Ch10 Verified Test Bank The Respiratory System — Pulmonology

Acquiring Medical Language, 2e (Jones)

Chapter 10 The Respiratory System — Pulmonology

1) Which of the following roots pertains to the upper respiratory system?

A) adenoid/o

B) capn/o

C) lob/o

D) phren/o

E) thorac/o

2) Which of the following roots pertains to the lower respiratory system?

A) capn/o

B) nas/o

C) rhin/o

D) stern/o

E) tonsill/o

3) Which of the following roots pertains to the process of respiration?

A) adenoid/o

B) bronchiol/o

C) lob/o

D) ox/o

E) thorac/o

4) Which terms means "the voice box"?

A) laryng/o

B) palat/o

C) pharyng/o

D) tonsill/o

E) trache/o

5) Which term means "the throat, the pathway used by both food and air"?

A) laryng/o

B) palat/o

C) pharyng/o

D) tonsill/o

E) trache/o

6) Which term means "windpipe"?

A) laryng/o

B) palat/o

C) pharyng/o

D) tonsill/o

E) trache/o

7) Which term refers to a well-defined portion of any organ?

A) bronch/o

B) capn/o

C) lob/o

D) sept/o

E) sinus/o

8) Which term refers to the main branches from the trachea into each lung?

A) bronch/o

B) bronchiol/o

C) laryng/o

D) pharyng/o

E) trache/o

9) Which of the following root is NOT used to refer to the chest?

A) cost/o

B) pector/o

C) pectus

D) steth/o

E) thorac/o

10) Identify the correct translation for the root nas/o.

A) Adenoid

B) Hollow or cavity

C) Mouth

D) Nose

E) Partition or dividing structure, and can refer to any wall dividing two cavities

11) Identify the correct translation for the root pneumat/o.

A) Air sac

B) Breathing

C) Lungs

D) Air or lungs

E) Subdivision of the bronchial tubes

12) Identify the correct translation for the root bronchiol/o.

A) Air sac

B) Breathing

C) Lungs

D) Lungs or air

E) Subdivision of the bronchial tubes

13) Identify the correct translation for the root phren/o.

A) Breathing

B) Carbon dioxide

C) Chest

D) Diaphragm

E) Membrane surrounding the lungs

14) Identify the correct translation for the root capn/o.

A) Breathing

B) Carbon dioxide

C) Chest

D) Diaphragm

E) Membrane surrounding the lungs

15) Which of the following statements is NOT true regarding the root alveol/o?

A) It comes from the Latin word meaning "hollow" or "cavity."

B) It is a term that is part of the upper respiratory system.

C) It refers to the alveolus, which means "air sac."

D) The body has two main types: pulmonary and dental.

16) Identify and define the root in the term pansinusitis.

A) pan–all

B) pan–both

C) sinus–sinus

D) itis–disease

E) itis–inflammation

17) Identify and define the root in the term pneumonia.

A) pneumon breathing

B) pneumon chest

C) pneumon lung

D) ia condition

E) ia pertaining to

18) Identify and define the root in the term respiration.

A) re again

B) respira respiration, the process of breathing

C) spira breathing

D) pir oxygen

E) tion process

19) Which is the correct breakdown of the term hyperventilation into its component parts?

A) hyper/ventilation

B) hyperventila/tion

C) hyper/ven/tilation

D) hyper/ven/tila/tion

E) hyp/er/ven/ti/la/tion

20) Which is the correct breakdown of the term atelectasis into its component parts?

A) atelectas/is

B) a/telectasis

C) a/tel/ectasis

D) a/telecta/sis

E) a/tel/ec/tas/is

21) Which is the correct breakdown of the term pneumoconiosis into its component parts?

A) pneumo/coniosis

B) pneumoconi/osis

C) pneumo/coni/osis

D) pneu/moconios/is

E) pneu/mo/coni/osis

22) Which is the correct breakdown of the term palatoplasty into its component parts?

A) palatoplast/y

B) palato/plasty

C) pala/topla/sty

D) pa/lato/plast/y

E) pa/la/to/plas/ty

23) Which is the correct breakdown and translation of the term hypopnea?

