Alice, 4, shows delays in reaching milestones like sitting and walking. Chetic testing confirms the SMN1 gene deletion characteristic of Spinal Muscular Atrophy. A pulmonary function test shows reduced FVC.

Which piece of equipment would most benefit Alice at this stage?

Cough assist machine

Orthopedic shoes

A manually operated wheelchair

High-frequency chest wall oscillation device

Answer and Explanation

The Correct Answer is A

A.   A cough assist machine can help Alice clear secretions from her airways, reducing the risk of respiratory complications associated with spinal muscular atrophy.

B.   Orthopedic shoes may help with support and stability but do not directly address Alice's respiratory needs.
C.   While a wheelchair may be necessary for mobility, it does not address Alice's respiratory needs.
D.   High-frequency chest wall oscillation devices are used to help clear mucus from the airways but may not be as appropriate for Alice's age and condition as a cough assist machine.

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Correct Answer is C

Explanation

A. Tonsillitis presents with sore throat, difficulty swallowing, and inflamed tonsils, but it is not typically associated with ear pain, tenderness behind the ear, or a history of recurrent ear infections.
B. Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but it does not cause chronic ear pain or tenderness behind the ear.
C. Chronic ear pain, tenderness behind the ear, and a history of recurrent ear infections suggest dysfunction of the Eustachian tube, which can lead to fluid accumulation and pressure changes in the middle ear.
D. Labyrinthitis presents with vertigo, nausea, and hearing loss, which are not mentioned in Susan's symptoms.

A. Diffusion of gases will be enhanced B. Pulmonary blood supply is compromised C. Ventilation is likely efficient D. Work of breathing will be increased

Correct Answer is D

Explanation

A. Decreased lung compliance doesn't directly enhance gas diffusion; it may impair it due to decreased lung expansion.

B. Decreased lung compliance doesn't necessarily indicate compromised pulmonary blood supply; it's more related to the lung's ability to expand and contract.
C. Decreased lung compliance suggests that ventilation may be impaired because the lungs are less able to expand and contract effectively.
D. Decreased lung compliance means the lungs are stiffer, requiring more effort to breathe, thus increasing the work of breathing.

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Alice, 4, shows delays in reaching milestones like sitting and walking. Chetic testing confirms the SMN1 gene deletion characteristic of Spinal Muscular Atrophy. A pulmonary function test shows reduced FVC. Which piece of equipment would most benefit Alice at this stage?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Brian, a 58-year-old patient, is noted to have a decreased lung compliance during his pulmonary function tests. What does this suggest about the physiology of his respiration?

Correct Answer is D

Explanation

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Alice, 4, shows delays in reaching milestones like sitting and walking. Chetic testing confirms the SMN1 gene deletion characteristic of Spinal Muscular Atrophy. A pulmonary function test shows reduced FVC.

Which piece of equipment would most benefit Alice at this stage?