Health Worlds

acute exacerbation of chronic pulmonary heart disease treatment is the most important
A. antibiotics B. spasm, asthma medication diuretics C. D. E. phlegm drugs doping respiratory center
The question correct answer: A
Problem solution: In the acute exacerbation of chronic pulmonary heart disease, active infection control, airway smooth, controlled breathing and heart failure to improve lung and heart function is the key to treatment. Among them, the positive control of infection is one of the most important aspects.
exogenous bronchial asthma, plasma cells produce antibodies to the human body is sensitized
A. IgA B. IgG C. IgM D. IgE E. IgD
The question the correct answer: D
Problem solution: a variety of inflammatory cells in bronchial asthma is chronic inflammation of the trachea in order characterized by airway hyperresponsiveness. Exogenous bronchial asthma, plasma cells produce antibodies to the human body is IgE sensitized
for the prevention of allergic bronchial asthma is the drug of choice
A. Ling asthma ephedrine B. D. C. isoproterenol, disodium cromoglycate aminophylline E.
The question the correct answer: E
Question Solution: cromolyn sodium is a non-hormonal anti-inflammatory drugs, can inhibit IgE-induced mast cells to release media release media of other inflammatory cells are also selectively inhibited, the available quantitative aerosol dry powder inhaler or daily 3-4 times. Mainly used to prevent asthma attacks.



bronchial asthma and cardiac asthma find it difficult to identify, which of the following drugs should be used
Epinephrine cedilanid B. A. C. D. aminophylline or isoproterenol E. Paiti given morphine
The question the correct answer: C
Problem solution: aminophylline in bronchial asthma and cardiac asthma can be applied, and has a good effect.
The main clinical manifestations of bronchial asthma
A. recurrent wheezing with inspiratory dyspnea
B. recurrent episodes of wheezing with dyspnea expiratory
C. recurrent wheezing sound mixed with dyspnea
D. sudden onset of paroxysmal nocturnal dyspnea
E. gradually increased cough, sputum and dyspnea
The question correct answer: B
Problem solution: a sudden onset and recurrent wheeze associated with shortness of breath is the breath of the characteristics of bronchial asthma. Clinical asthma, the asthma is divided into exogenous and endogenous asthma and mixed asthma.
decompensated chronic pulmonary heart disease caused by the most common incentive
B. A. overworked air pollution, malnutrition, D. C. Acute asthma attack, respiratory tract infection E.
The question the correct answer: E
Problem solution: decompensated chronic pulmonary heart disease caused by the most common causes are acute respiratory infections. Mainly for respiratory failure and heart failure, mainly right ventricular failure.
patients with severe asthma, arterial blood gas analysis, the most likely outcome is
B. A. respiratory acidosis respiratory alkalosis C. Metabolic acidosis
D. E. respiratory acidosis combined metabolic acidosis metabolic alkalosis respiratory acidosis combined
The question the correct answer: D
Problem solution: status asthmaticus, the can be expressed as respiratory acidosis, metabolic acidosis can be combined.
1 prompted chronic pulmonary heart disease in early clinical manifestations
A. chest tightness, dyspnea, palpitations B., C. distant heart sounds, cyanosis, weakness, fatigue
D. E. jugular vein engorgement heart beat can be seen clearly under the xiphoid
The question the correct answer: E
Problem solution: chronic pulmonary heart disease Pulmonary valve second heart sound suggestive of pulmonary hypertension in hyperthyroidism, xiphoid significantly lower systolic heart beat, if any, suggests the presence of right ventricular hypertrophy.
1 diagnosis of chronic pulmonary heart disease was based primarily on
A. chronic bronchitis - a history of lung disease B. pulmonary hypertension, right ventricular hypertrophy
C. cyanosis, difficulty breathing lungs dry rales D. E. acid-base balance
The question correct answer: B
Problem solution: the primary disease in the respiratory system, such as chronic bronchitis, emphysema, based on the existence and, if able to determine pulmonary hypertension, right ventricular hypertrophy (signs, X ray, ECG, etc.) or signs of right heart failure can diagnosis of chronic pulmonary heart disease.
1 The main pathology of bronchial asthma is based on
A. bacterial infection B. Bronchospasm C. parasympathetic nervous excitement
D. E. bronchial secretions increase non-specific inflammation of the airways
The question the correct answer: E
Problem solution: in recent years that asthma is a chronic non-specific airway inflammation; airway hyperresponsiveness; genetic factors play an important role; its neural mechanisms in addition cholinergic and adrenergic nerves, there are non-adrenergic non-cholinergic nerve involvement.
