Chapter 24: Interstitial Lung Disease

Chapter 24: Interstitial Lung Disease

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which group of disorders is categorized together because of similarities in their clinical presentations, plain chest radiographic appearance, and physiologic features?

ANS:  C

The term interstitial lung disease (ILD) refers to a broad category of lung diseases rather than to a specific disease entity. It includes a variety of illnesses with diverse causes, treatments, and prognoses. These disorders are grouped together because of similarities in their clinical presentations, plain chest radiographic appearance, and physiologic features.

DIF:    Recall             REF:   p. 547            OBJ:   1

2. Which of the following interstitial lung diseases (ILDs) is NOT occupationally related?

ANS:  C

Sarcoidosis is not an occupationally related ILD (see Figure 24-1).

DIF:    Recall             REF:   p. 554            OBJ:   1

3. What is the primary pathologic change that occurs in interstitial lung disease?

ANS:  A

The lung must respond to the damage and repair itself. If the exposure to the causative agent persists or if the repair process is imperfect, the lung may be permanently damaged with increased interstitial tissue replacing the normal capillaries, alveoli, and healthy interstitium.

DIF:    Recall             REF:   p. 548            OBJ:   2

4. In interstitial lung disease, which of the following mechanisms does NOT contribute to impaired gas exchange?

ANS:  A

Gas exchange is impaired owing to  mismatching, shunt, and decreased diffusion across the abnormal interstitium.

DIF:    Recall             REF:   p. 551            OBJ:   1

5. What symptoms are most common in the patient with interstitial lung disease?

ANS:  A

Exertional breathlessness (dyspnea) and a nonproductive cough are the most common reasons patients seek medical attention.

DIF:    Recall             REF:   p. 554            OBJ:   2