Chapter 40: Airway Clearance Therapy

Egan's Fundamentals of Respiratory Care 10th Edition By Kacmarek - Stoller

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Chapter 40: Airway Clearance Therapy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A normal cough reflex includes which of the following phases?
  2. irritation
  3. inspiration
  4. compression
  5. expulsion
a. 1, 2, 3
b. 1 and 4
c. 1, 2, 3, and 4
d. 2 and 3

 

 

ANS:  C

As shown in Figure 40-1, there are four distinct phases to a normal cough: irritation, inspiration, compression, and expulsion.

 

DIF:    Recall             REF:   p. 963            OBJ:   1

 

  1. Which of the following is/are necessary for normal airway clearance?
  2. patent airway
  3. functional mucociliary escalator
  4. effective cough
a. 1 and 2
b. 1, 2, 3
c. 2 and 3
d. 2

 

 

ANS:  B

Normal airway clearance requires a patent airway, a functional mucociliary escalator, and an effective cough

 

DIF:    Recall             REF:   p. 963            OBJ:   1

 

  1. Which of the following can provoke a cough?
  2. anesthesia
  3. foreign bodies
  4. infection
  5. irritating gases
a. 2 and 4
b. 1, 2, and 3
c. 3 and 4
d. 2, 3, and 4

 

 

ANS:  D

Infection is a good example of cough stimulation due to an inflammatory process. Foreign bodies can provoke a cough through mechanical stimulation. Chemical stimulation can occur when irritating gases are inhaled (e.g., cigarette smoke). Finally, cold air may cause thermal stimulation of sensory nerves and produce a cough.

 

DIF:    Recall             REF:   p. 964            OBJ:   1

 

  1. Which of the following occur(s) during the compression phase of a cough?
  2. expiratory muscle contraction
  3. opening of the glottis
  4. rapid drop in alveolar pressure
a. 1 and 2
b. 2 and 3
c. 1 and 3
d. 1

 

 

ANS:  D

During the third or compression phase, reflex nerve impulses cause glottic closure and a forceful contraction of the expiratory muscles.

 

DIF:    Recall             REF:   p. 964            OBJ:   1

 

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