NR507 Obstructive and Restrictive Lung Diseases
Week 3 Edapt quiz Questions and Correct Rationale
Answers/ NR 705 Wk 3
COPD (chronic obstructive pulmonary disease) -
...ANSWER...✓✓ - Second to heart disease as cause of
disability benefits in US
- Second most common noninfectious disease in world
*2.75 million deaths per year*
cystic fibrosis - ...ANSWER...✓✓ -Most common genetic
disease in US
Forced vital capacity (FVC) - ...ANSWER...✓✓ Max volume
of gas a patient can exhale as forcefully and quickly as
possible
Forced expiratory volume in 1 second (FEV1) -
...ANSWER...✓✓ Volume of air that is exhaled during the
1st second of the FVC
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Volume may also be expressed as a percentage of FVC
exhaled in 1 second - ...ANSWER...✓✓ FEV1/FVC (Airflow
rates)
Pulmonary disease - ...ANSWER...✓✓ - Acute vs Chronic
- Obstructive (air trouble out) or Restrictive (air trouble
in)
- Infectious or non-infectious
Clinical Manifestations - ...ANSWER...✓✓ - Dyspnea
- Dyspnea on exertion
- Orthopnea
- Paroxysmal nocturnal dyspnea
- Chronic cough, productive or dry
- Poor exercise tolerance
- Impaired gas exchange (PFT, blood gases)
Dyspnea - ...ANSWER...✓✓ shortness of breath (SOB)
Orthopnea - ...ANSWER...✓✓ dyspnea lying on an incline
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paroxysmal nocturnal dyspnea - ...ANSWER...✓✓
nighttime coughing or SOB that awakens patient
Hypercapnia (Pulmonary Disease or Injury) -
...ANSWER...✓✓ increased CO2 retention
Hypoxia (Pulmonary Disease or Injury) - ...ANSWER...✓✓
inadequate oxygenation at tissue level
Hypoxemia (Pulmonary Disease or Injury) -
...ANSWER...✓✓ arterial O2 is below normal
Pulmonary Disease or Injury may be caused by, among
other reasons - ...ANSWER...✓✓ - O2 delivery to lungs
- Diffusion ability across alveoli and capillary
- Perfusion of capillaries
Failed ventilation/perfusion - ...ANSWER...✓✓ - Pleural
abnormalities
- Chest wall restrictions
- Flail chest
- Acute Respiratory Failure