Mosby's EMT-Intermediate Textbook
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Chapter 22: Respiratory Emergencies

1: A bleb is a:
Weakened area of the lung caused by a congenital defect.
Type of cancer cell,
Loss of lung elasticity,
Type of cell that produces mucus,
2: A condition that exists when the capillaries in the lung have increased permeability leading to rales and stiff alveoli is known as:
ARDS.
COPD.
Pulmonary embolism.
Asthma.
3: A reactive airway disease that is stimulated by both intrinsic and extrinsic factors is known as:
Emphysema.
Emphysema.
Cystic fibrosis.
Asthma.
4: Air entering the pleural space that is not related to trauma is known as a:
Simple pneumothorax.
Medical pneumothorax.
Spontaneous pneumothorax.
Tension pneumothorax.
5: Chronic bronchitis can be defined as:
Overgrowth of the airway mucous glands and excessive secretion of mucus in the bronchial tree.
Chronic enlargement of the alveoli with loss of elasticity.
Recurrent reactive bronchospasm.
Chronic fungal infection leading to pus-filled epithelial tissue and bronchoconstriction.
6: Clinical diagnosis of chronic bronchitis is made by the presence of:
A chronic cough for at least 1 year.
A cough with sputum production occurring for at least 3 months of the year for at least 2 consecutive years.
Cough and sputum production occurring seasonally each year for 5 years.
Recurrent upper respiratory bacterial infections refractory to penicillin-based antibiotics.
7: First-line treatment for reactive airway disease includes:
Albuterol.
Atropine.
Emergency chest decompression.
Steroids.
8: Pneumonia is caused by:
Bacteria.
Reactive airway disease.
Heart failure.
Air entering the pleural space.
9: Rapid deep breathing characterized by a resulting respiratory alkalosis is known as:
Kaposi syndrome.
Hyperventilation syndrome.
Hysteria-induced alkalosis.
Bradypnea.
10: Right-heart failure may develop from the additional effort of pushing blood through diseased lungs. This is also known as:
Cor ventriculostenosis.
Congestive heart failure.
Cor pulmonale.
Cardiopulmonary resistance.
11: The primary drive to breathe in normally healthy persons is based on levels of:
O2.
CO2.
N.
CO.
12: The respiratory disorder characterized by enlargement and loss of elasticity of the alveoli is:
Chronic bronchitis.
Emphysema.
Asthma.
Cor pulmonale.
13: The resultant respiratory alkalosis associated with hyperventilation syndrome is due to an excessive loss of:
O2.
Na.
CO2.
CO.
14: Which of the following patients would be predisposed to spontaneous pneumothorax?
A woman aged 60 to 70.
A man who is thin, tall, young, and a smoker.
A patient with emphysema.
A patient with a short/obese chest.
15: You are called to the airport to treat a 34-year-old patient who states that he cannot catch his breath. The patient appears upset and anxious, stating that he just "missed the most important business meeting of his life." The patient is tachypneic. Lung sounds are clear. The patient is also complaining that his lips and fingers are numb and tingling. The patient has no previous medical history. The most appropriate treatment for this patient would include:
Using high-flow oxygen.
Calming the patient and supplying oxygen as necessary.
Instructing the patient to breathe into a paper bag.
Encouraging the patient to hold his breath for as long as possible.
16: You are called to the airport to treat a 34-year-old patient who states that he cannot catch his breath. The patient appears upset and anxious stating that he just "missed the most important business meeting of his life." The patient is tachypneic. Lung sounds are clear. The patient is also complaining that his lips and fingers are numb and tingling. The patient has no previous medical history. The patient is most likely suffering from:
Pulmonary embolism.
Spontaneous pneumothorax.
Asthma.
Hyperventilation syndrome.


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