Test Bank
Clinical Manifestations
and Assessment
of Respiratory Disease
8th Edition
TERRY DES JARDINS, GEORGE G. BURTON
,Table of Contents
PART 1: Assessment of Cardiopulmonary Disease
1. The Patient Interview
2. The Physical Examination
3. The Pathophysiologic Basis for Common Clinical Manifestations
4. Pulmonary Function Testing
5. Blood Gas Assessment
6. Assessment of Oxygenation
7. Assessment of the Cardiovascular System
8. Radiologic Examination of the Chest
9. Other Important Tests and Procedures
10. The Therapist-Driven Protocol Program
11. Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols
12. Recording Skills and Intra-Professional Communication
PART II: Obstructive Lung Disease
13. Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema
14. Asthma
15. Cystic Fibrosis
16. Bronchiectasis
PART III: Loss of Alveolar Volume
17. Atelectasis
PART IV: Infectious Pulmonary Disease
18. Pneumonia, Lung Abscess Formation and Important Fungal Diseases
19. Tuberculosis
PART V: Pulmonary Vascular Disease
20. Pulmonary Edema
21. Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension
PART VI: Chest and Pleural Trauma
22. Flail Chest
23. Pneumothorax
PART VII: Disorders of the Pleura and of the Chest Wall
,24. Pleural Effusion and Empyema
25. Kyphoscoliosis
PART VIII: Lung Cancer
26. Cancer of the Lung: Prevention and Palliation
PART IX: Environmental Lung Diseases
27. Interstitial Lung Diseases
PART X: Diffuse Alveolar Disease
28. Acute Respiratory Distress Syndrome
PART XI: Neuro-Respiratory Disorders
29. Guillain-Barre Syndrome
30. Myasthenia Gravis
31. Respiratory Insufficiency in the Patient with Neuro-Respiratory Disease
PART XII: Sleep-Related Breathing Disorders
32. Sleep Apnea
PART XIII: Newborn and Early Childhood Cardiopulmonary Disorders
33. The Newborn Disorders
34. Pediatric Assessment, Protocols, and PALS Management
35. Meconium Aspiration Syndrome
36. Transient Tachypnea of the Newborn
37. Respiratory Distress Syndrome
38. Pulmonary Air Leak Syndrome
39. Respiratory Syncytial Virus Infection (Bronchiolitis)
40. Chronic Lung Disease of Infancy
41. Congenital Diaphragmatic Hernia
42. Congenital Heart Disease
43. Croup and Croup-like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis and Acute Epiglottitis
PART XIV: Other Important Topics
44. Near Drowning/Wet Drowning
45. Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication
,Chapter 01: The Patient Interview
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
Edition
M U LT I P L E C H O I C E
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
collection of subjective data about the patient’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be reviewed,
that is not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
The personal qualities that a respiratory therapist must have to conduct a successful interview include
being an active listener, having a genuine concern for the patient, and having empathy. Leading
questions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
jargon can sound exclusionary and paternalistic to a patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a health history
form because each can impact the patient’s health. Health insurance provider information, while
needed for billing purposes, would not be found on the history form.
, 4. External factors the respiratory care practitioner should make efforts to provide during an
interview include which of the following?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
absence of noise). An interviewer of either gender, who acts professionally, should be able to
interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
open-ended questions. Open-ended questions allow the therapist to do which of the
following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section of questions,
and gather more information from a patient’s topic. Closed or direct questions are used to gather
specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up the interview. Open-
ended questions are best suited to let the patient fully explain his/her situation and possibly help the
respiratory therapist show empathy.
Clinical Manifestations
and Assessment
of Respiratory Disease
8th Edition
TERRY DES JARDINS, GEORGE G. BURTON
,Table of Contents
PART 1: Assessment of Cardiopulmonary Disease
1. The Patient Interview
2. The Physical Examination
3. The Pathophysiologic Basis for Common Clinical Manifestations
4. Pulmonary Function Testing
5. Blood Gas Assessment
6. Assessment of Oxygenation
7. Assessment of the Cardiovascular System
8. Radiologic Examination of the Chest
9. Other Important Tests and Procedures
10. The Therapist-Driven Protocol Program
11. Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols
12. Recording Skills and Intra-Professional Communication
PART II: Obstructive Lung Disease
13. Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema
14. Asthma
15. Cystic Fibrosis
16. Bronchiectasis
PART III: Loss of Alveolar Volume
17. Atelectasis
PART IV: Infectious Pulmonary Disease
18. Pneumonia, Lung Abscess Formation and Important Fungal Diseases
19. Tuberculosis
PART V: Pulmonary Vascular Disease
20. Pulmonary Edema
21. Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension
PART VI: Chest and Pleural Trauma
22. Flail Chest
23. Pneumothorax
PART VII: Disorders of the Pleura and of the Chest Wall
,24. Pleural Effusion and Empyema
25. Kyphoscoliosis
PART VIII: Lung Cancer
26. Cancer of the Lung: Prevention and Palliation
PART IX: Environmental Lung Diseases
27. Interstitial Lung Diseases
PART X: Diffuse Alveolar Disease
28. Acute Respiratory Distress Syndrome
PART XI: Neuro-Respiratory Disorders
29. Guillain-Barre Syndrome
30. Myasthenia Gravis
31. Respiratory Insufficiency in the Patient with Neuro-Respiratory Disease
PART XII: Sleep-Related Breathing Disorders
32. Sleep Apnea
PART XIII: Newborn and Early Childhood Cardiopulmonary Disorders
33. The Newborn Disorders
34. Pediatric Assessment, Protocols, and PALS Management
35. Meconium Aspiration Syndrome
36. Transient Tachypnea of the Newborn
37. Respiratory Distress Syndrome
38. Pulmonary Air Leak Syndrome
39. Respiratory Syncytial Virus Infection (Bronchiolitis)
40. Chronic Lung Disease of Infancy
41. Congenital Diaphragmatic Hernia
42. Congenital Heart Disease
43. Croup and Croup-like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis and Acute Epiglottitis
PART XIV: Other Important Topics
44. Near Drowning/Wet Drowning
45. Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication
,Chapter 01: The Patient Interview
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
Edition
M U LT I P L E C H O I C E
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
collection of subjective data about the patient’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be reviewed,
that is not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
The personal qualities that a respiratory therapist must have to conduct a successful interview include
being an active listener, having a genuine concern for the patient, and having empathy. Leading
questions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
jargon can sound exclusionary and paternalistic to a patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a health history
form because each can impact the patient’s health. Health insurance provider information, while
needed for billing purposes, would not be found on the history form.
, 4. External factors the respiratory care practitioner should make efforts to provide during an
interview include which of the following?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
absence of noise). An interviewer of either gender, who acts professionally, should be able to
interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
open-ended questions. Open-ended questions allow the therapist to do which of the
following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section of questions,
and gather more information from a patient’s topic. Closed or direct questions are used to gather
specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up the interview. Open-
ended questions are best suited to let the patient fully explain his/her situation and possibly help the
respiratory therapist show empathy.
