Respiratory disorders
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Questions and Answers

What triggers acute episodes of extrinsic asthma in children?

  • Chronic infections and cold exposure
  • Type I hypersensitivity reaction to an inhaled antigen (correct)
  • Cigarette smoke and drug usage
  • Physical exercise and environmental stress
  • Which of the following changes is NOT associated with the pathophysiology of all types of asthma?

  • Bronchoconstriction due to smooth muscle contraction
  • Increased secretion of thick mucus
  • Development of bronchiectasis (correct)
  • Allergic inflammation of the mucosa with edema
  • How does alpha1-antitrypsin deficiency contribute to emphysema?

  • It enhances the sensitivity of airways to allergens.
  • It causes excessive mucus production in the airways.
  • It results in loss of elastic fibers in the alveolar walls. (correct)
  • It leads to bronchoconstriction and airway narrowing.
  • Which condition is characterized by a constant productive cough and frequent airway infections?

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

    What is a common complication of chronic bronchitis?

    <p>Cor pulmonale</p> Signup and view all the answers

    What occurs during inspiration?

    <p>The external intercostal muscles contract while the internal intercostal muscles relax.</p> Signup and view all the answers

    Which volume represents the amount of air remaining in the lungs after a deep exhalation?

    <p>Residual volume (RV)</p> Signup and view all the answers

    What constitutes total lung capacity (TLC)?

    <p>Vital capacity (VC) plus residual volume (RV).</p> Signup and view all the answers

    What effect do airway obstructions have on respiratory function?

    <p>They interfere with pulmonary blood flow and disrupt normal breathing.</p> Signup and view all the answers

    Which statement describes vital capacity (VC) accurately?

    <p>It is the sum of inspiratory reserve volume, tidal volume, and expiratory reserve volume.</p> Signup and view all the answers

    What role do the internal intercostal muscles play during expiration?

    <p>They contract while the external intercostal muscles relax.</p> Signup and view all the answers

    What is dead air space in the context of respiratory volumes?

    <p>The air that does not participate in gas exchange in the lungs.</p> Signup and view all the answers

    What laboratory findings can be associated with the final stage of Severe Acute Respiratory Syndrome (SARS)?

    <p>Thrombocytopenia and elevated liver enzymes</p> Signup and view all the answers

    Which stage of Severe Acute Respiratory Syndrome is characterized by severe hypoxia, respiratory, and metabolic acidosis?

    <p>Stage 3</p> Signup and view all the answers

    What is the main causative agent of Pneumocystis carinii pneumonia (PCP)?

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

    What unique characteristic makes Mycobacterium tuberculosis difficult for host defensive cells to eradicate?

    <p>It has a fatty cell wall that resists digestion</p> Signup and view all the answers

    In which group of individuals is Pneumocystis carinii pneumonia (PCP) most commonly found?

    <p>Immunosuppressed individuals such as those with AIDS</p> Signup and view all the answers

    What is the primary infection reaction in tuberculosis characterized by?

    <p>Engulfment of pathogens by macrophages leading to a granuloma</p> Signup and view all the answers

    Which of the following groups is at a higher risk of contracting tuberculosis due to lowered resistance?

    <p>Those with chronic diseases and malnutrition</p> Signup and view all the answers

    What is a common initial symptom in Pneumocystis carinii pneumonia?

    <p>Nonproductive cough</p> Signup and view all the answers

    What type of pneumonia is Pneumocystis carinii pneumonia classified as?

    <p>Atypical pneumonia</p> Signup and view all the answers

    What is the primary genetic defect associated with cystic fibrosis?

    <p>Defect in chloride ion transport</p> Signup and view all the answers

    In which type of lung cancer does bronchogenic carcinoma arise from the bronchial epithelium?

    <p>Bronchogenic carcinoma</p> Signup and view all the answers

    What symptom is NOT typically associated with lung cancer?

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

    In patients with tuberculosis, when does the individual typically become noncontagious?

    <p>When sputum is negative for microbes, usually 1 to 2 months</p> Signup and view all the answers

    Which of the following is a common risk factor for lung cancer?

    <p>Cigarette smoke</p> Signup and view all the answers

    What condition may result from high blood pressure in the arteries of the lungs due to cystic fibrosis?

    <p>Right sided heart failure</p> Signup and view all the answers

    Which of the following individuals would likely require prophylactic treatment for tuberculosis?

    <p>Someone in close contact with an individual with active TB</p> Signup and view all the answers

    Which of the following is NOT an obstructive lung disease?

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

    What length of duration is typical for tuberculosis treatment?

    <p>4 to 12 months</p> Signup and view all the answers

    Which symptom would most likely indicate advanced lung cancer?

    <p>Shortness of breath</p> Signup and view all the answers

    Which of the following statements accurately describes the prognosis of tumors?

