Question 1

When a lung abscess is seen on a chest radiograph, a distinguishing factor is the:

Accepted Answer

A)   solid mass.
B)  air bronchograms.
C)  consolidation of the affected segment or lobe.
D)  air-fluid level in the cavity.E) B) and C)
F) B) and D) D

Question 2

In response to the patient having a lung infection, how does the body respond?

Accepted Answer

A)   Polymorphonuclear leukocytes go to the area.
B)  Erythrocytes go to the area.
C)  Surface goblet cells increase mucus production.
D)  Metabolism is decreased.E) A) and D)
F) A) and C)

Question 3

What antibiotic agent would be appropriate for treating an anaerobic lung abscess infection?

Accepted Answer

A)   Metronidazole (Flagyl) 
B)  Pentamidine (NebuPent) 
C)  Fluoroquinolones (Levofloxacin) 
D)  Monobactam (Aztreonam) E) C) and D)
F) B) and C)

Question 4

Predisposing factors that frequently lead to the aspiration of gastrointestinal fluids (and anaerobes)  are usually related to which of the following?
1)  General anesthesia
2)  Head trauma
3)  Seizure disorder
4)  Alcoholic abuse

Accepted Answer

A)  1, 2
B)  2, 3, 4
C)  1, 2, 3
D)  1, 2, 3, 4E) A) and B)
F) B) and C) D

Question 5

During the early stages of a lung abscess, the pathological process is the same as that of:

Accepted Answer

A)   pulmonary edema.
B)  bronchopulmonary dysplasia.
C)  pneumonia.
D)  pulmonary fibrosis.E) A) and B)
F) A) and D)

Question 6

In severe cases of tissue necrosis related to an abscess, what can occur?
1)  Fluid ruptures into a bronchus.
2)  Broncholithiasis occurs.
3)  Bronchospasm will close off the affected bronchi.
4)  Fluid ruptures into the intrapleural space.

Accepted Answer

A)  1, 2
B)  1, 4
C)  3, 4
D)  1, 2, 3E) B) and C)
F) A) and D)

Question 7

A patient with an abscess has coughed out a large volume of brown-colored, putrid sputum. What is the most likely class of microorganism that would cause this?

Accepted Answer

A)   Fungi
B)  Viruses
C)  Aerobic bacteria
D)  Anaerobic bacteriaE) A) and B)
F) All of the above

Question 8

While performing an assessment of your female patient, a pleural friction rub is heard. What does this indicate?

Accepted Answer

A)   Her secretions are becoming thinner.
B)  She has atelectasis.
C)  An abscess is near the pleural surface.
D)  She has a pneumothorax.E) None of the above
F) All of the above

Question 9

A lung abscess may be caused by which of the following?
1)  Penetrating chest wound
2)  Septic embolism
3)  Aspirated foreign body
4)  Bronchogenic cyst

Accepted Answer

A)  1, 2
B)  3, 4
C)  1, 2, 4
D)  1, 2, 3, 4E) A) and C)
F) A) and B)

Question 10

Your patient has aspirated. This can result in all of the following EXCEPT:

Accepted Answer

A)   fungal pneumonia.
B)  anaerobic bacterial pneumonia.
C)  chemical pneumonitis.
D)  Both B and CE) B) and C)
F) B) and D)

Question 11

Chest radiographic findings in a patient with a lung abscess include:
1)  pleural effusion.
2)  fibrosis and calcification.
3)  hyperinflation.
4)  enlarged heart.

Accepted Answer

A)  1, 2
B)  2, 3
C)  3, 4
D)  1, 2, 3E) None of the above
F) All of the above

Question 12

Your intubated, unconscious patient has accidentally had the cuff deflated. This has resulted in the aspiration of oral secretions. What microorganisms are likely to be found in her tracheal secretions now?
1)  Legionella pneumophila
2)  Pseudomonas aeruginosa
3)  Peptococci
4)  Bacteroides fragilis

Accepted Answer

A)  1, 3
B)  3, 4
C)  1, 2
D)  1, 2, 4E) B) and D)
F) B) and C) B

Question 13

If a patient with a lung abscess develops a cavity, this structure may also be called a/an:

Accepted Answer

A)   calcification.
B)  abscissa.
C)  alveolar membrane.
D)  pyogenic membrane.E) All of the above
F) A) and B)

Question 14

A patient who had a stroke is lying supine in bed when he vomits and aspirates. He is most likely to develop a lung abscess in the:
1)  posterior segments of the upper lobes.
2)  lingular segments.
3)  superior segments of the lower lobes.
4)  all segments of both lower lobes.

Accepted Answer

A)  4
B)  1, 3
C)  2, 3
D)  1, 2, 4E) B) and D)
F) None of the above

Question 15

Your patient's lung infection is caused by Klebsiella. What would be appropriate to treat it?

Accepted Answer

A)   Penicillin G
B)  Ribavirin (Virazole) 
C)  The cephalosporin agent cefotaxime.
D)  Isoniazid (INH) E) None of the above
F) C) and D)

Exam 16: Lung Abscess

When a lung abscess is seen on a chest radiograph, a distinguishing factor is the:

Correct Answer
verified
D

In response to the patient having a lung infection, how does the body respond?

