Physician Assistant Studies
Question Bank
Course Introduction
Physician Assistant Studies is an interdisciplinary program designed to prepare students for the role of a physician assistant, a vital healthcare professional who works under the supervision of physicians and surgeons. The course covers fundamental medical sciences, clinical skills, patient assessment, diagnostics, pharmacology, pathophysiology, and healthcare ethics. Emphasis is placed on developing strong communication abilities, clinical reasoning, and decision-making skills necessary for patient care in a variety of healthcare settings. Through both classroom instruction and hands-on clinical experiences, students gain the knowledge and competencies required to provide high-quality, compassionate care and to collaborate effectively within healthcare teams.
Recommended Textbook
Respiratory Disease A Case Study Approach to Patient Care 3rd Edition by James R. Dexter
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20 Chapters
484 Verified Questions
484 Flashcards
Source URL: https://quizplus.com/study-set/3793
Page 2
Chapter 1: Introduction to Patient Assessment
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/75737
Sample Questions
Q1) Your patient has right heart failure due to chronic lung disease.Which of the following findings is NOT consistent with signs of right heart failure?
A)Hepatomegaly
B)JVD
C)Pedal edema
D)A heave at the left midaxillary region
Answer: D
Q2) Which of the following disorders is associated with radiolucent findings on the chest x-ray?
A)Emphysema
B)Pneumonia
C)Pleural effusion
D)Congestive heart failure
Answer: A
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Chapter 2: Introduction to Respiratory Failure
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/75736
Sample Questions
Q1) What range is normally used for determining the appropriate tidal volume during initial mechanical ventilation?
A)4-8 mL/kg of ideal body weight
B)5-10 mL/kg of ideal body weight
C)10-15 mL/lb of ideal body weight
D)10-15 mL/kg of actual body weight
Answer: B
Q2) What term is used to describe the condition of right heart failure due to chronic pulmonary hypertension?
A)Congestive heart failure
B)Cor pulmonale
C)Cardiac tamponade
D)ARDS
Answer: B
Q3) What clinical finding(s)is (are)consistent with diaphragm fatigue?
A)Tachypnea
B)Respiratory alterans
C)Abdominal paradox
D)All the above
Answer: D
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Chapter 3: Asthma
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75735
Sample Questions
Q1) Mr.Smith is having a routine asthma attack.Which of the following assessment techniques is least useful for assessment of Mr.Smith?
A)Auscultation
B)Vital signs
C)SpO<sub>2</sub>
D)Chest x-ray
Answer: D
Q2) Adult patients with chronic asthma are at greater risk for developing what condition?
A)ARDS
B)Pulmonary fibrosis
C)COPD
D)Lung cancer
Answer: C
Q3) Which of the following is NOT associated with provoking an asthma attack?
A)Aspirin use
B)Exercise
C)Viral respiratory infection
D)Use of Atropine to increase heart rate
Answer: D
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Chapter 4: Chronic Obstructive Pulmonary Disease
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/75734
Sample Questions
Q1) What is the preferred route of administration for corticosteroids in patients with COPD?
A)Oral tablets
B)Intravenous
C)MDI
D)Subcutaneous injections
Q2) What characteristics of COPD patients indicate that lung volume reduction surgery may be useful in improving the quality of life?
A)Upper lobe disease and poor exercise tolerance
B)Lower lobe disease and evidence of cor pulmonale
C)Upper lobe disease and FEV1 <60% of predicted
D)Homogenous disease and maximal treatment has shown no benefit
Q3) The typical ABG findings in patients with advanced COPD would include
A)Moderate hypoxemia and respiratory alkalosis
B)Moderate hypoxemia and respiratory acidosis
C)Mild hypoxemia and normal CO<sub>2</sub>
D)Severe hypoxemia and respiratory alkalosis
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Chapter 5: Cystic Fibrosis
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75733
Sample Questions
Q1) What finding on the chest radiograph is NOT typical for patients with cystic fibrosis?
A)Tram tracks
B)Hilar adenopathy
C)Enlarged heart
D)Atelectasis
Q2) What sweat chloride concentration is associated with the diagnosis of cystic fibrosis in children?
A)Greater than 40 mEq/L
B)Greater than 60 mEq/L
C)Greater than 80 mEq/L
D)Greater than 100 mEq/L
Q3) Your patient with cystic fibrosis appears to have a pulmonary infection.What organism is most likely involved?
A)Pseudomonas aeruginosa
B)Klebsiella
C)Staphyolococcus aureus
D)E.coli
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Chapter 6: Hemodynamic Monitoring and Shock
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75732
Sample Questions
Q1) What vessels conduct venous blood from the right ventricle to the lungs?
A)The systemic arteries
B)The systemic veins
C)The pulmonary arteries
D)The pulmonary veins
Q2) What therapy is often needed for patients with cardiogenic shock?
A)Vasopressors
B)Bronchodilators
C)Positive inotropics
D)Fluids
Q3) Which of the following clinical findings is most consistent with the diagnosis of shock?
