CMN 568 Unit 2 Exam Questions and Correct Answers Latest Update 2025 Already Passed
Croup: What pathogen is responsible for MOST cases of viral croup? - Answers Usually caused by
Parainfluenza types 1-4: Type 3-Usually infected by 3 y/o (usually in 1st year of life), annual peak in
spring/summer; Type 1 & 2- gradually over the first 5 years of life, peak in fall
Croup: Definition - Answers inflammatory disease of larynx including viral croup, epiglottitis, and
bacterial tracheitis
Croup: Who is at risk for viral croup? - Answers 6 mths-5 years of age, fall and early winter months
What condition is characterized by pain that is localized, sharp, & fleeting; it is made worse by coughing,
sneezing, deep breathing, or movement - Answers Pleuritis
What normally causes pleuritis? - Answers Viral resp. Infections & pneumonia
What anti inflammatory med is used to tx pleuritis? - Answers Indomethacin
What does grossly purulent fluid in a pleural effusion indicate? - Answers Empyema (infection in the
pleural space)
What is a common complication of pneumocystis pneumonia and has a high mortality rate? - Answers
Pneumothorax
What should be suspected in the presence of marked tachycardia, hypotension, and mediastinal or
tracheal shift? - Answers Tension pneumothorax
When do symptoms of a pneumothorax begin and when so they resolve? - Answers Rest; within 24
hours
What imaging finding is diagnostic of a pneumothorax? - Answers Demonstration of a visceral pleural
line on cxr which may only be seen on an expiratory film
How often should chest radiographs be performed in a pt wig pneumothorax? - Answers Q 24 hours
What characteristic appearance is often seen in a patient with chronic obstructive sleep apnea? -
Answers Bull neck
What labs should be obtained in a patient with chronic obstructive sleep apnea? - Answers Tsh to r/o
hypothyroidism
What are the first steps in managing chronic obstructive sleep apnea in an adult? - Answers Weight loss,
avoidance of alcohol and hypnotic medications
What is the leading cause of hospitalization in U.S. Children? - Answers Rsv
What is rsv associated with later in life? - Answers Persistent airway reactivity
, What type of infection is a common cause of respiratory failure in lung transplant recipients? - Answers
Human metapneumovirus
In people with Down's syndrome, when does rsv usually present itself? - Answers Later in age
What is the most common cause of recurrent and acute otitis media? - Answers Rsv
What prophylactic med can be considered in high risk children for rsv? - Answers Prophylactic
administration of palivizumab IM monthly during peak season
What med can be considered in the TREATMENT of rsv in high risk patients? - Answers Ribavirin
How might elderly patients infected with influenza present? - Answers Confusion often without fever or
resp. Symptoms
Who should avoid exposure to ribavirin? - Answers Pregnant women
What are the most common causes of exudative pleural effusion? - Answers Bacterial pneumonia and
cancer
Croup: S/S of viral croup - Answers Upper resp. symptoms, "barking"/Nonproductive cough, and
inspiratory stridor. Mild- stridor when agitated. Severe- Stridor at rest
Who does primary pneumothorax typically affect? - Answers Tall, thin boys and men b/w ages 10-30
Croup: What sign may be seen on an X-ray with viral croup? - Answers Steeple sign (subglottic
narrowing)
Croup: What is the tx. of viral croup? - Answers oral hydration, DEXAMETHASONE 0.6mg/kg IM x 1 (oral
may be used for mild to moderate croup). Inhaled budesonide may also me used. Patients with stridor
at rest require O2, nebulized racemic epinephrine. If symptoms resolve within 3 hours. of tx., may d/c
home
What pathogen is responsible for most cases of epiglottitis? - Answers H. influenzae (in unimmunized
and immunized kids)
N. meningitides
Strep
What is the classic presentation of epiglottitis? - Answers DROOLING, dysphagia, high fever, muffled
voice, retractions, cyanosis, soft stridor. Visualization with reveal cherry red epiglottitis and swollen
arytenoids
What position gives kids with epiglottitis the best airway possible? - Answers sniffing dog position (neck
hyperextended w/ chin stretched forward.