A) hypo (fast) + pnea (breathing) = fast or rapid breathing

B) hypo (good) + pnea (breathing) = good breathing

C) hypo (over) + pnea (breathing) = heavy breathing

D) hypo (slow) + pnea (breathing) = slow breathing

E) hypo (under) + pnea (breathing) = shallow breathing

24) Which is the correct breakdown and translation of the term rhinorrhagia?

A) rhino (nose) + rrhagia (discharge) = discharge from the nose (another term for runny nose)

B) rhino (nose) + rrhagia (excessive bleeding) = excessive bleeding from the nose (another term for nosebleed)

C) rhino (nose) + rrhagia (fixation) = fixing a broken nose

D) rhino (nose) + rrhagia (rupture) = rupture of the mucus-containing cells in the nose (another term for runny nose)

E) rhino (nose) + rrhagia (suture) = suture of the nose

25) Which is the correct breakdown and translation of the term pleurodynia?

A) pleuro (breathing) + dynia (pain) = pain when breathing

B) pleuro (lung) + dynia (pain) = pain in the lung

C) pleuro (pleura) + dynia (pain) = pain in the pleura (main branches from the trachea into each lung)

D) pleuro (pleura) + dynia (pain) = pain in the pleura (membrane surrounding the lungs)

E) pleuro (pleura) + dynia (pain) = pain in the pleura (well-defined portion of an organ)

26) Which is the correct breakdown and translation of the term empyema?

A) em (in) + py (blood) + ema (condition) = blood inside the chest

B) em (in) + py (mucus) + ema (condition) = mucus inside the chest

C) em (in) + py (pus) + ema (condition) = pus inside the chest

D) em (out) + py (chyle) + ema (condition) = chyle outside the chest

E) em (out) + py (fluid) + ema (condition) = fluid outside the chest

27) Which is the correct breakdown and translation of the term pulmonary edema?

A) pulmon (airway) + ary (pertaining to) + edema (narrowing) = narrowing of the airway

B) pulmon (airway) + ary (pertaining to) + edema (swelling) = swelling in the airway

C) pulmon (lung) + ary (pertaining to) + edema (narrowing) = narrowing or constricting of the lungs

D) pulmon (lung) + ary (pertaining to) + edema (swelling) = swelling in the lungs

28) Which is the correct breakdown and translation of the term hypocapnia?

A) hypo (over) + capn (breathing) + ia (condition) = heavy breathing

B) hypo (over) + capn (carbon dioxide) + ia (condition) = excessive carbon dioxide

C) hypo (under) + capn (breathing) + ia (condition) = shallow breathing

D) hypo (under) + capn (carbon dioxide) + ia (condition) = insufficient carbon dioxide

29) Which is the correct breakdown and translation of the term tracheomalacia?

A) tracheo (trachea) + malacia (breakdown) = breakdown of the trachea

B) tracheo (trachea) + malacia (hardening) = hardening of the trachea

C) tracheo (trachea) + malacia (narrowing) = narrowing of the trachea

D) tracheo (trachea) + malacia (opening) = opening of the trachea

E) tracheo (trachea) + malacia (softening) = softening of the trachea

30) Which is the correct breakdown and translation of the term diaphragmatocele?

A) diaphragmato (diaphragm) + cele (growth) = growth of the diaphragm

B) diaphragmato (diaphragm) + cele (hernia) = hernia of the diaphragm

C) diaphragmato (diaphragm) + cele (involuntary contraction) = involuntary contraction of the diaphragm

D) diaphragmato (diaphragm) + cele (paralysis) = paralysis of the diaphragm

E) diaphragmato (diaphragm) + cele (tumor) = tumor in the diaphragm

31) Which is the correct breakdown and translation of the term pulmonary neoplasm?

A) pulmon (lung) + ary (pertaining to) + neo (new) + plasm (discharge) = new discharge in the lung

B) pulmon (lung) + ary (pertaining to) + neo (new) + plasm (disorder) = new disorder of the lung

C) pulmon (lung) + ary (pertaining to) + neo (new) + plasm (formation) = new growth (tumor) in the lung

D) pulmon (lung) + ary (pertaining to) + neo (new) + plasm (mucus) = new mucus in the lung

E) pulmon (lung) + ary (pertaining to) + neo (new) + plasm (pus) = new pus in the lung

32) Which is the correct breakdown and translation of the term laryngectomy?