A)Peripheral cyanosis
B)Abnormal sensorium
C)Chest pain
D)Dyspnea
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Chapter 7: Pulmonary Thromboembolic Disease
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/75731
Sample Questions
Q1) In which of the following patients would thrombolytic therapy be contraindicated?
A)The patient with COPD
B)The patient who just gave birth
C)The patient with pneumonia
D)The patient with heart failure
Q2) Your patient has a fairly large pulmonary thromboembolism.What physical exam finding(s)is/are expected?
A)Loud P2
B)Jugular venous distention
C)Hypotension
D)All the above
Q3) Which of the following findings is/are typical for the chest radiograph in a patient with PTE?
A)Normal
B)Signs of volume loss
C)Westermark's sign
D)All the above
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9
Chapter 8: Heart Failure
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75730
Sample Questions
Q1) Which of the following findings on the chest radiograph suggests a more severe case of congestive heart failure?
A)Pleural effusions
B)Kerley A and B lines
C)Widening of the pulmonary arteries
D)Interstitial edema
Q2) If your patient with heart failure develops bradycardia,what drug would you suggest to be used?
A)Atropine
B)Isuprel
C)Epinephrine
D)Norepinephrine
Q3) Which of the following ABG findings is most suggestive of a severe case of congestive heart failure?
A)Respiratory alkalosis
B)PaO<sub>2</sub> = 40 mmHg
C)Metabolic acidosis
D)PaCO<sub>2</sub> = 44 mmHg
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Chapter 9: Smoke Inhalation Injury and Burns
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/75729
Sample Questions
Q1) Which of the following is appropriate treatment to relieve the compressive effect of circumferential burns to the thorax?
A)Silvadene applied topically
B)Diuretics
C)Escharatomy
D)Closed chest drainage
Q2) Which of the following is the method of choice for treating COHb levels of less than 30% with cardiovascular stability?
A)Hyperbaric oxygen at 3 atm with 100% O<sub>2</sub> for 30-60 minutes
B)Tight-fitting non-rebreathing mask at 15 L/min
C)Answer A is optimal,but answer B is acceptable
D)Low flow O<sub>2</sub> at 6 L/min
Q3) The affinity of carbon monoxide (CO)for hemoglobin is how many times greater than the affinity of oxygen for hemoglobin?
A)100
B)200
C)350-400
D)800
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11
Chapter 10: Near Drowning
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75728
Sample Questions
Q1) Which of the following parameters would you assess to determine perfusion in a near drowning victim?
A)Capillary refill
B)Extremity temperature
C)Sensorium
D)All the above
Q2) Which of the following facts is/are important to determine when a near drowning victim arrives at the emergency room?
A)The approximate temperature of the water
B)The length of time the victim was submerged
C)The victim's age
D)All the above
Q3) Which of the following can cause cerebral vasoconstriction and can lower intracranial pressure as part of the treatment for a near drowning victim?
A)Use of lasix
B)Hyperventilation with the ventilator
C)High levels of oxygen
D)Heliox
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12
Chapter 11: Acute Respiratory Distress Syndrome
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/75727
Sample Questions
Q1) Which of the following is a common cause of acute lung injury?
A)Sepsis
B)Severe trauma
C)Aspiration
D)All the above
Q2) Which of the following clinical findings is most typical for ARDS patients?
A)Wheezing,cough,fever
B)Dyspnea,tachypnea,crackles
C)Tachycardia,wheezing,prolonged expiratory time
D)Deep and fast breathing with cyanosis
Q3) Your patient presents with bilateral pulmonary edema as a consequence of acute lung injury.Which of the following is the least likely finding?
A)Increased pulmonary wedge pressure
B)Normal sized heart on x-ray
C)PaO<sub>2</sub>/FIO<sub>2</sub> ratio <200
D)Increased pulmonary capillary permeability
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13
Chapter 12: Chest Trauma
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/75726
Sample Questions
Q1) All of the following are used in the treatment of flail chest except:
A)Stabilization of chest wall using positive pressure ventilation
B)Surgically implanted rib plates or wiring
C)Negative pressure ventilation via cuirass
D)Sedatives to reduce spontaneous ventilation
Q2) The secondary survey of a chest trauma victim should include all of the following except:
A)Looking for signs of tension pneumothorax
B)EEG
C)CT scan
D)CBC
Q3) Acute lung injury or acute respiratory distress syndrome is likely to develop following blunt chest trauma if
A)The injury severity score is <25
B)There is hypotension on admission
C)Patient is 15 to 25 years of age
D)Crackles are heard on inspiration
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Chapter 13: Postoperative Atelectasis
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/75725
Sample Questions
Q1) What prior diagnosis increases the risk of postoperative atelectasis due to mucus plugging?
A)Chronic bronchitis
B)Pulmonary fibrosis
C)Sarcoidosis
D)Congestive heart failure
Q2) What is the primary symptom associated with the onset of significant atelectasis in the postoperative period?
A)Chest pain
B)Dyspnea
C)Anxiety
D)Cough
Q3) What physical examination finding suggests a more severe case of postoperative atelectasis?
A)Hypotension
B)Inspiratory wheezing
C)Bronchial breath sounds
D)Use of accessory muscles to breathe
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15
Chapter 14: Interstitial Lung Disease
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75724
Sample Questions
Q1) What is the first symptom of lung involvement in ILD?
