Obstructive Pulmonary Diseases Quiz

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30 Questions

Which condition is characterized by irreversible enlargement of the air spaces distal to the terminal bronchioles, accompanied by destruction of their wall without obvious fibrosis?

Emphysema

What is the 4th leading cause of death in the USA?

Chronic obstructive pulmonary disease

What is the estimated percentage of heavy smokers who develop COPD?

35-50%

Which factor contributes to 80% of COPD cases?

Smoking

What is the main pathology in emphysema?

Loss of alveolar walls & parts of the capillary bed

Which lung disease is characterized by an increase in resistance to flow due to partial/complete obstruction at any level from trachea to respiratory bronchioles?

Asthma

What is the etiology of asthma?

Genetic

Which lung disease is caused by inhalation of coal particles and other forms of dust?

Pneumoconiosis

What is the characteristic feature of chronic interstitial pulmonary diseases?

Fibrosis

What is the most innocuous form of pathology associated with coal workers' lung disease?

Anthracosis

What is the pathology of chronic obstructive pulmonary disease (COPD)?

Bronchus compression

Which lung disease is caused by inhalation of proinflammatory crystalline silicon dioxide?

Silicosis

What is the leading risk factor for COPD?

Smoking

Which lung disease is associated with the presence of asbestos bodies and diffuse pulmonary interstitial fibrosis?

Asbestosis

Which lung disease is characterized by systemic granulomatous involvement of unknown origin?

Sarcoidosis

Which lung disease is more likely to cause mesothelioma when caused by amphibole form?

Asbestosis

Which lung disease is associated with aberrant expansion of CD4+ T cells and increased TH1 cytokines?

Sarcoidosis

Which lung disease is characterized by the presence of noncaseating granulomas and asteroid bodies?

Sarcoidosis

Which lung disease is associated with pleural plaques of collagen and dyspnea on exertion?

Asbestosis

Which lung disease is characterized by the presence of coalescent collagenous silicotic nodules?

Silicosis

Which of the following is a symptom of COPD?

Prolonged expiration

What is the main cause of chronic bronchitis?

Excessive mucus production

Which type of asthma is triggered by allergens?

Atopic asthma

What is the main cause of occupational asthma?

Fumes

What is the pathogenesis of chronic bronchitis?

Lumen occlusion, inflammation, airway wall thickening, fibrosis, and decreased ciliary function

What is a trigger for asthma?

Respiratory infections

How is non-atopic asthma diagnosed?

Negative skin test results and no increase in serum IgE

What is a symptom of emphysema?

Loss of elastic tissue from alveolar walls

What causes drug-induced asthma in about 10% of asthma patients?

Aspirin

How is atopic asthma diagnosed?

Through skin tests and increased IgE levels

Study Notes

Obstructive Pulmonary Diseases: COPD and Asthma

  • Emphysema leads to loss of elastic tissue from alveolar walls
  • COPD symptomatic presentation includes dyspnea, weight loss, barrel-chested appearance, breathing through pursed lips, prolonged expiration, wheezing, and cough
  • Chronic bronchitis is defined by excessive mucus production in the bronchial tree and is mainly caused by cigarette smoking
  • Pathogenesis of chronic bronchitis involves lumen occlusion, inflammation, airway wall thickening, fibrosis, and decreased ciliary function
  • Chronic bronchitis patient presentation includes dyspnea, frequent cough and sputum, substantial drop in PaO2, and increased PaCO2
  • Asthma is a disorder of the conducting airways caused by immunological reactions, leading to episodic bronchoconstriction
  • Asthma triggers include respiratory infections, irritants, cold air, exercise, and stress
  • Asthma types include atopic, non-atopic, drug-induced, and occupational
  • Atopic asthma is triggered by allergens and diagnosed through skin tests and increased IgE levels
  • Non-atopic asthma is triggered by infections, smoking, and air pollutants, and has negative skin test results and no increase in serum IgE
  • Drug-induced asthma is caused by aspirin and affects about 10% of asthma patients
  • Occupational asthma is triggered by fumes, dusts, and chemicals, diagnosed through decreased FEV1/FVC, and treated by allergen avoidance, beta-adrenergic agents, and glucocorticoids

Test your knowledge of obstructive pulmonary diseases such as COPD and asthma with this quiz. Explore the pathogenesis, symptoms, and triggers of these conditions, and learn about different types of asthma and their diagnostic methods and treatments.

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