A) laryng (larynx) + ectomy (disease) = disease of the larynx

B) laryng (larynx) + ectomy (incision) = incision into the larynx

C) laryng (larynx) + ectomy (reconstruction) = reconstruction of the larynx

D) laryng (larynx) + ectomy (removal) = removal of the larynx

E) laryng (larynx) + ectomy (tumor) = tumor in the larynx

33) Which is the correct breakdown and translation of the term septoplasty?

A) septo (lobe) + plasty (incision) = incision into a lobe

B) septo (lobe) + plasty (suture) = suture of a lobe

C) septo (septum) + plasty (creation of an opening) = creating an opening in a septum

D) septo (septum) + plasty (reconstruction) = reconstruction of the septum

E) septo (tonsil) + plasty (removal) = removal of a tonsil

34) Which is the correct breakdown and translation of the term tracheostomy?

A) tracheo (nose) + stomy (opening) = creation of an opening in the nose

B) tracheo (sinus cavity) + stomy (opening) = creation of an opening in the sinuses

C) tracheo (throat) + stomy (opening) = creation of an opening in the throat

D) tracheo (voice box) + stomy (opening) = creation of an opening in the voice box

E) tracheo (windpipe) + stomy (opening) = creation of an opening in the windpipe

35) Which is the correct breakdown and translation of the term expectorant?

A) ex (in) + pector (chest) + ant (agent) = a drug that discourages coughing

B) ex (in) + pector (lung) + ant (agent) = a drug that discourages coughing

C) ex (out) + pector (chest) + ant (agent) = a drug that encourages the expulsion of material from the lungs

D) ex (out) + pector (lung) + ant (agent) = a drug that encourages the expulsion of material from the lungs

36) Translate the term eupnea as literally as possible.

A) Fast or rapid breathing

B) Good breathing

C) "Over" or heavy breathing

D) Slow breathing

E) "Under" or shallow breathing

37) Translate the term pleuralgia as literally as possible.

A) Pleura condition

B) Pleura disease

C) Pleura inflammation

D) Pleura pain

E) Pleura removal

38) Translate the term phrenoplegia as literally as possible.

A) Diaphragm drooping

B) Diaphragm pain

C) Diaphragm paralysis

D) Pleura inflammation

E) Pleura swelling

39) Translate the term pneumohemothorax.

A) Abnormal binding of the lung to the chest

B) Air and blood in the chest

C) Blood in the lungs and chest

D) Hernia of the airway into the chest

E) Hernia of the lung into the chest

40) Translate the term capnometer.

A) Analysis of the gases (carbon dioxide and oxygen) in the blood

B) Instrument to measure breathing

C) Instrument to measure carbon dioxide levels

D) Procedure to measure breathing

E) Procedure to measure carbon dioxide levels

41) Translate the term spirometry.

A) Analysis of the gases (carbon dioxide and oxygen) in the blood

B) Instrument to measure breathing

C) Instrument to measure carbon dioxide levels

D) Procedure to measure breathing

E) Procedure to measure carbon dioxide levels

42) Translate the term bronchiogenic carcinoma.

A) Inflammation of the lungs originating in the bronchi

B) Cancerous tumor originating in the bronchi

C) Disease of the bronchi

D) Reconstruction of the bronchi

E) Incision into the bronchi

43) Translate the term tonsillitis as literally as possible.

A) Tonsil disease

B) Tonsil inflammation

C) Tonsil pain

D) Tonsil reconstruction

E) Tonsil swelling

44) Translate the term rhinitis as literally as possible.

A) Nasal disease

B) Nasal inflammation

C) Nasal pain

D) Sinus inflammation

E) Sinus swelling

45) Translate the term pleuropexy as literally as possible.

A) "Pleura binding" binding of the pleura to the lung

B) "Pleura fixation" reattachment of the pleura

C) "Pleura incision" incision into the pleura

D) "Pleura removal" removal of a section of the pleura

E) "Pleura separation" separating the pleura from the lung

46) Translate the term pneumonectomy as literally as possible.

A) Chest puncture

B) Chest removal

C) Lung incision

D) Lung puncture

E) Lung removal

47) Translate the term thoracentesis as literally as possible.

