RCP 140 FINAL QUESTIONS AND ANSWERS
Anatomic alterations found in the lungs of patients with a fungal infection include:
1. fibrosis of lung parenchyma.
2. alveolar-capillary destruction.
3. hyperinflation.
4. mucosal edema. - Answers - 1. fibrosis of lung parenchyma.
2. alveolar-capillary
Fungal infection of the lungs is closest in similarity to - Answers - tuberculosis
What parts of the lungs are most commonly affected by a fungal infection? - Answers -
upper lobes
Fungal lung infections are usually spread by - Answers - inhaling spores
Which type of fungal lung infection frequently results in productive cough with purulent
sputum? - Answers - Blastomycosis
A skin test is available to confirm which of the following fungal infections? - Answers -
Coccidioidomycosis
All of the following are identified as opportunistic yeast pathogens EXCEPT: - Answers -
Mycoplasma.
The drug of choice for the treatment of fungal lung diseases is: - Answers -
amphotericin B (Fungizone).
A patient has an Aspergillus niger infection. What should be used to treat it? - Answers -
Fluconazole (Diflucan)
A patient with an advanced pulmonary fungal infection has cor pulmonale. How will this
manifest itself? - Answers - Distended neck veins
Pulmonary function testing results on a patient with advanced fungal pneumonia will
display all of the following EXCEPT: - Answers - increased ERV
During the advanced stages of a fungal lung infection, which of the following is
commonly seen on the chest radiograph - Answers - cavities
What is considered to be the gold standard for the diagnosis of histoplasmosis? -
Answers - fungal culture
Fungal diseases cause which type of pulmonary disorder? - Answers - A chronic
restrictive disorder
,Which of the following is NOT considered to cause an opportunistic fungal infection? -
Answers - Coccidioides immitis
As pulmonary edema progressively worsens, the fluid moves in which of the following
sequences? - Answers - Alveoli , bronchioles, bronchi
Pulmonary edema manifests itself clinically as a(n) _____ disorder. - Answers -
restrictive pulmonary
The major pathologic or structural changes seen in the lungs with pulmonary edema
include:
1. atelectasis.
2. bronchospasm.
3. high surface tension of alveolar fluids.
4. alveolar flooding. - Answers - 1. atelectasis.
3. high surface tension of alveolar fluids.
4. alveolar flooding.
All of the following are causes of cardiogenic pulmonary edema EXCEPT: - Answers -
allergic reaction to drugs.
What is the normal hydrostatic pressure in the pulmonary capillaries? - Answers - 10 to
15 mm Hg
All of the following are positive risk factors for coronary heart disease (CHD) EXCEPT: -
Answers - elevated vitamin E level
Which of the following is/are considered noncardiogenic cause(s) of increased capillary
permeability?
1. Therapeutic lung radiation
2. Cigarette smoke
3. Acute respiratory distress syndrome (ARDS)
4. Inhaled phosgene - Answers - 1. Therapeutic lung radiation
3. Acute respiratory distress syndrome (ARDS)
4. Inhaled phosgene
The respiratory therapist is asked to recommend a medication to reduce afterload for a
patient with cardiogenic pulmonary edema. The therapist could recommend all of the
following EXCEPT: - Answers - norepinephrine
The tubercle bacillus is:
1. Highly anaerobic
2. Acid-fast
3. Rod-shaped
, 4. Remain suspended in air for several hours after a cough or sneeze. - Answers - 2.
Acid-fast
3. Rod-shaped
4. Remain suspended in air for several hours after a cough or sneeze.
Which of the following are known for the patient's first exposure to the TB pathogen,
Mycobacterium TB?
1. Primary TB
2. Reinfection TB
3. Primary infection stage
4. Secondary TB - Answers - 1. Primary TB
3. Primary infection stage
The most widely used in tuberculin test which consists of an intradermal injection of a
small amount of purified: - Answers - Mantoux tuberculin test
Which of the following is NOT a radiologic finding for a patient with TB? - Answers -
Pneumothorax
In the patient suspected of having TB, the presence of ________ would result in the
initiation of antituberculosis? - Answers - acid-fast bacilli
Which of the following mechanisms is an uncommon route for the spread of
pneumonia? - Answers - through the bloodstream
Which of the following is the most important in determining the cause of the patient's
pneumonia? - Answers - Sputum examination
Chest assessment findings on a patient with pneumonia would include all of the
following EXCEPT:
bradycardia.
whispered pectoriloquy.
dull percussion note.
increased vocal fremitus. - Answers - bradycardia
Your patient has aspirated. This can result in all of the following EXCEPT:
a. fungal pneumonia.
b. anaerobic bacterial pneumonia.
c. chemical pneumonitis. - Answers - a. fungal pneumonia
Ventilator-acquired pneumonia (VAP) is defined as pneumonia that develops: - Answers
- More than 48 to 72 hours after endotracheal intubation.
The chest radiograph is often of little help in the diagnosis of nosocomial pneumonia in
mechanically ventilated patients in the ICU because these individuals often have other
reasons for radiographic abnormalities. - Answers - TRUE
Anatomic alterations found in the lungs of patients with a fungal infection include:
1. fibrosis of lung parenchyma.
