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In an ideal chest x-ray, what ribs should be visualized above the diaphragm?
10 posterior
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What is forced expiration against the closed glottis that increases the intrapulmonary pressure?
Valsava Effect
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The valsava effect results in:
Compression and a large decrease in the size of the heart and adjacent blood vessels
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To demonstrate fluid levels, the patient should be in an arect position for a minimum of ____, or preferably ___ to ____.
5 minutes, 10-15
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The vital gas exchange within the lung is called ____ and takes place within the _____.
external respiration, alveoli
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Cluster of alveoli:
acinus
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Respiration is controlled by a center in the :
Medulla
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What regulates the respirator center?
The level of carbon dioxide in the blood
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Extra fluid within the potential pleural space:
Pleural effusion
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Hereditary disease characterized by the secretion of excessively viscous mucus by all the exocrine glands:
Cystic Fibrosis
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In Cystic Fibrosis, thick mucus secreted by mucosa in the trachea and bronchi blocks air passages as a result of:
an imbalance of sodium and chloride production and reabsorption
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Why are recurrent pulmonary infections common in Cystic Fibrosis?
Bacteria that are normally carried away by mucosal secretions adhere to sticky mucus produced
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Why is the sweat test a reliable test for cystic fibrosis?
Excessive chloride on the skin
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Hyaline Membrane Disease is also known as:
idiopathic respiratory distress syndrome
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One of the most common causes of respiratory distress in teh newborn:
Hyaline Membrane Disease
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Hyaline membrane disease occurs most often in newborns who have:
diabetic mothers or were born by c-section
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The progressive underation of the lungs in hyaline membrane disease result from a lack of:
surfactant and immature lungs
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The radiographic hallmark of hyaline membrane disease is a:
finely granular appearance of the pulmonary parenchyma
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Viral infection of young children that produces inflammatory obstructive swelling localized to the subglottic portion of the trachea and resulting in a barking cough.
Croup
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Radiographic appearance of croup shows a:
tapered narrowing of the subglottic airway
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Type of pneumonia caused by an organism that causes an inflammatory exudate that replaces air in the alveoli
alveolar or air-space pneumonia
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Inflammation that originates in the bronchi or bronchiolar mucosa and spreads to adjacent alveoli
Bronchopneumonia
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Inflammatory process involving predominantly the walls and lining of the alveoli and interstitial supporting structures of the lung
Interstitial Pneumonia
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Interstitial Pneumonia untreated results in a radiographic
honeycomb lung
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Three ways to contract anthrax:
cutaneous, inhalation, gastrointestinal
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A necrotic area of pulmonary parenchyma containing purulent material
lung abscess
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Aspiration is the most common cause of abscess and occurs most often in the:
right lung; right bronchus more vertical and larger
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Tuberculosis spreads mainly by:
droplets in the air
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Fungal infection of the lung:
Pulmonary Mycosis
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Malignancy of glandular tissue
Adenocarcinoma
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severe pulmonary congestion due to diffuse injury to the alveolar-capillary membrane
Adult Respiratory Distress Syndrome (ARDS)
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Inflammatory exudates that replace air and cause the affected lung to become solid
Alveolar Pneumonia:
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Widespread narrowing of the airways as a result of exposure to stimuli
Asthma:
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neoplastic growth of glandular structures in the bronchi
Bronchial Adenomas:
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chronic dilation of the bronchi or bronchioles
Bronchiectasis
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adenocarcinoma of epithelial cells projecting into the alveolar spaces
Bronchioalveolar carcinoma
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primary malignancy arising from the mucosa of the bronchial tree
Bronchiolar Carcinoma
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large air-containing space
Bullae
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excessive tracheobronchial mucus production leading to the obstruction of small airways
Chronic Bronchitis
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pathologic accumulation of air in tissues or organs; especially lungs
Emphysema:
-
environmental allergens
Extrinsic Asthma
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inflammatory process predominantly involving the walls and lining of the alveoli, it's septa and supporting structures
Interstitial Pneumonia
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reaction to exercise, heat or cold exposure, and emotional upset
Intrinsic Asthma
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fungal infection of the lung
Pulmonary Mycosis
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specific type of malignant bronchogenic epithelial neoplasm
Small cell carcinomas:
-
cancer in which tumor cells resemble stratified squamous epithelium
Squamous Carcinoma
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agent that lowers the surface tension
Surfactant
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A disease of newborns characterized by progressive underaeration of the lungs and a granular appearance:
Hyaline membrane disease
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A hereditary disease in which thick mucus is secreted by all the exocrine glands:
Cystic Fibrosis
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A necrotic area of pulmonary parenchyma containing purulent or puslike material is called a:
Lung Abcess
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What radiographic procedure is often required to confirm the diagnosis of bronchiectasis when the results of routing chest radiographs are inconclusive?