A) Chest puncture

B) Chest removal

C) Lung incision

D) Lung puncture

E) Lung removal

48) Build a medical term that means "slow breathing."

A) Apnea

B) Bradypnea

C) Dyspnea

D) Hyperpnea

E) Tachypnea

49) Build a medical term that means "involuntary contraction of the diaphragm" (also known as the hiccups).

A) Bronchiectasis

B) Bronchospasm

C) Diaphragmatocele

D) Phrenoplegia

E) Phrenospasm

50) Build a medical term that means "chest pain."

A) Pleuralgia

B) Pleurodynia

C) Pneumonitis

D) Thoracalgia

E) Tracheitis

51) Build a medical term that means "blood in the chest."

A) Chylothorax

B) Hemothorax

C) Pneumoconiosis

D) Pneumohemothorax

E) Pneumothorax

52) Build a medical term that means "pus in the chest."

A) Chylothorax

B) Hemothorax

C) Pneumoconiosis

D) Pneumohemothorax

E) Pyothorax

53) Build a medical term that means "instrument for looking at the nose and throat."

A) Capnoscope

B) Endoscope

C) Nasopharyngoscope

D) Stethoscope

E) Thoracoscope

54) Build a medical term that means "procedure to measure oxygen levels."

A) Oximetry

B) Polysomnography

C) Pulmonary angiography

D) Pulmonary function testing

E) Spirometry

55) Build a medical term that means "inflammation in the membrane surrounding the lungs."

A) Bronchitis

B) Bronchiolitis

C) Pleuritis

D) Pneumonitis

E) Tracheitis

56) Build a medical term that means "hernia of the lung."

A) Pneumatocele

B) Pneumonectomy

C) Pneumonia

D) Pneumothorax

E) Thoracocentesis

57) Build a medical term that means "inflammation in the lung."

A) Bronchitis

B) Bronchiolitis

C) Pleuritis

D) Pneumonitis

E) Tracheitis

58) Build a medical term that means "incision into the windpipe."

A) Laryngectomy

B) Palatoplasty

C) Tonsillectomy

D) Tracheostomy

E) Tracheotomy

59) Build a medical term that means "creation of an opening in the chest."

A) Bronchoplasty

B) Lobectomy

C) Pleuropexy

D) Thoracocentesis

E) Thoracostomy

60) Build a medical term that means "a drug that prevents coughing."

A) Antitussive

B) Bronchodilator

C) Expectorant

D) Mucolytic

E) Nebulizer

61) What is the term used to describe hoarseness and literally means "bad voice condition"?

A) Auscultation

B) Dysphonia

C) Dyspnea

D) Laryngitis

E) Percussion

62) Expectoration is:

A) a drug that aids in the breakdown of mucus.

B) a drug that encourages the expulsion of material from the lungs.

C) coughing or spitting material out of the lungs.

D) discharge from the bronchi.

E) mucus discharged from the lungs by coughing.

63) Which of the following statements about the medical term percussion is NOT true?

A) In this context, it describes a medical professional striking the body surface.

B) It is a medical examination method.

C) It is from the Latin word meaning "to strike."

D) It is used to help locate fluid build-up in the chest.

E) It requires a medical professional to use a T&A.

64) Which of the following statements about the medical term caseous necrosis is NOT true?

A) It describes the appearance of dead lung tissue.

B) It involves the milky bodily fluid formed in the small intestines during digestion and carried through the body via the lymph vessels.

C) It is a pathological finding.

D) It literally means "cheeselike death condition."

E) The lung tissue has a cheeselike appearance.

65) A person with a chest that is hollowed out has:

A) pectoriloquy.

B) pectus carinatum.

C) pectus excavatum.

D) pulmonary neoplasm.

E) thoracocentesis.

66) A lung disorder caused by the limiting of air into the lungs is called a(n):

A) dyspnea.

B) hyperventilation.

C) hypoventilation.

D) obstructive lung disorder.

E) restrictive lung disorder.

67) Emphysema is:

A) a disease causing episodic narrowing and inflammation of the airway.

B) a disease that causes the alveoli to lose elasticity.

C) fluid pouring out of the lungs into the chest.

D) pus inside the chest.

E) swelling in the lungs.

