Lindsay Jones: Pathology Review (Clinical Simulation Review) – Questions With A+ Solutions

Lindsay Jones: Pathology Review (Clinical
Simulation Review) – Questions With A+ Solutions

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Terms in this set (109)



PICKWIKIAN SYNDROME: 1: obstructive
1: Defined: _______sleep apnea due to 2: obesity
_______. 3: obstructive
2: WHAT TO EXPECT: This simulation is
treated like most ________sleep apnea
cases.


INFECTIOUS PNEUMONIA: 1: bacterial
1: Definition: pneumonia caused by 2: viral
_______/_____ infection. 3: pneumonia
2: WHAT TO EXPECT: Treated like ____ 4: bacterial
regardless of source (_______vs. viral)


INFECTIOUS PNEUMONIA: (cont'd) 1: heart
INFORMATION GATHERING: 2: bacterial
LEVEL ONE: 3: viral
a. Increased _______ rate 4: consolidation
LEVEL TWO: 5: bacterial
a. high temp: __________pneumonia 6: viral
b. low grade temp: ________pneumonia 7: HIV
LEVEL THREE: 8: TB
a. Chest Xray: _______in lung fields
b. Increased WBC: _________pneumonia
c. Decreased WBC: _____pneumonia
LEVEL FOUR (IV):
a. ELISA test: positive for _________
b. Acid-fast sputum culture to check
for _________

,INFECTIOUS PNEUMONIA: 1: sputum
DECISION MAKING: 2: bacterial
a. ______culture and sensitivity to 3: mechanical
identify ______ and the appropriate
antibiotic.
b. _________ ventilation as needed.


TRANSIENT TACHYPNEA: TYPE _____ 1: II (TWO)
RDS: 2: respiratory
1: Defined: Condition related _____ 3: 24
distress within ____-48 hours after birth. 4: C
May be related to ____- section 5: drastic
delivery. 6: symptoms.
2: WHAT TO EXPECT: This is
increasingly rare on the exam, but
really has no real complexity. The
exam will try to tempt you to make
_________ reactions when the real therapy
is to simply be supportive of the
__________.


TRANSIENT TACHYPNEA: TYPE _____ 1: II (TWO)
RDS: 2: Cyanosis
INFORMATION GATHERING: 3: 38
LEVEL ONE: 4: okay
a.___________, retractions, grunting. 5: rhonchi
b. Often normal gestational age 6: normal
(___-40 weeks) 7: congestion
c. Initially appears___, but deteriorates 8: >100
after a day or two 9: >160 mg
LEVEL TWO: 10: 80 mg
a. __________from secretions.
LEVEL III:
a. Chest X-ray: starts out ______but
deteriorates to show increased
pulmonary _________ within a day or two.
LEVEL IV (four):
a. blood glucose: >______ mg (normal
__-120 mg)

,TRANSIENT TACHYPNEA: TYPE _____ 1: II
RDS: 2: respiratory
DECISION MAKING: 3: ventilation
1: Manage symptoms of 4: oxyhood
__________distress. 5: shunt
2: Support ________ if needed. 6: FiO2
3: Oxygen therapy by ___________(?)
4: Treat with _______ therapy (CPAP) if
hypoxemia is significant on increased
_________.


BRONCHOPULMONARY DYSPLASIA: 1: prolonged
1: Definition: Lung disease related to 2: etiology
_________ mechanical ventilation of the 3: IRDS
newborn. Exact ______ is unknown but is 4: immaturity
usually associated wtih previous TX of 5: care
_____ and fetal lung __________. 6: symptoms
2: WHAT TO EXPECT: This simulation 7: inflammation
usually involves making a ____plan that 8: tissue
covers all the _________, including
bronchoconstriction, _________, under
development of lung _____, etc.


BRONCHOPULMONARY DYSPLASIA: 1: IRDS
INFORMATION GATHERING: 2: immaturity
LEVEL ONE: 3: mechanical
a. recent hx and tx of ______ or fetal 4: FiO2
lung _______. 5: wheezing
b. HX of prolonged or significant use 6: IRDS
of _________ ventilation since birth. 7: air
c. HX of elevated ________. 8: fibrotic
LEVEL II: 9: Echocardiogram
a. ______________ 10: heart
LEVEL III:
a. CXR: like ______ but then appears like
chronic _____-trapping with
HYPERinflation and ______ changes.
LEVEL IV (FOUR):
a. ___________: may reveal right/left _______
failure.

, BRONCHOPULMONARY DYSPLASIA: 1: bronchodilator
DECISION MAKING: 2: FiO2
a. ___________ therapy for wheezing 3: 55 mm Hg
b. Keep ________ as low as possible. 4: 60 mm Hg
c. Accept PaO2 of ____ to 65 mm Hg. 5: Corticosteroids
d. Keep CO2 below ____ mm Hg.
e. __________ to reduce inflammation.


FOREIGN BODY ASPIRATION: 1: aspiration
1: Defined: the accidental _____ of a 2: food
foreign body, including ________/an 3: foreign
object, in to the lungs. 4: carcinoma
2: WHAT TO EXPECT: Must 5: recent
differentiate between ________ body 6: cough
aspiration and pulmonary ___________. 7: cancerous
Foreign body aspiration is 8: productive
characterized by a ________, acute
development of a ______. A _________mass
in the bronchials results in non-__________
cough over weeks or months.


FOREIGN BODY ASPIRATION 1: cough
(CONT'D): 2: partial
INFORMATION GATHERING: 3: quiet
LEVEL I: 4: food
a. softened _________ or voice if _________ 5: sudden
obstruction. 6: non
b. ________(no sounds if complete 7: bronchoscopy
obstruction) 8: chest
c. recent HX of _______/playing with toys 9: radiolucent
d. onset is ____________
e. cough is _______-productive
LEVEL II:
a. __________: visualize the foreign body
(may also remove at that time).
b. _______Xray: may be clear b/c food
and other objects are likely ___________.