Bronchography
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Flattening of the domes of the diaphragm, increased AP diameter of the chest, and increased lucency of the retrosternal air space are suggestive of:
Emphysema
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The three most common pneumoconioses are:
silicosis, asbestosis, anthracosis
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An abnormal vascular communication between a pulmonary artery and a pulmonary vein is termed an:
pulmonary arteriovenous fistula
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What medical emergency has occurred when air continues to enter the pleural space and cannot escape, leading to complete collapse of a lung and shift of the heart and mediastinal tissues?
Tension pneumothorax
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Pus in the pleural space is called:
Empyema
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A lung inflammation caused by bacteria or viruses is called:
pneumonia
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Name two common types of pulmonary mycoses:
Histoplasmosis, coccidioidomycosis
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It is important to remember that tuberculosis is spread mainly by _____, which produces infectious _____.
coughing, droplets
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What medical term is used to describe the entry of air into the pleural space?
pneumothorax
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An increased volume of air in the lungs is seen in:
emphysema
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Inhalation of irritating dusts leading to chronic inflammation and pulmonary fibrosis is called:
pneumoconiosis
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A malignant pleural neoplasm that results from asbestosis is:
mesothelioma
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The trapping of bacteria in the pulmonary circulation that occurs in patients with a history of intravenous drug abuse is called:
septic embolism
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Reduced air volume within a lung leading to collapse is termed:
Atelectasis
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Why do intrabronchial foreign bodies occur more frequently in the lower right lung?
Right bronchus is wider and more vertical
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Blunt or penetrating trauma to the chest can produce ____, which appears as streaks of air that outline muscles of the thorax and sometimes the neck.
subcutaneous emphysema
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At what costal interspace does the diaphragm lie when the lungs are fully inflated?
Tenth
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Air collecting behind the sternum and dissecting up into the soft tissue of the neck is called:
mediastinal emphysema
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An accumulation of fluid in the pleural space, sometimes caused by heart failure of pulmonary embolus is called:
Effusion
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Congenital Respiratory Diseases:
Cystic Fibrosis and Hyaline Membrane Disease
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Inflammatory Disorders of the Upper Respiratory System:
-
Inflammatory Disorders of the Lower Respiratory System:
Pneumonia, anthrax, lung abscess
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Pulmonary Mycosis:
Histoplasmosis, Coccidiodomycosis
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Types of Tuberculosis:
Primary, Miliary, Secondary, Tuberculoma
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Respiratory Visruses:
RSV, SARS
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Diffuse Lung Diseases:
Chronic Bronchitis, Asthma, Emphysema, Bronchiectasis
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Forms of Pneumoconiosis:
Silicosis, Asbestosis, Anthracosis
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Pulmonary Neoplasms:
Pulmonary Nodule, Bronchial Adenoma, Bronchogenic Carcinoma, Pulmonary Metastases
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Pulmonary Vascular Diseases:
Pulmonary Embolism, septic embolism, pulmonary arteriovenous fistula
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Pleural Disorders:
Pneumothorax, Pleural Effusion, Empyema
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