68) Which of the following statements is NOT true about the medical term nebulizer?

A) It creates a mist that is inhaled by the patient.

B) It is a machine that administers respiratory medication by creating a "cloud."

C) It is from the Latin word meaning "cloud."

D) It is pronounced "neh-buh-lih-zir."

E) It is used as part of a respiratory treatment and/or therapy.

69) OSA involves:

A) a condition where the patient ceases to breathe while asleep.

B) a lung disorder caused by a blockage.

C) a lung disorder caused by the limiting of air into the lungs.

D) procedure for recording pulmonary blood vessel activity.

E) recording multiple aspects of sleep.

70) A blockage in the pulmonary blood supply is called a(n):

A) ABG.

B) CTA.

C) ET.

D) OSA.

E) PE.

71) Which of the following abbreviations is a group of tests used to evaluate the condition and operation of the lungs?

A) CPAP

B) CT

C) CXR

D) PFT

E) PSG

72) Which is the correct translation and definition for the abbreviation CT?

A) Capnometer instrument to measure carbon dioxide levels

B) Chylothorax chyle in the chest

C) Computed tomography an imaging procedure using a computer to cut

D) Cough treatment a drug that prevents coughing

E) Cyanosis treatment giving the patient oxygen to improve the color of his/her skin

73) Which of the following is NOT true about the abbreviation CTA?

A) It indicates a normal sounding lung.

B) It involves a health care professional using a stethoscope.

C) It is a diagnostic procedure involving striking.

D) It is an examination method involving listening.

E) It stands for "clear to auscultation."

74) Which of the following statements is NOT true about the abbreviation PSG?

A) It breaks into poly (multiple) + somno (sleep) + graph (writing) + y (procedure).

B) It means recording multiple aspects of sleep.

C) It is a diagnostic procedure.

D) It is a treatment or therapy.

E) It stands for polysomnography.

75) What is a method of artificially maintaining blood flow and airflow when breathing and pulse have stopped?

A) CPAP

B) CPR

C) CTA

D) OSA

E) PSG

76) What is a treatment for apnea involving keeping a patient's airways open using air pressure delivered via a face mask?

A) CPAP

B) CPR

C) CTA

D) OSA

E) PSG

77) Which of the following is a correct translation and definition for COPD?

A) Cardiac orthopnea disease, disease in which the patient's lungs and heart can only function correctly from an upright position

B) Cardiopulmonary obstructive disorder, disorder that obstructs the proper exchange of oxygen between the heart and lungs

C) Chronic obstructive pulmonary disease, a lung disease caused by the continual blockage of lung passages

D) Chronic obstructive pulmonary disorder, a lung disorder caused by blockage

E) Chronic obstructive pulmonary disorder, another way to describe sleep apnea, the cessation of breathing when one is asleep

78) Which of the following statements is TRUE about a T&A?

A) It is a lower respiratory procedure: an incision into a patient's chest to reconstruct the alveoli.

B) It is a lower respiratory procedure: the reconstruction of the patient's chest and alveoli.

C) It is an upper respiratory procedure: the incision into a patient's tonsils and adenoids.

D) It is an upper respiratory procedure: the reconstruction of a patient's tonsils and adenoids.

E) It is an upper respiratory procedure: the removal of a patient's tonsils and adenoids.

79) Which is the correct translation and definition of the abbreviation V/Q?

A) Hyperventilation, over breathing; condition of having too much air flowing into and out of the lungs

B) Nebulizer, a machine that administers respiratory medication by creating a "cloud" or mist that is inhaled by the patient

C) Ventilation quotient, a test of a patient's airflow

D) Ventilation-perfusion scan, a scan that tests whether a problem in the lungs is caused by airflow or blood flow

E) Whispered pectoriloquy, used as a means of finding masses in the lung

80) What is the correct breakdown and translation of the abbreviation LTB?

