Asthma and Bronchiectasis Overview Quiz

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Questions and Answers

Which of the following cell types is NOT typically found in increased numbers in the airway during an asthma attack?

  • Eosinophils
  • Fibroblasts (correct)
  • Macrophages
  • Lymphocytes
  • Mast Cells

Asthma is a chronic inflammatory condition that primarily affects the lower respiratory tract.

True (A)

What are the two main phases of asthma response?

The immediate phase and the late phase.

The ______ phase of asthma is characterized by a rapid bronchoconstriction, while the ______ phase involves a more prolonged inflammatory response.

<p>immediate, late</p> Signup and view all the answers

Match the following mediators with their roles in the asthma response:

<p>Histamine = Causes smooth muscle contraction and vascular permeability Leukotrienes = Contribute to bronchoconstriction, vascular permeability, and mucus production Cytokines (IL-4, IL-5) = Promote eosinophil differentiation and recruitment Eotaxin = Attracts eosinophils to the site of inflammation Major basic protein = Toxic to epithelial cells and contributes to tissue damage</p> Signup and view all the answers

Which of the following is NOT a common cause of bronchial obstruction that predisposes to bronchiectasis?

<p>Lung cancer (D)</p> Signup and view all the answers

Asthma attacks are characterized by cough and wheezing due to bronchoconstriction.

<p>True (A)</p> Signup and view all the answers

What is a common symptom of bronchiectasis?

<p>Cough and expectoration of copious amounts of purulent sputum</p> Signup and view all the answers

In bronchiectasis, there is an increase in the size of the _______ glands.

<p>submucosal</p> Signup and view all the answers

Match the following conditions with their effects on bronchiectasis:

<p>Cystic fibrosis = Widespread severe bronchiectasis Immunodeficiency states = Localized or diffuse bronchiectasis Primary ciliary dyskinesia = Rare autosomal recessive disorder Chronic bronchitis = Complicates bronchiectasis</p> Signup and view all the answers

Which morphological change is NOT associated with bronchiectasis?

<p>Decreased submucosal vascularity (A)</p> Signup and view all the answers

In bronchiectasis, patients do not experience symptoms between their acute attacks.

<p>False (B)</p> Signup and view all the answers

What is one of the clinical features of an asthma attack?

<p>Severe dyspnea and wheezing</p> Signup and view all the answers

Which of the following is NOT a characteristic feature of idiopathic pulmonary fibrosis (IPF)?

<p>Lung nodules (B)</p> Signup and view all the answers

Males are affected more often than females by idiopathic pulmonary fibrosis.

<p>True (A)</p> Signup and view all the answers

What is the term used for the radiologic pattern associated with idiopathic pulmonary fibrosis?

<p>Usual interstitial pneumonia (UIP)</p> Signup and view all the answers

Repeating injury and defective repair of ________ epithelium leads to interstitial fibrosis in IPF.

<p>alveolar</p> Signup and view all the answers

Which of the following conditions can exhibit similar pathologic changes to those seen in idiopathic pulmonary fibrosis?

<p>Asbestosis (D)</p> Signup and view all the answers

Match the following potential environmental factors with their relevance to IPF:

<p>Smoking = Known risk factor for lung diseases Occupational exposure = Possible trigger for lung injury Gastroesophageal reflux = Potential contributing factor to fibrosis Viral infections = Possible source of lung injury</p> Signup and view all the answers

The exact cause of idiopathic pulmonary fibrosis is well understood.

<p>False (B)</p> Signup and view all the answers

At what age does idiopathic pulmonary fibrosis typically begin to occur?

<p>50 years of age</p> Signup and view all the answers

What is the primary cellular reaction present in simple coal workers' pneumoconiosis (CWP)?

<p>Macrophage accumulation (C)</p> Signup and view all the answers

Less than 20% of cases of simple CWP progress to progressive massive fibrosis (PMF).

<p>False (B)</p> Signup and view all the answers

What are the common clinical features of PMF?