Correct Answer
verified

What antibiotic agent would be appropriate for treating an anaerobic lung abscess infection?

Correct Answer
verified

Predisposing factors that frequently lead to the aspiration of gastrointestinal fluids (and anaerobes) are usually related to which of the following? 1) General anesthesia 2) Head trauma 3) Seizure disorder 4) Alcoholic abuse

Correct Answer
verified
D

During the early stages of a lung abscess, the pathological process is the same as that of:

Correct Answer
verified

In severe cases of tissue necrosis related to an abscess, what can occur? 1) Fluid ruptures into a bronchus. 2) Broncholithiasis occurs. 3) Bronchospasm will close off the affected bronchi. 4) Fluid ruptures into the intrapleural space.

Correct Answer
verified

A patient with an abscess has coughed out a large volume of brown-colored, putrid sputum. What is the most likely class of microorganism that would cause this?

Correct Answer
verified

While performing an assessment of your female patient, a pleural friction rub is heard. What does this indicate?

Correct Answer
verified

A lung abscess may be caused by which of the following? 1) Penetrating chest wound 2) Septic embolism 3) Aspirated foreign body 4) Bronchogenic cyst

Correct Answer
verified

Your patient has aspirated. This can result in all of the following EXCEPT:

Correct Answer
verified

Chest radiographic findings in a patient with a lung abscess include: 1) pleural effusion. 2) fibrosis and calcification. 3) hyperinflation. 4) enlarged heart.

Correct Answer
verified

Your intubated, unconscious patient has accidentally had the cuff deflated. This has resulted in the aspiration of oral secretions. What microorganisms are likely to be found in her tracheal secretions now? 1) Legionella pneumophila 2) Pseudomonas aeruginosa 3) Peptococci 4) Bacteroides fragilis

Correct Answer
verified
B

If a patient with a lung abscess develops a cavity, this structure may also be called a/an:

Correct Answer
verified

A patient who had a stroke is lying supine in bed when he vomits and aspirates. He is most likely to develop a lung abscess in the: 1) posterior segments of the upper lobes. 2) lingular segments. 3) superior segments of the lower lobes. 4) all segments of both lower lobes.

Correct Answer
verified

Your patient's lung infection is caused by Klebsiella. What would be appropriate to treat it?

Correct Answer
verified

Exam 16: Lung Abscess

When a lung abscess is seen on a chest radiograph, a distinguishing factor is the:

Correct AnswerverifiedD

In response to the patient having a lung infection, how does the body respond?

Correct AnswerverifiedShow Answer

What antibiotic agent would be appropriate for treating an anaerobic lung abscess infection?

Correct AnswerverifiedShow Answer

Predisposing factors that frequently lead to the aspiration of gastrointestinal fluids (and anaerobes) are usually related to which of the following? 1) General anesthesia 2) Head trauma 3) Seizure disorder 4) Alcoholic abuse

Correct AnswerverifiedD

During the early stages of a lung abscess, the pathological process is the same as that of:

Correct AnswerverifiedShow Answer

In severe cases of tissue necrosis related to an abscess, what can occur? 1) Fluid ruptures into a bronchus. 2) Broncholithiasis occurs. 3) Bronchospasm will close off the affected bronchi. 4) Fluid ruptures into the intrapleural space.

Correct AnswerverifiedShow Answer

A patient with an abscess has coughed out a large volume of brown-colored, putrid sputum. What is the most likely class of microorganism that would cause this?

Correct AnswerverifiedShow Answer

While performing an assessment of your female patient, a pleural friction rub is heard. What does this indicate?

Correct AnswerverifiedShow Answer

A lung abscess may be caused by which of the following? 1) Penetrating chest wound 2) Septic embolism 3) Aspirated foreign body 4) Bronchogenic cyst

Correct AnswerverifiedShow Answer

Your patient has aspirated. This can result in all of the following EXCEPT:

Correct AnswerverifiedShow Answer

Chest radiographic findings in a patient with a lung abscess include: 1) pleural effusion. 2) fibrosis and calcification. 3) hyperinflation. 4) enlarged heart.

Correct AnswerverifiedShow Answer

Your intubated, unconscious patient has accidentally had the cuff deflated. This has resulted in the aspiration of oral secretions. What microorganisms are likely to be found in her tracheal secretions now? 1) Legionella pneumophila 2) Pseudomonas aeruginosa 3) Peptococci 4) Bacteroides fragilis

Correct AnswerverifiedB

If a patient with a lung abscess develops a cavity, this structure may also be called a/an:

Correct AnswerverifiedShow Answer

A patient who had a stroke is lying supine in bed when he vomits and aspirates. He is most likely to develop a lung abscess in the: 1) posterior segments of the upper lobes. 2) lingular segments. 3) superior segments of the lower lobes. 4) all segments of both lower lobes.

Correct AnswerverifiedShow Answer

Your patient's lung infection is caused by Klebsiella. What would be appropriate to treat it?

Correct AnswerverifiedShow Answer

Correct Answer
verified
D

Correct Answer
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Correct Answer
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Correct Answer
verified
D

Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
verified

Correct Answer
verified

Correct Answer
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