A) Laryngitis, tracheitis, and bronchitis: laryngo (larynx) + itis (inflammation) + tracheo (trachea) + itis (inflammation) + bronch (bronchus) + itis (inflammation) = inflammation of the larynx, trachea, and bronchi

B) Laryngotracheobronchitis: laryngo (larynx) + tracheo (trachea) + bronch (bronchus) + itis (inflammation) = inflammation of the larynx, trachea, and bronchi

C) Laryngotracheobronchitis: laryngo (larynx) + tracheo (trachea) + bronch (bronchiole) + itis (inflammation) = inflammation of the larynx, trachea, and bronchiole

D) Lung test bronchoscopy: lung test broncho (bronchus) + scop (looking) + y (procedure) = procedure for looking at the lungs by placing a scope in the bronchus

E) Lung tomographic biopsy: lung (lung) + tomo (cut) + graph (writing) + ic (pertaining to) + biopsy = biopsy of the lung using a computer to cut

81) Read this excerpt from a patient's health record: 

 The patient is a 4-month-old with a 4-day history of nasal congestion, rhinorrhea, and a dry cough. He also has been wheezing for the past 2 days. His congestion is getting worse. He has had a fever up to 103.4°F. His parents say he has not had any apnea, cyanosis, or dyspnea. No one in his family has asthma. His mother was recently diagnosed with bronchitis. 

Which of the following is a symptom exhibited by the patient?

A) A bluish color in the skin caused by insufficient oxygen

B) A disease caused by episodic narrowing and inflammation of the airway

C) Cessation of breathing

D) Difficulty breathing

E) Runny nose

82) Read this excerpt from a patient's health record: 

OBJECTIVE 

Temp: 101.18F; HR: 110; RR: 32; BP: 84/60; Pulse ox: 93% 

Gen: He is alert and in no apparent distress. 

HEENT: His ear canals are clear. There is no evidence of an ear infection. 

There is congestion in his nares. His lips and mouth are moist. 

He does not have any pharnygeal exudate. 

Resp: He is wheezing bilaterally on auscultation 

CV: His heart is beating with a regular rhythm and without a murmur. 

Skin: His skin is warm, dry, and pink. 

What is the correct definition for the underlined term above?

A) "Speaking from the chest" used as a means of finding masses in the lung

B) From the Latin meaning "to strike," and refers to the striking of the body surface (in this context, to cause vibrations that can help locate fluid build-up in the chest)

C) From the Latin word ausculto meaning to "listen," and refers to a health care professional using a stethoscope

D) Incomplete expansion

E) Paralysis of the diaphragm

83) Read the patient's assessment below: 

Assessment

Since he is wheezing, his cough is probably bronchospastic. He did not improve after using a bronchodilator in the office. Therefore, I believe the patient has a URI and bronchiolitis.

Which of the following is a correct translation of this patient's Assessment?

A) The author of this health record believes the cough is related to an inflammation of the bronchus, but the patient did not improve after taking a drug that prevents coughing. The patient was then diagnosed upper respiratory inflammation and inflammation of the bronchioles.

B) The author of this health record believes the cough is related to an involuntary contraction of the bronchus, but the patient did not improve after taking a drug that expands the walls of the bronchi. The patient was then diagnosed with an upper respiratory infection and inflammation of the bronchioles.

C) The author of this health record believes the cough is related to an inflammation of the bronchioles, but the patient did not improve after taking a drug that expands the walls of the bronchi. The patient was then diagnosed with an upper respiratory infection and inflammation of the bronchus.

D) The author of this health record believes the cough is related to an inflammation of the bronchus, but the patient did not improve after taking a drug prevents coughing. The patient was then tested for an upper respiratory infection and diagnosed with inflammation of the bronchioles.

E) The author of this health record believes the cough is related to an inflammation of the bronchus, but the patient did not improve after using a machine that administers respiratory medication by creating a "cloud" or mist that is inhaled by the patient. The patient was then treated for an upper respiratory infection and diagnosed with inflammation of the bronchus.

84) Read the information in this patient's health record (below): 

Chief Complaint: Hemoptysis 

History of Present Illness: The patient has been brought to the emergency department by her mother. She is a 22-year-old female with cystic fibrosis. She has had a 1-day history of hemoptysis. She has been feeling tired for 5 days. Her mother says that the patient has had mild dyspnea and cough. The patient's last PFTs were much worse than normal for her. She has not had any epistaxis, bleeding from her gums, bloody stool, or easy bruising. 

Which of the following is NOT true, based on the information found in the health record?

