NCM 118 Medical-Surgical Nursing Prelim Quiz

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Questions and Answers

What is chronic obstructive pulmonary disease?

A preventable and treatable slowly progressive respiratory disease of airflow obstruction involving the airways, pulmonary parenchyma, or both.

Which diagnostic tests are used for diagnosing chronic obstructive pulmonary disease? (Select all that apply)

  • PFT: Spirometry (correct)
  • History Taking (correct)
  • Physical Exam (correct)
  • CXR (correct)
  • CT Scan - differential diagnosis (correct)

Chronic obstructive pulmonary disease is characterized by reversible airflow obstruction.

False (B)

What are the components of COPD?

<p>Emphysema (C), Chronic Bronchitis (D)</p> Signup and view all the answers

What are the signs and symptoms of chronic bronchitis?

<p>Smoker’s cough, peripheral edema, rhonchi and wheezing.</p> Signup and view all the answers

Match the following conditions with their characteristics:

<p>Chronic Bronchitis = Smoker's cough and blue bloaters Emphysema = Damage and rupture of alveoli Smoking = Destroys cilia and irritates respiratory tract Alpha 1 Anti-trypsin Deficiency = Protects the lungs from infection</p> Signup and view all the answers

The first sign of chronic bronchitis is a ______ cough for 3 months in 2 consecutive years.

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

What age group is at increased risk for chronic obstructive pulmonary disease?

<p>Individuals over 65 years old.</p> Signup and view all the answers

Frequent respiratory infections during childhood are a risk factor for developing COPD.

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

Flashcards

COPD Definition

Chronic dyspnea and expiratory airflow limitation; a progressive, preventable respiratory disease with airflow obstruction.

Emphysema

Damage and rupture of the alveolar inner structures in the lungs.

Chronic Bronchitis

Inflammation and fibrosis of the bronchial lining, often indicated by a smoker’s cough.

COPD Diagnostic Tests

History, physical exam, CXR, ABG, PFT, alpha 1 antitrypsin levels, CT scans & six-minute walk test.

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Causes of COPD

Smoking damages cilia, viruses (influenza, rhinovirus), bacteria (Bordatella), and Alpha 1 anti-trypsin deficiency.

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COPD Risk Factors

Tobacco smoking, alpha-1 antitrypsin deficiency, frequent respiratory infections, and age over 65.

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Chronic Bronchitis Symptom

Productive cough for 3 months over 2 years

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Emphysema Symptoms

Quiet breathing, fatigue, weight loss, accessory muscle use.

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Common COPD Symptoms

Productive cough, rhonchi, wheezing, shortness of breath, air trapping, and hyperinflation.

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Study Notes

Chronic Obstructive Pulmonary Disease (COPD)

  • Characterized by chronic dyspnea and expiratory airflow limitation that remains relatively stable.
  • A slowly progressive, preventable, and treatable respiratory disease involving airflow obstruction in airways and pulmonary parenchyma.
  • Includes a combination of emphysema and chronic bronchitis, creating a group of chronic inflammatory lung diseases.
  • Classified as irreversible with progressive nature.

Emphysema

  • Involves damage and rupture of alveolar inner structures.
  • Presents as silent chest sounds in patients, often older and thinner.

Chronic Bronchitis

  • Characterized by a smoker’s cough, inflammation, and fibrosis of the bronchial lining.
  • Known as "blue bloaters" due to CO2 retention leading to peripheral edema and potential right-sided heart failure.
  • Defined by clinical features, with overweight patients more susceptible to complications.

Diagnostic Tests for COPD

  • History taking and physical examination are fundamental first steps.
  • Chest X-ray (CXR) and arterial blood gas (ABG) testing are essential for assessment.
  • Pulmonary Function Test (PFT) including spirometry is critical for evaluating airflow obstruction.
  • Alpha 1 antitrypsin levels and CT scans aid in differential diagnosis.
  • Six-minute walk test helps gauge exertional dyspnea, with normal individuals showing little breathlessness while COPD patients exhibit notable difficulty.

Causes of COPD

  • Smoking is the primary cause, damaging respiratory cilia and leading to chronic irritation.
  • Respiratory viruses (e.g., influenza, rhinovirus) and bacteria (e.g., Bordatella, Haemophilus influenzae) contribute to airway infections.
  • Alpha 1 anti-trypsin deficiency compromises lung protection against infection, resulting from a liver-produced protein deficit.

Risk Factors

  • Tobacco smoking is the most significant risk factor, leading to a destruction of cilia.
  • Genetic predisposition via alpha-1 antitrypsin deficiency increases risk.
  • History of frequent respiratory infections in early childhood.
  • Age over 65 years further elevates risk of developing COPD.

Signs and Symptoms

  • Chronic bronchitis presents first with a productive cough persisting for three months over two consecutive years.
  • Emphysema symptoms include quiet breathing and increased fatigue, often accompanied by weight loss and use of accessory muscles due to respiratory distress.
  • Common symptoms include productive cough, rhonchi, wheezing, and shortness of breath, leading to air trapping and hyperinflation of the lungs.

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