Cystic Fibrosis

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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

a primarily restrictive lung disease.

B

a primarily obstructive lung disease.

C

equal parts restrictive and obstructive lung disease.

D

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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A

malnutrition.

B

meconium ileus (bowel obstruction).

C

excessive, viscous pulmonary secretions.

D

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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A

fallopian tubes are blocked.

B

vas deferens is missing or underdeveloped.

C

men are impotent.

D

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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A

African-Americans

B

Asians

C

Hispanics

D

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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A

an elevated potassium level in the sweat.

B

an elevated chloride level in the sweat.

C

genetic testing of the patient and/or parents.

D

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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A
Tobramycin (TOBI)
B
Dornase alpha (Pulmozyme)
C
Levalbuterol (Xopenex)
D
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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A
Cryosurgery
B
Total DNA replacement
C
Diaphragmatic pacemaker
D
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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A
Pulmonary edema
B
Pleural effusion
C
Spontaneous pneumothorax
D
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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A
increased FVC.
B
increased RV.
C
decreased PEFR.
D
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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A
High-dose ibuprofen
B
High-dose acetaminophen
C
High-dose naproxen
D
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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A
Systemic corticosteroids
B
High-dose ibuprofen
C
Inhaled antibiotics
D
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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A
decreased tactile and vocal fremitus.
B
dull percussion note.
C
diminished breath sounds.
D
decreased heart sounds.
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Question 13
Multiple Choice

A common nonrespiratory clinical manifestation of cystic fibrosis is:

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A
sinusitis.
B
hyperpigmentation.
C
rheumatoid arthritis.
D
glaucoma.
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