A) CC: coughing up blood

B) HPI: coughing up blood, mild difficulty breathing, and cough

C) The patient has a Hx of cystic fibrosis.

D) The patient has had nosebleeds.

E) The patient's pulmonary function tests were abnormal.

85) Which is the correct breakdown and translation of the underlined medical term found in this patient's past medical history?

Past Medical History: Cystic fibrosis; bronchiectasis.

A) bronchi (bronchiole) + ec (out) + tas (cough) + is (condition) = condition where the patient is coughing a substance from the bronchiole

B) bronchi (bronchiole) + ectasis (expansion) = expansion of the bronchiole

C) bronchi (bronchus) + ec (out) + tas (cough) + is (condition) = condition where the patient is coughing a substance from the bronchi

D) bronchi (bronchus) + ectasis (expansion) = expansion of the bronchi

86) Read the excerpt from the patient's health record: 

Medications: Inhaled antibiotic (tobramycin inhaled); mucolytic agent (pulmozyme); vitamins ADEK; bronchodilator (albuterol). 

Allergies: NKDA. 

Which of the following is not a drug this patient is currently taking?

A) A drug that aids in the breakdown of mucus

B) A drug that encourages the expulsion of material from the lungs

C) A drug that expands the walls of the bronchi

D) An antibiotic the patient takes by breathing it in

E) The patient is taking all of these medications

87) Read the excerpt from a patient's health record: 

Physical Exam: RR: 30; HR: 92; Temp: 102.1°F; BP: 90/57; Pulse ox: 89% 

Gen: Mildly cyanotic. In mild respiratory distress. Her nose and mouth are a little dry.

HEENT: Her ear drums and ear canals are normal. 

CV: Mildly tachycardic. No murmur. Her pulses are a little weak. 

Resp: Tachypneic, shallow breaths, breath sounds are weaker than normal bilaterally. 

GI: Normal. Her liver and spleen are not large.

According to this patient's physical examination, which of the following statements is NOT true?

A) The patient had a slightly bluish color to her skin.

B) The patient had a slightly rapid heartbeat.

C) The patient was febrile.

D) The patient was not having respiration difficulties.

E) The patient's breathing was rapid, shallow, and weak sounding.

88) According to the following Emergency Department Course excerpt, the patient was "intubated with an endotracheal tube."

Emergency Department Course 

When she came to the ED, the patient was in acute respiratory distress. She was intubated with an endotracheal tube and placed on SIMV. A CXR verified correct placement in her trachea.

What is the correct breakdown and translation of the term endotracheal?

A) endo (inside) + trache (trachea) + al (condition) = condition inside the trachea

B) endo (inside) + trache (trachea) + al (pertaining to) = pertaining to inside the trachea

C) endo (outside) + trache (trachea) + al (condition) = condition outside the trachea

D) endo (outside) + trache (trachea) + al (pertaining to) = pertaining to outside the trachea

E) endo (through) + trache (trachea) + al (pertaining to) = pertaining to through the trachea

89) Read the following Emergency Department Course excerpt: 

She had poor circulation, so she was given IVF and transfused with 2 units of blood (prbcs). An ABG showed hypoxemia and hypercapnia, both of which improved on follow-up ABG after she was intubated. The pulmonology team was contacted; the team decided bronchoscopy would be best. 

According to the excerpt, which of the following is NOT true?

A) A team that specializes in the lungs was contacted.

B) Her arterial blood gases revealed insufficient oxygen and excessive carbon dioxide.

C) The ABG was most likely administered in order to test her blood circulation.

D) The patient was given intravenous fluids and a blood transfusion.

E) The patient will probably undergo a procedure to look inside her bronchi.

90) The following excerpt is a portion of a patient's Emergency Department Course. 

The team found that she was bleeding in her bronchi and treated her with endobronchial electrocautery. Afterward, she was transferred to the ICU for further care. 

The patient was treated with endobronchial electrocautery. What is the correct breakdown and translation of this term?