1 male, 16 years old, today's sudden difficulty in breathing, before onset of nasal itching, sneezing, runny nose, dry cough. Physical examination: blood pressure normal, orthopnea, forehead sweating, wheezing lungs there. Heart rate 110 beats / min. Qi law, no noise. Which of the following do you think the correct diagnosis:
A. Upper respiratory tract infection B. Asthma C. Chronic asthmatic bronchitisQuestion A: patients with flu symptoms, but the flu will not wheeze; acute onset, and the young, do not meet the chronic asthmatic bronchitis; myocarditis in addition to heart 100 beats / exceptionally, there should be ECG changes and serological basis. Therefore, the diagnosis should be as bronchial asthma.
1 bronchial asthma, continued to attack about 26 hours, sweating, cyanosis, orthopnea, lung emphysema symptoms, with scattered wheeze. The preferred treatment is:
A. anisodamine (654-2) intravenous infusion of glucocorticoid aminophylline B.
C. albuterol inhalation aerosol ipratropium bromide and cromolyn sodium inhalation of inhaled corticosteroids D.Problem solution: the treatment of status asthmaticus: sustained low concentrations of oxygen. to correct dehydration. combination asthma medicines, hormones combined intravenous aminophylline, and so on with 2 agonist. actively control the infection. to correct acid-base imbalance and electrolyte disturbance. prevent complications. necessary mechanical breathing.
1 chronic pulmonary heart disease is the most common cause of
C. A. asthma B. bronchiectasis tuberculosis
D. E. chronic bronchitis patients with primary pulmonary hypertension
The question the correct answer: D
Question A: Most of the chronic bronchial pulmonary heart disease, lung diseases, chronic bronchitis complicated by obstructive pulmonary emphysema in the most common, accounting for about 80-90%, followed by bronchial asthma, bronchiectasis, severe pulmonary tuberculosis, pneumoconiosis, and so on.
1 chronic pulmonary heart disease the most common type of acid-base imbalance
A. metabolic acidosis, metabolic alkalosis B. Respiratory acidosis C.
D. E. Respiratory alkalosis metabolic acidosis with respiratory alkalosis
The question the correct answer: C
Problem solution: chronic pulmonary heart disease complicated by acid-base balance, the most common respiratory acidosis: pH decreased, PaCO2 increased. Followed by respiratory acidosis metabolic acidosis. Also for the respiratory acidosis and metabolic alkalosis: pH can be normal, low potassium, low serum chloride, mostly due to improper treatment.
1 prevention and treatment of bronchial asthma, the most effective drugs
A. B. Theophylline glucocorticoid anti-cholinergic drugs D. 2 C. E. cromolyn sodium agonists
The question correct answer: A
Problem solution: have the increased glucocorticoid receptor to be the effect of adrenaline kind of thing and activation of adenylate cyclase and inhibition of phosphodiesterase activity role, can prevent leukotrienes and other biologically active substances and the generation and release suppression of the immune response. At present, the hormone is to prevent and suppress airway inflammation in asthmatic persons and reduce airway hyperresponsiveness in a variety of stimulating factors the most effective drugs.
1. Acute exacerbation of chronic pulmonary heart of the most appropriate treatment is
A. B. unobstructed respiratory infection control in early cardiac diuretic C. D. E. continuous low flow oxygen to correct acid-base imbalance
The question the correct answer: C
Problem solution: chronic pulmonary heart disease in the effective control of infection, improve breathing, reasonable oxygen therapy, to correct respiratory failure, heart failure can often be corrected. Following the above treatment fails or recurrent disease, severe heart failure still need to use diuretics, inotropic, and vasodilator. The arm has been controlled for infection, respiratory failure has improved, poor efficacy of diuretics, heart failure can not be corrected, or acute left heart failure, should not apply early.
1 certain patients hospitalized because of asthma more than 10 days, the morning suddenly felt a brief sting left chest, and gradually a sense of breathing difficulties and can not supine. Heart rate 120 beats / min, the law is incomplete, decreased breath sounds in left lung, the patient was complicated by the following first consider the circumstances
Acute attack of bronchial asthma B. A. C. Spontaneous angina atelectasis D. E. acute heart failure
The question the correct answer: C
Problem solution: a sudden onset patients, chest irritation, difficulty breathing, decreased breath sounds in left lung, considered pneumothorax.
dry main symptoms of bronchiectasis
Repeated hemoptysis A. B. C. repeated coughing a lot of muscle soreness purulent D. E. malnutrition
The question correct answer: B
Problem solution: chronic cough, a large number of purulent sputum, recurrent hemoptysis was bronchiectasis of the common symptoms, some patients usually can not cough, the only symptoms of repeated hemoptysis, the so-called "dry bronchiectasis", often secondary to pulmonary tuberculosis due to The upper lobe lesion.
drainage to keep the airway patency in patients with bronchiectasis, the method is not correct
A. strong antitussive expectorant B. D. C. Bronchodilator drugs postural drainage E. bronchoscopy
The question correct answer: A
Problem solution: the treatment of bronchiectasis primary prevention of infection and treatment, preventing infection is the key to strengthening the respiratory mucus drainage. Strong antitussive agent is not conducive to keep the airway unobstructed drainage.
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