Pulmonary Pathology
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Questions and Answers

What is a characteristic of emphysematous patients?

  • They are often thin and have a pinkish complexion (correct)
  • They have a persistent cough with no sputum production
  • They are often obese and have a bluish discoloration
  • They experience shortness of breath only during physical activity

What is the primary cause of shortness of breath in emphysematous patients?

  • Increased work of breathing and use of accessory muscles (correct)
  • Reversible bronchoconstriction of hyperreactive airways
  • Chronic inflammation of the airways
  • Permanent damage to the lung tissue

What is a characteristic of asthma?

  • Permanent damage to the lung tissue
  • Episodic reversible bronchoconstriction of hyperreactive airways (correct)
  • Histologic changes in the lung tissue with no bronchial muscle hypertrophy
  • Chronic inflammation of the airways with no reversible component

What is the primary mechanism of atopic asthma?

<p>Release of histamine from mast cells and activation of T lymphocytes (D)</p> Signup and view all the answers

What is a characteristic of non-atopic asthma?

<p>It involves direct stimulation of parasympathetic nerve fibers (B)</p> Signup and view all the answers

What is a common trigger for non-atopic asthma?

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

What is a common symptom of an asthmatic attack?

<p>Tightness in the chest (A)</p> Signup and view all the answers

What is a characteristic of asthma between episodes?

<p>Patients appear normal (D)</p> Signup and view all the answers

What defines acute severe asthma?

<p>A medical condition unresponsive to beta-agonist therapy within 30-60 minutes (A)</p> Signup and view all the answers

What are possible complications of status asthmaticus?

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

Which condition is characterized by a persistent cough with sputum production for at least 3 months in at least 2 consecutive years?

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

What distinguishes bronchiectasis from other pulmonary diseases?

<p>It involves permanent enlargement of parts of the airways (C)</p> Signup and view all the answers

What factor contributes to the airway blockage in bronchiectasis?

<p>Breakdown of airways due to excessive inflammatory response (C)</p> Signup and view all the answers

Which medication is commonly used to manage bronchiectasis?

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

Which function do the lungs perform in addition to transferring oxygen and carbon dioxide?

<p>Detoxification and excretion of toxins (A)</p> Signup and view all the answers

What happens in obstructive lung disease?

<p>Air becomes trapped within the parenchyma of the lung (D)</p> Signup and view all the answers

Which of the following is a main type of obstructive lung disease?

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

What characteristic defines emphysema?

<p>Loss of pulmonary parenchyma and dilation of terminal airways (C)</p> Signup and view all the answers

What is a consequence of bullae rupturing in bullous emphysema?

<p>Collapse of the lung and sudden onset of dyspnea (D)</p> Signup and view all the answers

What is a distinguishing feature of the right lung in severe emphysema?

<p>Radiolucency due to decreased tissue (A)</p> Signup and view all the answers

What causes alpha-1 antitrypsin deficiency disease?

<p>Insufficient amounts of alpha-1 antitrypsin protein (A)</p> Signup and view all the answers

How do toxins in cigarette smoke cause emphysema?

<p>By stimulating neutrophils and interfering with enzyme balance, damaging alveolar walls (B)</p> Signup and view all the answers

Which type of pneumonia is typically associated with moderate sputum production and no physical findings of consolidation?

<p>Community-acquired atypical pneumonia (B)</p> Signup and view all the answers

Which causative organisms are most commonly associated with nosocomial pneumonia?

<p>Gram-negative bacilli and Staphylococcus aureus (C)</p> Signup and view all the answers

Which type of pneumonia is a potential result of severe intoxication or neuromuscular impairment?

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

What is a common complication of aspiration pneumonia?

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

Which category of pulmonary infection commonly affects immunocompromised patients?

<p>Pneumonia in the immunocompromised patient (B)</p> Signup and view all the answers

Mycobacterium tuberculosis is primarily associated with which type of pneumonia?

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

What is another name for community-acquired typical pneumonia based on its subdivisions?

<p>Bronchopneumonia and lobar pneumonia (B)</p> Signup and view all the answers

Which organisms are generally excluded when diagnosing community-acquired atypical pneumonia?

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

Which group is NOT at a higher risk of active TB or reactivation of TB?

<p>Young healthy adults (C)</p> Signup and view all the answers

What pathological feature characterizes primary TB?

<p>Ghon complex with enlarged lymph nodes (A)</p> Signup and view all the answers

Why can secondary TB develop in an individual with a history of primary TB?

<p>Viable bacteria in the Ghon complex reactivate (D)</p> Signup and view all the answers

Which symptom is LEAST likely associated with pulmonary tuberculosis?

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

How does miliary TB present histologically in affected organs?

<p>Millet seed appearance (B)</p> Signup and view all the answers

What condition can cause fluid leakage in the lungs leading to ARDS?

<p>Severe illness or injury (D)</p> Signup and view all the answers

Which diagnostic test is used specifically for tuberculosis?

<p>Tuberculin skin test (D)</p> Signup and view all the answers

What symptom is common in both COVID-19 and influenza but less common in the common cold?

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

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