Cystic Fibrosis
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- The Patient InterviewThe Physical Examination and Its Basis in PhysiologyPulmonary Function Study AssessmentsArterial Blood Gas AssessmentsOxygenation AssessmentsCardiovascular System AssessmentsRadiologic Examination of the ChestOther Important Tests and ProceduresThe Therapist-Driven Protocol Program and the Role of the Respiratory TherapistRespiratory Failure and the Mechanical Ventilation ProtocolRecording Skills: The Basis for Data Collection, Organization, Assessment SkillChronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and EmphysemaAsthmaBronchiectasisCystic FibrosisPneumoniaLung AbscessTuberculosisFungal Diseases of the LungPulmonary EdemaPulmonary Vascular Disease: Pulmonary Embolism and Pulmonary HypertensionFlail ChestPneumothoraxPleural Effusion and EmpyemaKyphoscoliosisInterstitial Lung DiseasesCancer of the LungAcute Respiratory Distress SyndromeGuillain-Barré SyndromeMyasthenia GravisSleep ApneaClinical Manifestations Common with Newborn and Early Childhood Respiratory DisMeconium Aspiration SyndromeTransient Tachypnea of the NewbornRespiratory Distress SyndromePulmonary Air Leak SyndromesRespiratory Syncytial Virus (Bronchiolitis or Pneumonitis)Bronchopulmonary DysplasiaCongenital Diaphragmatic HerniaCongenital Heart DiseasesCroup Syndrome: Laryngotracheobronchitis and Acute EpiglottitisNear Drowning/Wet DrowningSmoke Inhalation, Thermal Injuries, and Carbon Monoxide IntoxicationAtelectasis
Question 1
Free
Multiple Choice
During the advanced stages of cystic fibrosis, the anatomic alterations cause the patient to have:
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a primarily restrictive lung disease.
a primarily obstructive lung disease.
equal parts restrictive and obstructive lung disease.
normal airways with emphysema.
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Question 2
Free
Multiple Choice
Cystic fibrosis patients can have all of the following EXCEPT:
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malnutrition.
meconium ileus (bowel obstruction).
excessive, viscous pulmonary secretions.
tendency for status asthmaticus.
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Question 3
Free
Multiple Choice
Men with cystic fibrosis have difficulty reproducing because the:
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fallopian tubes are blocked.
vas deferens is missing or underdeveloped.
men are impotent.
women do not ovulate.
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Question 4
Free
Multiple Choice
Which ethnic group has the greatest number of people with cystic fibrosis?
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African-Americans
Asians
Hispanics
Caucasians
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Question 5
Free
Multiple Choice
All of the following can be used in the diagnosis of cystic fibrosis EXCEPT:
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an elevated potassium level in the sweat.
an elevated chloride level in the sweat.
genetic testing of the patient and/or parents.
chronic lung infections from an early age.
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Question 6
Multiple Choice
A patient has a lung infection with Pseudomonas aeruginosa. What antibiotic should be used against it?
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Tobramycin (TOBI)
Dornase alpha (Pulmozyme)
Levalbuterol (Xopenex)
Pentamidine (NebuPent)
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Question 7
Multiple Choice
A cystic fibrosis patient in generally good condition may be a candidate for which of the following?
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Cryosurgery
Total DNA replacement
Diaphragmatic pacemaker
Lung transplant
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Question 8
Multiple Choice
What complicating pulmonary problem is likely to happen to a patient with cystic fibrosis?
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Pulmonary edema
Pleural effusion
Spontaneous pneumothorax
Cardiac tamponade
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Question 9
Multiple Choice
All of the following pulmonary function findings would be expected in a patient with moderate to severe cystic fibrosis EXCEPT:
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increased FVC.
increased RV.
decreased PEFR.
decreased FEF50%.
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Question 10
Multiple Choice
Which of the following may be recommended to reduce bronchial inflammation in a 12-year-old child with cystic fibrosis?
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High-dose ibuprofen
High-dose acetaminophen
High-dose naproxen
High-dose corticosteroids
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Question 11
Multiple Choice
Which of the following is NOT recommended in children with cystic fibrosis?
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Systemic corticosteroids
High-dose ibuprofen
Inhaled antibiotics
Inhaled DNase (Dornase alpha) (Pulmozyme®)
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Question 12
Multiple Choice
All of the following chest assessment findings may be seen in a patient with cystic fibrosis EXCEPT:
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decreased tactile and vocal fremitus.
dull percussion note.
diminished breath sounds.
decreased heart sounds.
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Question 13
Multiple Choice
A common nonrespiratory clinical manifestation of cystic fibrosis is:
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sinusitis.
hyperpigmentation.
rheumatoid arthritis.
glaucoma.
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