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Lung Clearance Techniques
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1: Mucus is secreted in the lung by all of the following structures, EXCEPT:
cilia
goblet cells
submucosal glands
Clara cells
2: Hereditary ciliary dyskinesia is also known as ____.
bronchiolitis
cystic fibrosis
Kartagener's syndrome
chronic bronchitis
3: Physical signs of atelectasis include all of the following, EXCEPT:
tracheal shift toward affected side
fever
hypoxemia
decreased inspiratory capacity
4: Research has yielded evidence that AEROSOLIZED ____ increases secretion clearance from the lung.
hypertonic saline
acetylcysteine
normal saline
supersaturated potassium iodide (SSKI)
5: Which airway clearance technique is described as slow diaphragmatic breaths followed by glottis-open huffs at low-to-mid lung volumes?
autogenic drainage
active cycle of breathing
forced expiratory technique
none of the above
6: Which of the following statements does NOT correctly apply to clinical application of the mechanical in/exsufflator?
The usual pressure settings are +40 and -40 cm H2O
A patient's maximum INSPIRATORY pressure determines whether it is indicated
The device provides negative pressure for increased expiratory flow
The device provides positive pressure for inflation
7: The recommended regimen for vibratory PEP includes which of the following components?
10-20 breaths/cycle
each cycle followed by directed coughs
cycles should be repeated for 10-20 min. up to QID
all of the above
8: Devices that produce mucolysis by resonating frequency response include all of the following, EXCEPT the ___.
intrapulmonary percussive devices
vest-type external oscillatory devices
kinetic bed
cuirass external oscillatory device
9: According to research findings, which of the following interventions may prevent atelectasis?
incentive spirometry
PEP, CPAP therapy
bronchial hygiene physical therapy
all of the above
10: Which of the following interventions is indicated to manage extensive, obstructive atelectasis?
therapeutic bronchoscopy
acoustical therapy (DymedsoTM device)
intrapulmonary percussive ventilation
vibratory positive expiratory pressure
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