Lung Abscess

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  1. Which of the following is or are anaerobic organisms?
    1.  blastomyces
    2.  peptococcus
    3.  coccidioides immitis
    4.  bacteroides

    a.  1 and 2 only
    b.  2 and 4 only
    c.  3 and 4 only
    d.  2, 3, and 4 only
  2. Which of the following is or are predisposing factors to the aspiration of gastrointestinal fluids (and anaerobes)?
    1.  seizure disorders
    2.  head trauma
    3.  alcoholic binges
    4.  general anesthesia

    a.  2 and 4 only
    b.  2 and 3 only
    c.  2, 3, and 4 only
    d.  1, 2, 3, and 4
  3. Which of the following is or are associated with the formation of a lung abscess?
    1.  bullae or cysts that become infected
    2.  interstitial lung disease with cavity formation
    3.  bronchial obstruction with secondary cavitating infection
    4.  penetrating chest wounds that lead to an infection

    a.  1 only
    b.  3 only
    c.  2 and 4 only
    d.  1, 2, 3, and 4
  4. Anatomically, a lung abscess most commonly forms in which part(s) of the lung?
    1.  posterior segment of the upper lobe
    2.  lateral basal segment of the lower lobe
    3.  anterior segment of the upper lobe
    4.  superior segment of the lower lobe

    a.  1 only
    b.  3 only
    c.  1 and 4 only
    d.  2 and 3 only
  5. Which of the following pulmonary function findings may be associated with a severe and extensive lung abscess?
    1.  decreased FVC
    2.  increased PEFR
    3.  decreased RV
    4.  increased FRC

    a.  3 only
    b.  2 and 4 only
    c.  3 and 4 only
    d.  1 and 3 only
  6. A patient has been diagnosed with a lung abscess.  What is the key anatomic alteration that occurs with this condition?
    a.  generalized pulmonary fibrosis
    b.  mucosal edema
    c.  necrosis of lung tissue
    d.  pulmonary vasoconstriction
  7. Which of the following anatomic alterations of the lungs is/are associated with lung abscess?
    1.  bronchospasm
    2.  alveolar consolidation
    3.  atelectasis
    4.  excessive airway secretions

    a.  3 and 4 only
    b.  1 and 2 only
    c.  1, 2, and 4 only
    d.  2, 3, and 4
  8. A patient with an abscess had the fluid from it rupture into the intrapleural space.  What can this result in?
    a.  bronchiectasis
    b.  empyema
    c.  emphysema
    d.  pulmonary embolism
  9. What is the usual underlying cause of a patient developing a lung abscess?
    a.  weakened immune system
    b.  AIDS
    c.  cystic fibrosis
    d.  aspiration of gastric and oral fluids
  10. Which of the following groups of microorganisms are usually found to cause a lung abscess? 
    1.  anaerobic gram negative bacilli
    2.  viruses
    3.  anaerobic gram positive cocci
    4.  fungi

    a.  3 only
    b.  1 and 3 only
    c.  2, 3, and 4 only
    d.  1, 2, 3, and 4
  11. If a patient is lying supine and vomits and aspirates, the most likely place for a lung abscess to be found is:
    a.  superior segment of the right lower lobe
    b.  right middle lobe
    c.  left upper lobe
    d.  lingular segments
  12. A patient has developed a pulmonary abscess with oropharyngeal anaerobic organisms.  What antibiotic will probably be used to treat the infection?
    a.  cefotaxime
    b.  rifampin
    c.  penicillin G
    d.  vancomycin
  13. Your patient with a resolving pulmonary abscess becomes short of breath while vigorously coughing to remove her secretions.  As the respiratory therapist, what protocol can be recommended?
    a.  lung expansion therapy
    b.  bronchopulmonary hygiene
    c.  short-term mechanical ventilation
    d.  oxygen therapy
  14. After a breathing treatment, your patient with pulmonary abscess coughs out a small amount of secretions.  Then he suddenly begins to cough out a large amount of foul-smelling sputum.  What has happened?
    a.  the abscess ruptured through to a bronchus
    b.  the abscess ruptured through to the pleural space
    c.  the patient has developed chronic bronchitis
    d.  the infection has gotten better
  15. The chest assessment findings commonly found directly over an abscess include:
    1.  whispered pectoriloquy
    2.  dull percussion note
    3.  bronchial breath sounds
    4.  diminished breath sounds

    a.  2 and 3 only
    b.  1 and 4 only
    c.  2, 3, and 4  only
    d.  1, 2, 3, and 4
Card Set
Lung Abscess
Regarding lung abscesses
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