A) endo (outside) + bronchi (bronchus) + al (pertaining to) + electro (electricity) +cauter (burn) + y (procedure) = cauterization of the outside of a bronchus using an electric current

B) endo (around) + bronchi (bronchus) + al (pertaining to) + electro (electricity) +cauter (burn) + y (procedure) = cauterization around a bronchus using an electric current

C) endo (inside) + bronchi (bronchiole) + al (pertaining to) + electro (electricity) +cauter (burn) + y (procedure) = cauterization of the inside of a bronchiole using an electric current

D) endo (inside) + bronchi (bronchus) + al (pertaining to) + electro (electricity) +cauter (burn) + y (procedure) = cauterization of the inside of a bronchus using an electric current

E) endo (outside) + bronchi (bronchiole) + al (pertaining to) + electro (electricity) +cauter (burn) + y (procedure) = cauterization of the outside of a bronchiole using an electric current

91) Read this excerpt from a patient's health record (below): 

Reason for Consult: Cough and dyspnea. 

The patient is a 64-year-old male who has had a cough for 2 months. His cough has had a lot of sputum in it. Now he also has dyspnea. He has been sweating at night and has lost 5 pounds in the past 2 months. He does not have any hemoptysis, dysphonia, or fever. He is a 2-pack-per-day smoker. 

According to this information, which of the following statements is NOT true?

A) The patient's chief complaint is coughing and dyspnea.

B) The patient has been coughing mucus discharged from the lungs.

C) The patient has difficulty breathing.

D) The patient is afebrile.

E) The patient is coughing up blood.

92) Read this Pulmonology Consult excerpt: 

On physical exam, the patient is alert. He takes occasional pauses when he says long sentences, but otherwise, he is not in any distress. He has an occasional cough during his exam. His skin is pink and dry, and his lips are moist. His heartbeat is regular in rate and rhythm, without a murmur. On lung examination, he has whispered pectoriloquy on the right side with decreased breath sounds. He does not have any retractions or nasal flaring noted. His liver and spleen are not large. 

According to the excerpt, what was found upon lung examination on the right side?

A) "Whispered pectoriloquy" a chest that is hollowed out when the patient whispers

B) "Retractions" a dull sound in the chest when it is struck

C) "Retractions" reverberations in the chest when it is struck

D) "Whispered pectoriloquy" "speaking from the chest"; used as a means of finding masses in the lung. The whispered word is audible in areas where fluid or a mass is present.

E) "Whispered pectoriloquy" a chest that protrudes like the keel of a ship when the patient whispers

93) Read the health record information found below: 

A CT of his lungs revealed opacities and air bronchograms in his right upper lobe, with a small area of pleural effusion on the right. There are also two large lymph nodes in his mediastinum.

Which of the following statements is NOT true, given the health record information?

A) The computed tomography of his lungs revealed opacities and air bronchograms [broncho (bronchus) + gram (written record)].

B) The patient has a small area of PE on the right.

C) There are also two large lymph nodes in his mediastinum [media (middle) + stinum (septum) = the mass of tissues and organs separating the two pleural sacs].

D) There is fluid pouring out into the pleura.

E) All of these are true

94) Which of the following statements is NOT a correct interpretation of the health record information found below?

An ABG shows mild hypoxemia. I believe this is from the large amount of bronchorrhea.

A) The patient does not have enough oxygen in his blood.

B) The patient had a test to determine the effectiveness of the lungs in exchanging gases.

C) The patient has discharge from the bronchi.

D) The patient is experiencing lower respiratory difficulties.

E) The patient shows IRDS.

95) What is the correct interpretation of the biopsy results? 

Thorascopy with biopsy was then done under sedation in the surgical suite. The biopsy sample was sent to the pathology lab. The results showed bronchioloalveolar carcinoma.

A) The patient has a cancerous tumor of the bronchiole and alveoli.

B) The patient has a cancerous tumor originating in the bronchi.

C) The patient has a lung disorder caused by a tumor.

D) The patient needs to have a procedure to create an opening in his chest.

E) The patient needs to have his chest examined.

96) Read the health record information below: 

I have discussed the results with the patient, including his treatment options. I explained he would need a partial lobectomy. He is scheduled for a surgical consultation later this week. After surgical resection of the tumor and lobectomy, he will need to begin chemotherapy. 

According to this information, what procedure will the patient undergo?

A) Creation of an opening in the chest

B) Incision into the lung to remove a tumor

C) Partial removal of one lobe

D) Reattachment of the lobe

E) Reconstruction of the septum between the lungs