CEN Domain 2: Respiratory Emergencies Welcome to your CEN Domain 2: Respiratory Emergencies 1. CEN: Respiratory Emergencies In a patient with suspected tension pneumothorax, what is the most immediate course of action? A. Administer high-flow oxygen and prepare for chest tube placement B. Initiate broad-spectrum antibiotics C. Perform needle decompression at the second intercostal space, midclavicular line D. Provide nebulized bronchodilators None 2. CEN: Respiratory Emergencies A patient with COPD presents with a sudden exacerbation of symptoms. What is the most effective initial treatment? A. Oral corticosteroids B. High-dose inhaled corticosteroids C. Systemic corticosteroids and bronchodilators D. Antibiotics None 3. CEN: Respiratory Emergencies A patient arrives with suspected epiglottitis. Which of the following signs is a priority for establishing the diagnosis? A. Hoarseness and barking cough B. Drooling and difficulty swallowing C. Wheezing on auscultation D. Bilateral crackles None 4. CEN: Respiratory Emergencies In the management of acute asthma exacerbation, which of the following medications is considered first-line therapy? A. Oral corticosteroids B. Intravenous antibiotics C. Short-acting beta-agonists (SABAs) D. Anticholinergics None 5. CEN: Respiratory Emergencies For a patient with a flail chest, which of the following is the most appropriate management strategy? A. Immediate intubation and mechanical ventilation B. Pain management and careful monitoring for respiratory distress C. Application of a chest binder D. Emergency thoracotomy None 6. CEN: Respiratory Emergencies Which of the following is the most appropriate diagnostic test for confirming acute respiratory distress syndrome (ARDS)? A. Pulmonary function test B. Arterial blood gas (ABG) analysis C. Chest X-ray D. Bronchoscopy None 7. CEN: Respiratory Emergencies In the case of a patient presenting with carbon monoxide poisoning, which of the following treatments is most effective? A. High-flow oxygen through a non-rebreather mask B. Hyperbaric oxygen therapy C. Intravenous fluids D. Oral activated charcoal None 8. CEN: Respiratory Emergencies What is the primary concern in managing a patient with a tracheostomy tube who presents with respiratory distress and inability to pass a suction catheter through the tube? A. Tracheostomy infection B. Tracheal stenosis C. Tube occlusion D. Pneumothorax None 9. CEN: Respiratory Emergencies For a patient experiencing an acute pulmonary edema, which of the following interventions should be prioritized? A. Upright positioning and oxygen therapy B. Immediate diuresis C. Broad-spectrum antibiotics D. High-dose corticosteroids None 10. CEN: Respiratory Emergencies In the evaluation of a patient with suspected foreign body aspiration, which of the following is the most diagnostic procedure? A. Chest X-ray B. CT scan of the chest C. Bronchoscopy D. Pulmonary function tests None 11. CEN: Respiratory Emergencies A patient presents with a history of asbestos exposure and a recent onset of dyspnea, chest pain, and a pleural effusion on imaging. Which of the following is the most likely diagnosis? A. Asthma B. Pulmonary embolism C. Mesothelioma D. Chronic bronchitis None 12. CEN: Respiratory Emergencies In a patient presenting with stridor, which of the following is the most urgent priority? A. Administering antipyretics B. Ensuring airway patency C. Administering antibiotics D. Prescribing corticosteroids None 13. CEN: Respiratory Emergencies For a patient with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and respiratory failure, which therapeutic intervention has been shown to improve outcomes? A. High-dose vitamin C B. Systemic corticosteroids C. Nebulized hypertonic saline D. Antibiotic therapy None 14. CEN: Respiratory Emergencies What is the most specific sign of a tension pneumothorax on chest X-ray? A. Mediastinal shift to the opposite side B. Presence of pleural effusion C. Hyperexpansion of the affected hemithorax D. Collapse of the ipsilateral lung None 15. CEN: Respiratory Emergencies In the management of a patient with an acute exacerbation of idiopathic pulmonary fibrosis, which of the following is considered the most appropriate initial treatment? A. Long-term oxygen therapy B. High-dose corticosteroids C. Antifibrotic agents D. Immediate lung transplantation None 16. CEN: Respiratory Emergencies Which of the following conditions is characterized by a sudden onset of central chest pain, dyspnea, and a rapid drop in blood oxygen saturation, typically occurring within 72 hours after a surgical procedure? A. Atelectasis B. Pulmonary embolism C. Fat embolism syndrome D. Acute respiratory distress syndrome (ARDS) None 17. CEN: Respiratory Emergencies A patient with a history of smoking presents with sudden onset of unilateral pleuritic chest pain, dyspnea, and hemoptysis. What is the most likely diagnosis? A. Bronchial carcinoma B. Pneumonia C. Tuberculosis D. Pulmonary embolism None 18. CEN: Respiratory Emergencies In a patient suspected of having a pneumothorax, which ultrasound finding is most indicative of the condition? A. B-lines B. Consolidation C. Absence of lung sliding D. Pleural effusion None 19. CEN: Respiratory Emergencies A patient presents with acute respiratory distress following a severe allergic reaction. Which of the following interventions is most critical? A. Oral antihistamines B. Intramuscular epinephrine C. Corticosteroids D. Nebulized bronchodilators None 20. CEN: Respiratory Emergencies For a patient with acute respiratory distress and a known history of sarcoidosis, which of the following is the most appropriate management strategy? A. Immediate administration of antitubercular therapy B. High-flow oxygen and corticosteroid therapy C. Empirical antibiotics and nebulized bronchodilators D. Therapeutic thoracentesis None 1 out of 20 Time is Up! Time's up