A)Productive cough
B)Hepatojugular reflex
C)Bubbling rales
D)Progressive dyspnea on exertion
Q2) The most common form of ILD is
A)Interstitial pulmonary fibrosis
B)Sarcoidosis
C)Berylliosis
D)Silicotuberculosis
Q3) ILD typically involves what areas of the lung?
A)Right middle lobe
B)Lingula
C)Superior basal segments
D)All lobes
Q4) Which of these interstitial lung diseases is of unknown etiology?
A)Sarcoidosis
B)Silicosis
C)Bagassosis
D)Asbestosis
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Chapter 15: Neuromuscular Diseases
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/75723
Sample Questions
Q1) What breathing pattern is seen in patients with acute neuromuscular disease that weakens the muscles of breathing?
A)Deep and fast
B)Rapid and shallow
C)Slow and deep
D)Slow and shallow
Q2) Which of these statements best describes the overall neurological control of respiration?
A)The rate,rhythm,and depth of respiration is predetermined by brain centers but subject to modification by incoming (sensory)stimuli
B)The brain centers pattern respiration partly using sensory input and partly by inherent autorhythmicity
C)The peripheral chemoreceptors contribute the most to the ventilatory response to hypercapnia
D)None of the above
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17
Chapter 16: Bacterial Pneumonia
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75722
Sample Questions
Q1) There is no need to document complete resolution of a pneumonic infiltrate on x-ray unless
A)The patient has AIDS
B)The patient is a smoker at risk for bronchogenic cancer
C)Some symptomology,although mild,still persists
D)None of the above
Q2) What type of pneumonia is especially frequent in AIDS patients?
A)Varicella zoster
B)Pneumocystis carinii
C)Staphylococcus aureus
D)Pseudomonas aeruginosa
Q3) Chest radiographs for pneumonia are needed when
A)The patient is a child without tachypnea or fever
B)The patient is an adult with clear breath sounds and a normal respiratory rate
C)There is fever,tachypnea,and tachycardia at any age
D)The patient exhibits severe symptomology,but is pregnant
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Chapter 17: Pneumonia in the Immunocompromised Patient
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/75721
Sample Questions
Q1) All of the following are true regarding antigens except:
A)They have molecular configurations that are foreign to the host
B)Immune "memory" enables the body to mount an amplified response on subsequent antigen invasions
C)Antigens are nonspecific as to their molecular configuration
D)Vaccinations are antigens resembling the organism the body needs to defend itself against
Q2) All of the following laboratory findings are indicative of immunosuppression except A)Lymphocytopenia
B)Neutropenia
C)Reduced CD4+ cells
D)Increased WBCs
Q3) IV drug use,sexual promiscuity,and opportunistic lung infection should lead you to suspect
A)AIDS
B)Klebsiella pneumonia
C)Primary atypical pneumonia
D)None of the above
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Chapter 18: Sleep Disordered Breathing
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/75720
Sample Questions
Q1) What is the most common cause of obstructive sleep apnea?
A)Small lower jaw
B)Large tonsils
C)Large tongue
D)Obesity
Q2) What term is also used to describe stage III and IV NREM sleep?
A)Slow-wave sleep
B)K-wave sleep
C)Low-voltage sleep
D)Beta sleep
Q3) Which of the following problems is NOT associated with obstructive sleep apnea?
A)Poor memory
B)Impotence
C)Morning headaches
D)Joint pain
Q4) What medical condition(s)is/are associated with causing central sleep apnea?
A)Congestive heart failure
B)Extreme obesity
C)Neurologic injuries
D)All the above
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Chapter 19: Tuberculosis
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/75719
Sample Questions
Q1) The spread of TB can occur through all the following mechanisms except:
A)Active TB patient coughing near other people
B)Ingestion of unpasteurized milk from infected cattle
C)Contact with fomites
D)Direct inoculation through the skin
Q2) Which of the following is true regarding the use of laboratory data in the evaluation of a patient with TB?
A)The WBC count is usually elevated
B)A mild anemia is seen in chronic TB
C)Immature white cell counts usually decrease with TB
D)An anion gap is often seen
Q3) About how many deaths occur in the United States each year from tuberculosis?
A)800
B)2,500
C)4,800
D)None of the above
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21
Chapter 20: Lung Cancer
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/75718
Sample Questions
Q1) Magnetic resonance imaging (MRI)has this advantage over CT for evaluating pulmonary nodules or mediastinal metastases
A)Better for seeing chest wall invasion
B)Uses less ionizing radiation
C)Is less expensive than CT
D)Is more available to the patient
Q2) Transbronchial needle aspiration to obtain tumor cells employs a needle passed through what type of artificial airway?
A)Tracheostomy
B)Bronchoscope
C)Oral endotracheal tube
D)Oropharyngeal airway
Q3) What is the major benefit of PET scanning in patients suspected of having lung cancer?
A)Lower cost
B)Decreases the frequency of futile surgery
C)Decreases the risk of missing multiple lesions
D)It is easier for the patient
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