Croup: What pathogen is responsible for MOST cases of viral croup? - Answers Usually caused by
Parainfluenza types 1-4: Type 3-Usually infected by 3 y/o (usually in 1st year of life), annual peak in
spring/summer; Type 1 & 2- gradually over the first 5 years of life, peak in fall
Croup: Definition - Answers inflammatory disease of larynx including viral croup, epiglottitis, and
bacterial tracheitis
Croup: Who is at risk for viral croup? - Answers 6 mths-5 years of age, fall and early winter months
What condition is characterized by pain that is localized, sharp, & fleeting; it is made worse by coughing,
sneezing, deep breathing, or movement - Answers Pleuritis
What normally causes pleuritis? - Answers Viral resp. Infections & pneumonia
What anti inflammatory med is used to tx pleuritis? - Answers Indomethacin
What does grossly purulent fluid in a pleural effusion indicate? - Answers Empyema (infection in the
pleural space)
What is a common complication of pneumocystis pneumonia and has a high mortality rate? - Answers
Pneumothorax
What should be suspected in the presence of marked tachycardia, hypotension, and mediastinal or
tracheal shift? - Answers Tension pneumothorax
When do symptoms of a pneumothorax begin and when so they resolve? - Answers Rest; within 24
hours
What imaging finding is diagnostic of a pneumothorax? - Answers Demonstration of a visceral pleural
line on cxr which may only be seen on an expiratory film
How often should chest radiographs be performed in a pt wig pneumothorax? - Answers Q 24 hours
What characteristic appearance is often seen in a patient with chronic obstructive sleep apnea? -
Answers Bull neck
What labs should be obtained in a patient with chronic obstructive sleep apnea? - Answers Tsh to r/o
hypothyroidism
What are the first steps in managing chronic obstructive sleep apnea in an adult? - Answers Weight loss,
avoidance of alcohol and hypnotic medications
What is the leading cause of hospitalization in U.S. Children? - Answers Rsv
What is rsv associated with later in life? - Answers Persistent airway reactivity
, What type of infection is a common cause of respiratory failure in lung transplant recipients? - Answers
Human metapneumovirus
In people with Down's syndrome, when does rsv usually present itself? - Answers Later in age
What is the most common cause of recurrent and acute otitis media? - Answers Rsv
What prophylactic med can be considered in high risk children for rsv? - Answers Prophylactic
administration of palivizumab IM monthly during peak season
What med can be considered in the TREATMENT of rsv in high risk patients? - Answers Ribavirin
How might elderly patients infected with influenza present? - Answers Confusion often without fever or
resp. Symptoms
Who should avoid exposure to ribavirin? - Answers Pregnant women
What are the most common causes of exudative pleural effusion? - Answers Bacterial pneumonia and
cancer
Croup: S/S of viral croup - Answers Upper resp. symptoms, "barking"/Nonproductive cough, and
inspiratory stridor. Mild- stridor when agitated. Severe- Stridor at rest
Who does primary pneumothorax typically affect? - Answers Tall, thin boys and men b/w ages 10-30
Croup: What sign may be seen on an X-ray with viral croup? - Answers Steeple sign (subglottic
narrowing)
Croup: What is the tx. of viral croup? - Answers oral hydration, DEXAMETHASONE 0.6mg/kg IM x 1 (oral
may be used for mild to moderate croup). Inhaled budesonide may also me used. Patients with stridor
at rest require O2, nebulized racemic epinephrine. If symptoms resolve within 3 hours. of tx., may d/c
home
What pathogen is responsible for most cases of epiglottitis? - Answers H. influenzae (in unimmunized
and immunized kids)
N. meningitides
Strep
What is the classic presentation of epiglottitis? - Answers DROOLING, dysphagia, high fever, muffled
voice, retractions, cyanosis, soft stridor. Visualization with reveal cherry red epiglottitis and swollen
arytenoids
What position gives kids with epiglottitis the best airway possible? - Answers sniffing dog position (neck
hyperextended w/ chin stretched forward.
