bronchogenic carcinomas does adenocarcinoma
of the lung constitute? Answer: 35% to 40%
⩥ What are some risk factors associated with pulmonary
adenocarcinoma? Answer: Environmental tobacco smoke, occupational
carcinogens, viruses, hormones, and positive family history.
⩥ What is the progression of pulmonary adenocarcinoma? Answer:
Atypical adenomatous hyperplasia → adenocarcinoma in situ →
minimally invasive adenocarcinoma → invasive carcinoma.
, ⩥ Where do adenocarcinomas of the lung typically arise? Answer: In the
peripheral regions of the pulmonary parenchyma.
⩥ What symptoms may indicate the presence of pulmonary
adenocarcinoma? Answer: Pleuritic chest pain and shortness of breath.
⩥ What percentage of bronchogenic carcinomas are large cell
carcinomas? Answer: Approximately 10%.
⩥ What characterizes large cell carcinomas? Answer: Transformed
epithelial cells that are undifferentiated and exhibit rapid growth and
early metastasis.
⩥ What are small cell lung carcinomas (SCLCs) known for? Answer:
They are the most common type of neuroendocrine lung tumors with the
worst prognosis.
⩥ How is staging for small cell lung carcinoma categorized? Answer:
Limited disease and extensive disease.
⩥ What is a major contributor to lung cancer development? Answer:
Tobacco smoke, which contains over 7000 chemicals, including 69
carcinogens.
