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Which of the following sounds may be heard in lower respiratory obstruction?


A) Crowing
B) Wheezing
C) Stridor
D) Snoring

E) A) and B)
F) A) and C)

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You are on the scene of a 3-year-old patient who is in respiratory distress.The mother states that the patient has been making a barking cough for the past 24 hours.The child is very scared and upset.He is crying inconsolably.The patient has tachypnea,but his vital signs are normal otherwise.He is leaning forward in the tripod position and is drooling profusely.What condition do you suspect?


A) Epiglottitis
B) Croup
C) Child abuse
D) Strep throat

E) A) and C)
F) A) and D)

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You are on the scene of a 5-year-old patient who is in respiratory distress.The mother states that the patient has been making a "seal bark"-sounding cough for the past 24 hours.The child is very scared.The patient has stable vital signs.He is leaning forward in the tripod position and is drooling profusely.After performing your primary assessment,what is your best treatment option?


A) Provide high-concentration oxygen and have the parent hold it to the patient's face.
B) Provide oxygen by BVM.
C) Use a tongue depressor to examine the patient's mouth to determine whether the patient has strep throat or croup.
D) Calm the child as much as possible and provide oxygen by blow-by.

E) A) and D)
F) All of the above

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Your patient is a 30-year-old female who may have overdosed on antidepressant medications.On your arrival,she is lying supine on her bed with her head on a pillow.She is unresponsive to painful stimuli and is snoring.She appears to be pale and her skin is cool and clammy.What should you do first?


A) Apply oxygen by nonrebreather mask.
B) Insert an oropharyngeal airway.
C) Check the patient's pulse.
D) Remove the patient's pillow.

E) B) and D)
F) B) and C)

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Which of the following is true concerning expiration?


A) The chest cavity increases in size.
B) The diaphragm moves upward.
C) The intercostal muscles contract to force air out of the lungs.
D) The ribs move upward and outward.

E) A) and D)
F) B) and C)

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Which of the following inhalers would NOT be used to reverse an asthma attack?


A) Proventil
B) Ventolin
C) Beclomethasone
D) Albuterol

E) A) and B)
F) A) and C)

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Which of the following may be seen just prior to respiratory arrest?


A) Breathing through the nose, not the mouth
B) Very deep, rapid respirations
C) Agonal respirations
D) Accessory respirations

E) A) and B)
F) None of the above

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Contraindications for the use of Continuous Positive Airway Pressure (CPAP) can include which of the following?


A) Audible rhonchi
B) History of pulmonary fibrosis
C) History of obstructive sleep apnea
D) Audible wheezing

E) B) and C)
F) B) and D)

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When ventilating a child with inadequate respirations,which of the following is the maximum rate at which artificial respirations should be delivered?


A) 15 per minute
B) 12 per minute
C) 24 per minute
D) 20 per minute

E) B) and D)
F) B) and C)

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D

You are called to the scene of a 45-year-old nonsmoker male with a history of asthma in respiratory distress.You find him lying supine on the couch.The patient is lethargic but can answer all your questions appropriately.He is diaphoretic,and complains of being cold,coughing,and having difficulty breathing for the past 3 days.His vital signs are blood pressure of 110/70,heart rate of 116,respiratory rate of 24,oxygen saturation of 93%,and temperature of 100.6°F.You hear rhonchi in the left lobes and he is coughing up yellow-tinged sputum.What condition do you suspect?


A) Asthma
B) Silent myocardial infarction
C) COPD
D) Pneumonia

E) A) and C)
F) B) and D)

Correct Answer

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Which of the following BEST defines inadequate breathing?


A) Wheezing noises when breathing
B) Breathing that is insufficient to sustain life
C) Breathing slower than normal
D) Breathing faster than normal

E) A) and B)
F) None of the above

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B

Today patients with cystic fibrosis are surviving to:


A) older adulthood.
B) infancy.
C) toddler years.
D) adulthood.

E) None of the above
F) All of the above

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Your patient is a 15-year-old male with a history of multiple prior hospitalizations for asthma.Upon your arrival the patient responds only to painful stimuli and is making very weak respiratory effort.Which of the following should you do next?


A) Contact medical control.
B) Check the patient's oxygen saturation level.
C) Assist the patient with his inhaler.
D) Assist the patient's ventilations with a bag-valve-mask device and supplemental oxygen.

E) A) and B)
F) A) and C)

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When you hear wheezes while auscultating your patient's breath sounds,which of the following is most likely the cause?


A) There is an upper airway obstruction.
B) There is mucus in the air passages.
C) There is fluid in the lungs.
D) The lower air passages in the lungs are narrowed.

E) A) and D)
F) C) and D)

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A patient who has shallow,slow,irregular gasping breaths is said to have ________ respirations.


A) Kussmaul's
B) agonal
C) central neurogenic
D) Cheyne-Stokes

E) B) and D)
F) All of the above

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What is NOT one of the symptoms of a pulmonary embolus?


A) sudden calmness
B) sudden onset of sharp chest pain
C) anxiety
D) pain and swelling in one or both legs

E) None of the above
F) B) and D)

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Which of the following patients does NOT necessarily have inadequate breathing?


A) Patient with cyanosis
B) Patient's whose breath sounds cannot be heard
C) Patient with agonal respirations
D) Patient with an irregular respiratory rhythm

E) None of the above
F) C) and D)

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Which of the following patients with difficulty breathing should NOT receive supplemental oxygen?


A) A patient with a chronic lung disease who may have a hypoxic drive
B) An infant whose eyes may be damaged by excessive oxygen administration
C) A patient whose oxygen saturation level is 100% on room air
D) None of these patients should have oxygen withheld.

E) A) and B)
F) B) and C)

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D

Which of the following signs of inadequate breathing is more prominent in children than in adults?


A) See-sawing of the chest and abdomen
B) Grunting respirations
C) Nasal flaring
D) All of the above

E) B) and D)
F) A) and B)

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Your patient is a 60-year-old female with a sudden onset of severe difficulty breathing.She has no prior history of respiratory problems.Which of the following should be done before applying oxygen by nonrebreather mask?


A) Listen to the patient's breath sounds.
B) Obtain a history of the present illness.
C) Check the patient's oxygen saturation level.
D) None of the above

E) A) and D)
F) A) and B)

Correct Answer

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