<p>Increasing pulmonary dysfunction, pulmonary hypertension, and cor pulmonale.</p> Signup and view all the answers

In coal work, exposure to higher levels of __________ is linked to an increased risk of CWP.

<p>coal dust</p> Signup and view all the answers

Match the following conditions related to coal mine dust exposure with their characteristics:

<p>Anthracosis = Carbon pigment deposits without cellular reaction Simple CWP = Macrophages accumulate with little dysfunction Complicated CWP = Extensive fibrosis with compromised lung function PMF = Progressive lung disease requiring more intervention</p> Signup and view all the answers

Which of the following best describes coal mine dust?

<p>Contains trace metals and crystalline silica (B)</p> Signup and view all the answers

Once established, PMF does not progress in the absence of further exposure.

<p>False (B)</p> Signup and view all the answers

What is the relationship between coal dust exposure and the risk of developing complicated CWP?

<p>Higher coal dust exposure increases the risk of developing complicated CWP.</p> Signup and view all the answers

What is the primary function of type II pneumocytes in the alveoli?

<p>Synthesizing pulmonary surfactant (A)</p> Signup and view all the answers

Acute Respiratory Distress Syndrome (ARDS) can occur exclusively due to pulmonary diseases.

<p>False (B)</p> Signup and view all the answers

What are the two principal types of alveolar epithelial cells?

<p>Type I and Type II pneumocytes</p> Signup and view all the answers

The most frequent triggers of ARDS include pneumonia and __________.

<p>sepsis</p> Signup and view all the answers

Match the following causes of ARDS with their corresponding descriptions:

<p>Pneumonia = 35%-45% of cases Sepsis = 30%-35% of cases Trauma = Includes factors like brain injury and abdominal surgery Aspiration = Involves inhalation of foreign material</p> Signup and view all the answers

Within how long after a known clinical insult does ARDS occur?

<p>Within 1 week (B)</p> Signup and view all the answers

Alveolar macrophages typically contain phagocytosed carbon particles in city dwellers.

<p>True (A)</p> Signup and view all the answers

ARDS is graded based on the severity of blood __________.

<p>hypoxemia</p> Signup and view all the answers

Which inflammatory cells are primarily involved in chronic bronchitis?

<p>Neutrophils (A)</p> Signup and view all the answers

Weight loss in chronic bronchitis cannot suggest an occult malignant tumor.

<p>False (B)</p> Signup and view all the answers

What does a reduced FEV1 to FVC ratio indicate in chronic bronchitis?

<p>Airflow obstruction due to small airway disease.</p> Signup and view all the answers

The classic presentation of emphysema includes a patient who is __________ and dyspneic.

<p>barrel-chested</p> Signup and view all the answers

What is a prominent symptom of emphysema?

<p>Dyspnea (C)</p> Signup and view all the answers

Chronic bronchitis is characterized by the presence of eosinophils in the airways.

<p>False (B)</p> Signup and view all the answers

Match the following symptoms to their condition:

<p>Chronic Bronchitis = Mucus hypersecretion Emphysema = Barrel-chested appearance Both = Dyspnea</p> Signup and view all the answers

In chronic bronchitis, pulmonary function tests reveal reduced FEV1 with normal or near-normal _________.

<p>FVC</p> Signup and view all the answers

Flashcards

Acute Respiratory Distress Syndrome (ARDS)

A severe respiratory failure occurring within 1 week of a clinical insult with bilateral opacities on imaging.

Pathogenesis of ARDS

The process and mechanisms leading to extensive bilateral alveolar injury in ARDS.

Type I Pneumocytes

Flattened cells covering 95% of the alveolar surface, crucial for gas exchange.

Type II Pneumocytes

Rounded cells that synthesize pulmonary surfactant and help repair alveolar damage.

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Pulmonary Surfactant

A fluid secreted by type II pneumocytes that reduces surface tension in alveoli.

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Common Triggers of ARDS

Pneumonia, sepsis, and trauma are frequent causes of ARDS.

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Distinction from Neonatal Respiratory Distress Syndrome

ARDS is different from the newborn syndrome caused by surfactant deficiency.

