NM703 - RESPIRATORY MODULE EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
What are the subjective data symptoms that patient will describe when they
present with acute bronchitis?
-Severe coughing
-None/low grade fever
-Either productive or non productive cough
-muscle aches from coughing
sore throat from coughing
-feeling of fullness
What are some of the objective data that you will see on physical exam of acute
bronchitis?
-Severe coughing
-Wheezing that clears with cough
-low grade fever/no fever
-normal vital signs
What are the diagnostics for bronchitis?
-Physical exam is diagnostic
-Chest x-ray is only used if on the borderline of pneumonia
90% of the cases of bronchitis are considered what type?
Viral
What are the ways to treat bronchitis?
, Supportive care: rest, fluids, humidifier, warm shower, smoking cessation
What are some of the key markers that would make a difference between acute
bronchitis and pneumonia?
- Shortness of breath
-Fever
-Tachypnea/Tachycardia
-Wheezing, rhonchi and rales
-Consolidation on the lungs
-Egophony and bronchial breath sounds
-Pneumonia - cough will persist for longer than 2 weeks
What are important teaching points to share with your patient ?
-Antibiotics are not needed
-Return if symptoms persist
-Frame it as a chest cold (from CDC recommendations)
What are considered the risk factors for asthma?
-Decreased immune system and genetics (pregnancy, lupus/autoimmune disease,
diabetes)
-Environmental factors (pollen, factory workers etc) and exposure to smoking in utero
-Obesity
What are the 3 factors that make up the pathophysiology of asthma?
1. Inflammation and hyperresponsiveness of the airway
2. Obstruction with mucus
3. Airway constriction
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
What are the subjective data symptoms that patient will describe when they
present with acute bronchitis?
-Severe coughing
-None/low grade fever
-Either productive or non productive cough
-muscle aches from coughing
sore throat from coughing
-feeling of fullness
What are some of the objective data that you will see on physical exam of acute
bronchitis?
-Severe coughing
-Wheezing that clears with cough
-low grade fever/no fever
-normal vital signs
What are the diagnostics for bronchitis?
-Physical exam is diagnostic
-Chest x-ray is only used if on the borderline of pneumonia
90% of the cases of bronchitis are considered what type?
Viral
What are the ways to treat bronchitis?
, Supportive care: rest, fluids, humidifier, warm shower, smoking cessation
What are some of the key markers that would make a difference between acute
bronchitis and pneumonia?
- Shortness of breath
-Fever
-Tachypnea/Tachycardia
-Wheezing, rhonchi and rales
-Consolidation on the lungs
-Egophony and bronchial breath sounds
-Pneumonia - cough will persist for longer than 2 weeks
What are important teaching points to share with your patient ?
-Antibiotics are not needed
-Return if symptoms persist
-Frame it as a chest cold (from CDC recommendations)
What are considered the risk factors for asthma?
-Decreased immune system and genetics (pregnancy, lupus/autoimmune disease,
diabetes)
-Environmental factors (pollen, factory workers etc) and exposure to smoking in utero
-Obesity
What are the 3 factors that make up the pathophysiology of asthma?
1. Inflammation and hyperresponsiveness of the airway
2. Obstruction with mucus
3. Airway constriction
