Ch.19 Case Study Cystic Fibrosis Test Questions & Answers - Effgen - Pediatric Physical Therapy 3e - Test Bank by Susan K. Effgen. DOCX document preview.
Chapter 19. Case Study: Cystic Fibrosis
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. You are evaluating a 16-year-old with cystic fibrosis who needs an independent method of postural drainage with percussion and vibration (PDPV). The most appropriate method for the patient is:
a. | percussor. |
b. | positive expiratory pressure and flutter. |
c. | vest. |
d. | PDPV from his friends. |
____ 2. You are examining a 12-year-old with cystic fibrosis. His resting vitals are as follows: HR = 90 bpm; RR = 20 bpm; and SpO2 = 98%. You start your exercise testing. As the test continues the child is walking on the treadmill at 2.5 mph 2% grade for 5 minutes. His vital signs are as follows: HR = 120 bpm, RR = 22 bpm, SpO2 = 90%, and RPE = 14. You would:
a. | continue the test with the same mph and grade. |
b. | increase the mph and grade. |
c. | decrease the grade but keep the mph the same. |
d. | stop the test and monitor vitals over the next few minutes. |
e. | stop the test and call a code. |
____ 3. You are examining a 2-month-old with cystic fibrosis. The family is meeting with you to learn postural drainage with percussion and vibration (PDPV). You would teach them all the PDPV positions except:
a. | left side lying. |
b. | prone. |
c. | Trendelenburg. |
d. | right side lying. |
____ 4. During your examination of a 14-year-old with cystic fibrosis, you note moderate clubbing throughout all digits. This clubbing is caused by:
a. | acute hypoxemia. |
b. | chronic hypoxemia. |
c. | lack of performance of fine motor skills. |
d. | medication side effects. |
____ 5. During a meeting with a family regarding their newborn son you review postural drainage with percussion and vibration (PDPV). They state that they do not believe that PDPV is important at this time. You would:
a. | tell them that if they don't do PDPV, their son may die sooner. |
b. | request a Department of Youth and Family Services consultation. |
c. | review why PDPV is important and how it could affect the health and functioning of their son’s pulmonary system now and in the future. |
d. | call in the nurse and ask her to tell the family they must comply. |
____ 6. You are doing an examination on a 17-year-old with cystic fibrosis who confides in you that she is smoking on a daily basis. You should:
a. | report it to cystic fibrosis clinic practitioners and document it in her medical record. |
b. | tell her, “You are not helping the situation.” |
c. | call her parents right away and tell them they have a problem child. |
d. | ignore the statement; all teens talk this way. |
____ 7. Cystic fibrosis involves the exocrine mucous glands and typically affects the:
a. | genitourinary tract. |
b. | pancreas. |
c. | sweat glands. |
d. | All of the above |
____ 8. The median predicted life expectancy for patients with cystic fibrosis is approximately:
a. | 17 years. |
b. | 27 years. |
c. | 37 years. |
d. | 47 years. |
____ 9. An 8-year-old child with cystic fibrosis presents to the clinic with a 1-week history of persistent cough, increased sputum production, increased work of breathing, and weight loss. What steps should be taken next?
a. | He should be sent to the emergency department of a local hospital for critical care. |
b. | He should most likely be admitted to the hospital for treatment of a pulmonary exacerbation. |
c. | He should be sent home on extra multivitamins and be seen for his next routine clinic visit in 6 months. |
d. | He should be sent home, his pulmonary hygiene program should be stopped, and his parents/caregivers should be instructed to focus on his nutrition for a few weeks. |
____ 10. What is the underlying cause of cystic fibrosis?
a. | Autoimmune |
b. | Environmental |
c. | Genetic |
d. | Idiopathic |
____ 11. Which organ is not directly affected by cystic fibrosis?
a. | Heart |
b. | Lungs |
c. | Pancreas |
d. | Stomach |
____ 12. For an infant with cystic fibrosis, what is the most appropriate method for routine airway clearance?
a. | Active cycle breathing |
b. | High-frequency chest wall oscillation |
c. | Oscillatory positive expiratory pressure devices |
d. | Postural drainage and percussion |
____ 13. An 8-year-old is admitted to the hospital for an exacerbation of cystic fibrosis. The physical therapist enters the room to begin airway clearance techniques. Before beginning, the nurse enters the room and inquires about administering medications. When should bronchodilators and antibiotics be given in relation to airway clearance?
a. | Bronchodilators before, antibiotics before |
b. | Bronchodilators before, antibiotics after |
c. | Bronchodilators after, antibiotics before |
d. | Bronchodilators after, antibiotics after |
____ 14. A patient with cystic fibrosis is being evaluated for a lung transplant. Which of the following is the most appropriate submaximal test to assess his endurance and activity tolerance?
a. | Patient-reported outcome measures (PROMs) |
b. | Pulmonary function tests |
c. | Six-minute walk test |
d. | Three-meter walk test |
____ 15. During which phase of respiration is vibration and shaking implemented?
a. | Breath hold |
b. | Expiration |
c. | Inspiration |
d. | Expiration and inspiration |
True/False
Indicate whether the statement is true or false.
____ 16. A child can have cystic fibrosis and have no pulmonary symptoms.
Chapter 19
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Effgen - Pediatric Physical Therapy 3e - Test Bank
By Susan K. Effgen