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Role of Alveolar Macrophages

Cells that lie free within alveoli, involved in phagocytosis and immune response.

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Chronic Bronchitis

A respiratory condition marked by chronic cough and mucus production, not involving eosinophils.

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Pulmonary Function Tests

Tests revealing reduced FEV1 and normal FVC in chronic bronchitis patients.

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FEV1/FVC Ratio

In chronic bronchitis, this ratio is reduced due to small airway disease.

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Emphysema

A condition involving air space enlargement and reduced diffusion capacity.

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Cytokines

Substances released from T cells that mediate the effects of irritants on respiratory epithelium.

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Hyperinflated Lungs

Condition visible on imaging studies indicative of emphysema.

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Cor Pulmonale

Right-sided heart failure due to pulmonary hypertension in chronic lung diseases.

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Acute Symptoms

Cough and wheezing may be initial symptoms in chronic bronchitis.

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Cyanosis

A bluish discoloration of the skin due to low oxygen levels.

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Idiopathic Pulmonary Fibrosis (IPF)

A lung disease characterized by patchy interstitial fibrosis of unknown origin.

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Usual Interstitial Pneumonia (UIP)

A specific pattern of lung fibrosis often seen in IPF, with 'honeycombing'.

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Environmental factors in IPF

Various external triggers that may contribute to the development of IPF.

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Pathogenesis of IPF

The process of interstitial fibrosis believed to arise from lung injury and defective repair.

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Symptoms of progressive IPF

Characterized by dyspnea and patchy edema in advanced stages.

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Role of genetics in IPF

Genetic predisposition is believed to play a significant role in IPF development.

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Bronchiectasis

A lung condition involving dilated and damaged bronchi, leading to cough and sputum.

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Characteristic symptom

Cough and expectoration of copious purulent sputum.

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Diagnosis of Bronchiectasis

Based on medical history and radiographic evidence of bronchial dilation.

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Airway remodeling

Changes in airway structure due to chronic inflammation, applicable to asthma and bronchiectasis.

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Bronchial obstruction causes

Includes tumors, foreign bodies, and mucus impaction leading to localized bronchiectasis.

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Cystic fibrosis

A genetic condition leading to severe bronchiectasis due to thick mucus and recurrent infections.

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Immunodeficiency states

Conditions where recurrent bacterial infections lead to bronchiectasis due to weak defenses.

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Primary ciliary dyskinesia

An autosomal recessive disorder where cilia fail to function, often causing bronchiectasis.

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Healthy airway

An airway with normal mucus levels, goblet cells, and minimal inflammation.

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Airway in asthma

An airway with mucus accumulation, goblet cell proliferation, and marked inflammation.

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Goblet cells

Cells in the airway epithelium that secrete mucus.

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Thickened basement membrane

An abnormal increase in the thickness of the airway's basement membrane, seen in asthma.

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Eosinophils

White blood cells that play a key role in asthma-related inflammation.

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IL-5

A cytokine that recruits eosinophils to the site of inflammation in asthma.

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Bronchoconstriction

Narrowing of the airways due to smooth muscle contraction, common in asthma attacks.

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Vagal afferent nerve

Nerve fibers that carry signals from the airways to the brain, contributing to cough reflex.

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Antigen

A substance that triggers an immune response, such as allergens in asthma.

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Late phase of asthma

The delayed reaction to allergens characterized by sustained inflammation and airway obstruction.

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Anthracosis

Asymptomatic condition with carbon pigment deposits in the lungs.

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Simple CWP

Chronic exposure leading to macrophage accumulation with minimal dysfunction.

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Complicated CWP

Progressive massive fibrosis (PMF) causing significant lung dysfunction.

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PMF

Extensive pulmonary fibrosis with lung function compromise.

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Pulmonary Hypertension

Increased blood pressure in the lungs leading to heart complications.

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CWP Risk Factors

Higher exposure risk associated with coal dust and trace metals.

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Honeycomb Lung

CT imaging characteristic seen in advanced lung fibrosis.

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