patho test 2
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Questions and Answers

What is a potential consequence of rising intrathoracic pressure during cardiovascular collapse?

  • Improved oxygenation
  • Increased venous return
  • Enhanced cardiac output
  • Hypotension and shock (correct)

Which factor is NOT part of Virchow's Triad that predisposes an individual to pulmonary embolism?

  • Increased physical activity (correct)
  • Endothelial cell injury
  • Venous stasis
  • Hypercoagulability

What is the mean pulmonary artery pressure that indicates pulmonary artery hypertension at rest?

  • 35 mmHg
  • 20 mmHg
  • 30 mmHg
  • 25 mmHg (correct)

What type of pulmonary artery hypertension (PAH) has no known cause and may have a genetic component?

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

What physiological change in pulmonary arteries leads to increased pressure in the right side of the heart?

<p>Vascular remodeling and constriction (D)</p> Signup and view all the answers

What is a key characteristic that differentiates asthma from COPD?

<p>Asthma is associated with eosinophils. (D)</p> Signup and view all the answers

Which cell type is primarily involved in the late asthmatic response?

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

What is a common cause of COPD?

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

What contributes to airway scarring in the late asthmatic response?

<p>Reduced Treg cells (B)</p> Signup and view all the answers

Which of the following is a symptom of COPD?

<p>Symptoms are progressive (D)</p> Signup and view all the answers

What is a common feature of chronic bronchitis?

<p>Frequent mucus production (B)</p> Signup and view all the answers

Which finding is typical in patients with emphysema?

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

Which physiological change occurs during the early asthmatic response?

<p>Increased capillary permeability (C)</p> Signup and view all the answers

What occurs if the late asthmatic response is left untreated?

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

In which situation is fluid present in the pleural space?

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

What is a primary clinical manifestation of hemothorax?

<p>Sudden onset of chest pain and dyspnea (B)</p> Signup and view all the answers

Which stage of empyema is characterized by thick fibrin deposits and pus?

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

What is an appropriate initial treatment for a patient with hemothorax?

<p>Chest tube insertion (D)</p> Signup and view all the answers

Which of the following is NOT a clinical manifestation of empyema?

<p>Hypovolemic shock signs (C)</p> Signup and view all the answers

Which symptom indicates a potential progression of untreated empyema?

<p>Altered mental status (A)</p> Signup and view all the answers

In which stage of empyema does pleural thickening and lung entrapment begin to occur?

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

What should be initiated to treat the underlying infection in empyema?

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

What is a common sign of hemothorax that indicates the need for urgent care?

<p>Coughing up blood (B)</p> Signup and view all the answers

What is a key treatment option for chronic bronchitis?

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

Which condition is characterized by the destruction of alveolar walls without obvious fibrosis?

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

Which complication may arise from untreated empyema?

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

What is the primary cause of airway obstruction in emphysema?

<p>Changes in lung tissue (C)</p> Signup and view all the answers

What clinical finding might indicate the presence of loculated pockets of fluid in empyema?

<p>Dullness to percussion (A)</p> Signup and view all the answers

What is a symptom associated with status asthmaticus?

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

Which treatment option is specifically used during an acute asthma attack to relieve bronchoconstriction?

<p>Short-acting beta-agonists (B)</p> Signup and view all the answers

What occurs during bronchoconstriction in an asthma attack?

<p>Contraction of smooth muscle (D)</p> Signup and view all the answers

What condition accounts for approximately 1% of emphysema cases?

<p>Alpha-1-antitrypsin deficiency (A)</p> Signup and view all the answers

What is a common feature of chronic bronchitis?

<p>Hypertrophy of smooth muscle (C)</p> Signup and view all the answers

What is the most appropriate initial management for small empyemas in the early exudative stage?

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

What type of therapeutic agent is used in fibrinolytic therapy for loculated empyema?

<p>Tissue plasminogen activator (B)</p> Signup and view all the answers

Which surgical intervention may be necessary for severe empyema cases?

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

What clinical manifestation is typically observed in a tension pneumothorax?

<p>Cyanosis in severe cases (B)</p> Signup and view all the answers

Which physiological change occurs first with the onset of tension pneumothorax?

<p>Air trapping in the pleural space (B)</p> Signup and view all the answers

What complication arises from the progressive accumulation of air in tension pneumothorax?

<p>Compression of the affected lung (A)</p> Signup and view all the answers

What happens to the mediastinum as pressure increases in a tension pneumothorax?

<p>It pushes to the opposite side of the chest (C)</p> Signup and view all the answers

Which symptom is commonly observed in patients with a tension pneumothorax?

<p>Jugular vein distension (D)</p> Signup and view all the answers

What is the primary mechanism by which air enters the pleural space in tension pneumothorax?

<p>Through a ruptured pleura (A)</p> Signup and view all the answers

What heart-related complication can result from mediastinal shift in tension pneumothorax?

<p>Decreased venous return (C)</p> Signup and view all the answers

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