    <p>Many tumors are resistant to conventional treatments.</p> Signup and view all the answers

    Which individuals are considered high risk for aspiration?

    <p>Young children and those with congenital anomalies.</p> Signup and view all the answers

    What is the first step in performing the Heimlich maneuver on a conscious adult?

    <p>Position a fist against the abdomen below the sternum.</p> Signup and view all the answers

    What is a primary symptom that may indicate obstructive sleep apnea?

    <p>Intermittent gasping for air during sleep.</p> Signup and view all the answers

    What is a common consequence of untreated sleep apnea?

    <p>Increased risk of Type 2 diabetes and depression.</p> Signup and view all the answers

    How is asthma classified in relation to its occurrence over time?

    <p>As acute for episodic and chronic for long-term.</p> Signup and view all the answers

    What factor significantly increases the incidence of obstructive sleep apnea?

    <p>Age and obesity.</p> Signup and view all the answers

    What should be avoided to prevent aspiration risks?

    <p>Eating while reclining.</p> Signup and view all the answers

    What is a characteristic of asthma when classified based on hypersensitivity reactions?

    <p>Reversible bronchial obstruction.</p> Signup and view all the answers

    What technique is used to expel a foreign object from an infant experiencing aspiration?

    <p>Back blows between shoulder blades.</p> Signup and view all the answers

    Study Notes

    Respiratory Disorders

    • Respiratory system anatomy includes the pharynx, larynx, esophagus, trachea, nasal cavity, epiglottis, left lung, alveoli, bronchi, right lung, pleura, and diaphragm.
    • Respiratory disorders are categorized into Infectious Diseases, Obstructive Lung Diseases, Vascular Disorders, and Expansion Disorders.
    • Learning objectives for studying respiratory disorders include describing common upper respiratory infections, comparing different pneumonia types, differentiating primary from secondary tuberculosis, describing the pathophysiology and complications of cystic fibrosis and bronchogenic carcinoma, understanding asthma, comparing emphysema and chronic bronchitis, describing pulmonary edema and its effects on oxygen levels, comparing different sized pulmonary emboli, explaining atelectasis and its effects on ventilation, and more.
    • Normal respiratory structures conduct air between the atmosphere and lungs. The lower respiratory tract consists of trachea, bronchial tree, and lungs for gas exchange. Lungs are covered by pleura.
    • Mechanisms of breathing involve the external and internal intercostal muscles that elevate and lower the ribs for inspiration and expiration, respectively.
    • Lung volumes and capacities include tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), and residual volume (RV). Vital capacity (VC) is the sum of IRV, TV, and ERV.
    • Breathing regulation involves the respiratory center in the brain and receptor cells near the center responding to changes in CSF H+ caused by increases in arterial CO2. Chemical control via receptor cells in the carotid and aortic bodies respond to decreases in arterial O2.
    • Gas exchange occurs through diffusion of oxygen and carbon dioxide across the alveolar-capillary membrane. Oxygen enters the blood, and carbon dioxide exits.
    • General manifestations of respiratory disease include sneezing, coughing, sputum production, abnormal breathing patterns, abnormal breath sounds (rales and rhonchi), and dyspnea.
    • Cyanosis, pleural pain, and clubbed fingers/toes are also possible manifestations.
    • Diagnostic tests for respiratory diseases include spirometry, arterial blood gas determinations, oximetry, exercise tolerance tests, radiography, bronchoscopy, and culture and sensitivity tests.
    • Spirometry is a pulmonary function test that measures airflow during inhalation and exhalation.
    • Respiratory disorders include Infectious Diseases (upper and lower respiratory tract infections), Obstructive Lung Diseases (cystic fibrosis, lung cancer, aspiration, obstructive sleep apnea, asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, bronchiectasis), Restrictive Lung Disorders (pneumoconioses, such as silicosis and asbestosis), Vascular Disorders (pulmonary edema and pulmonary emboli), and Expansion Disorders (atelectasis, pleural effusion, pneumothorax, flail chest, infant respiratory distress syndrome (IRDS), adult respiratory distress syndrome (ARDS), and acute respiratory failure).
    • Different types of fluid may collect in the pleural cavity including exudative effusions, transudates (such as hydrothorax), and blood (hemotothorax). Infection-related fluid is called empyema.
    • Pneumothorax involves air in the pleural cavity, preventing lung expansion, while atelectasis is lung collapse.
    • Tuberculosis is a chronic bacterial infection caused by Mycobacterium tuberculosis. It has primary (initiation) and secondary (reactivation) stages, which can affect different areas and spread to organs.

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    Related Documents

    Respiratory Disorders PDF

    Description

    Test your knowledge on respiratory physiology and the pathophysiology of conditions like asthma, emphysema, and chronic bronchitis. This quiz covers various aspects including triggers, lung capacity, and vital respiratory functions. Challenge yourself to understand respiratory health better.

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