2. alveolar-capillary destruction.
3. hyperinflation.
4. mucosal edema. - Answers - 1. fibrosis of lung parenchyma.
2. alveolar-capillary
Fungal infection of the lungs is closest in similarity to - Answers - tuberculosis
What parts of the lungs are most commonly affected by a fungal infection? - Answers -
upper lobes
Fungal lung infections are usually spread by - Answers - inhaling spores
Which type of fungal lung infection frequently results in productive cough with purulent
sputum? - Answers - Blastomycosis
A skin test is available to confirm which of the following fungal infections? - Answers -
Coccidioidomycosis
All of the following are identified as opportunistic yeast pathogens EXCEPT: - Answers -
Mycoplasma.
The drug of choice for the treatment of fungal lung diseases is: - Answers -
amphotericin B (Fungizone).
A patient has an Aspergillus niger infection. What should be used to treat it? - Answers -
Fluconazole (Diflucan)
A patient with an advanced pulmonary fungal infection has cor pulmonale. How will this
manifest itself? - Answers - Distended neck veins
Pulmonary function testing results on a patient with advanced fungal pneumonia will
display all of the following EXCEPT: - Answers - increased ERV
During the advanced stages of a fungal lung infection, which of the following is
commonly seen on the chest radiograph - Answers - cavities
What is considered to be the gold standard for the diagnosis of histoplasmosis? -
Answers - fungal culture
Fungal diseases cause which type of pulmonary disorder? - Answers - A chronic
restrictive disorder
,Which of the following is NOT considered to cause an opportunistic fungal infection? -
Answers - Coccidioides immitis
As pulmonary edema progressively worsens, the fluid moves in which of the following
sequences? - Answers - Alveoli , bronchioles, bronchi
Pulmonary edema manifests itself clinically as a(n) _____ disorder. - Answers -
restrictive pulmonary
The major pathologic or structural changes seen in the lungs with pulmonary edema
include:
1. atelectasis.
2. bronchospasm.
3. high surface tension of alveolar fluids.
4. alveolar flooding. - Answers - 1. atelectasis.
3. high surface tension of alveolar fluids.
4. alveolar flooding.
All of the following are causes of cardiogenic pulmonary edema EXCEPT: - Answers -
allergic reaction to drugs.
What is the normal hydrostatic pressure in the pulmonary capillaries? - Answers - 10 to
15 mm Hg
All of the following are positive risk factors for coronary heart disease (CHD) EXCEPT: -
Answers - elevated vitamin E level
Which of the following is/are considered noncardiogenic cause(s) of increased capillary
permeability?
1. Therapeutic lung radiation
2. Cigarette smoke
3. Acute respiratory distress syndrome (ARDS)
4. Inhaled phosgene - Answers - 1. Therapeutic lung radiation
3. Acute respiratory distress syndrome (ARDS)
4. Inhaled phosgene
The respiratory therapist is asked to recommend a medication to reduce afterload for a
patient with cardiogenic pulmonary edema. The therapist could recommend all of the
following EXCEPT: - Answers - norepinephrine
The tubercle bacillus is:
1. Highly anaerobic
2. Acid-fast
3. Rod-shaped
, 4. Remain suspended in air for several hours after a cough or sneeze. - Answers - 2.
Acid-fast
3. Rod-shaped
4. Remain suspended in air for several hours after a cough or sneeze.
Which of the following are known for the patient's first exposure to the TB pathogen,
Mycobacterium TB?
1. Primary TB
2. Reinfection TB
3. Primary infection stage
4. Secondary TB - Answers - 1. Primary TB
3. Primary infection stage
The most widely used in tuberculin test which consists of an intradermal injection of a
small amount of purified: - Answers - Mantoux tuberculin test
Which of the following is NOT a radiologic finding for a patient with TB? - Answers -
Pneumothorax
In the patient suspected of having TB, the presence of ________ would result in the
initiation of antituberculosis? - Answers - acid-fast bacilli
Which of the following mechanisms is an uncommon route for the spread of
pneumonia? - Answers - through the bloodstream
Which of the following is the most important in determining the cause of the patient's
pneumonia? - Answers - Sputum examination
Chest assessment findings on a patient with pneumonia would include all of the
following EXCEPT:
bradycardia.
whispered pectoriloquy.
dull percussion note.
increased vocal fremitus. - Answers - bradycardia
Your patient has aspirated. This can result in all of the following EXCEPT:
a. fungal pneumonia.
b. anaerobic bacterial pneumonia.
c. chemical pneumonitis. - Answers - a. fungal pneumonia
Ventilator-acquired pneumonia (VAP) is defined as pneumonia that develops: - Answers
- More than 48 to 72 hours after endotracheal intubation.
The chest radiograph is often of little help in the diagnosis of nosocomial pneumonia in
mechanically ventilated patients in the ICU because these individuals often have other
reasons for radiographic abnormalities. - Answers - TRUE
