Which of the following pulmonary function improvements have been associated with lung vol-ume-reduction surgery (LVRS) in patients with emphysema?

1. Improved exercise endurance
2. Improved FEV1
3. Improved quality-of-life
4. Improved survival
a. 1, 3, and 4 only
b. 2 and 4 only
c. 3 only
d. 2, 3, and 4 only

ANS: A
LVRS can prolong survival, improve quality-of-life, and increase exercise capacity.

Health Professions

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You have been called to an industrial warehouse for a young adult male who was exposed to an unknown chemical gas. The patient was immediately removed from the environment and presents to you with a patent airway, burning to the throat with inspiration, and complaint of shortness of breath. His vital signs are: pulse 120, respirations 28, blood pressure 164/60, and SpO2 of 90%. In addition, you note bilateral wheezing to the lungs. What should be your first action in caring for this patient?

A) Apply in-line manual spinal stabilization. B) Administer high-concentration oxygen. C) Identify the chemical to which he was exposed. D) Administer a saline mist through a small-volume nebulizer.

Health Professions

The following questions will require the use of the ICD-9-CM code book to select the proper answer. The inclusion note for code 40.3, "Regional Lymph Node Excision," would include which of the following?

A) excision of lymphatic drainage area of the skin B) excision of lymphatic drainage area of subcutaneous tissue C) both a and b D) neither a or b

Health Professions