QCM : Assess your knowledge

1. QUIZZ "SIMEOX : Physiotherapy / Anat reminders" :

question 1:

What is the objective of a respiratory physiotherapy session?

• Reduce the patient's hyperinflation by visiting their FRC.
• Strengthen the accessory inspirators in internal race.
• Systematically obtain sputum at the end of the session.
• Improve thoracic expansion.
• Decrease the FEV1/FVC ratio.

question 2:

COPD, emphysema, cystic fibrosis and CPD have in common:

• Stretch the lung tissue and reduce its elastic return.
• Make the passive expiration incomplete, which secondarily makes it difficult to inhale.
• Make it difficult to inhale, which secondarily makes expiration incomplete.
• Irritate the bronchial tubes and thus increase the alveolar elastic springback upon exhalation.
• Shift patient tidal volume down to ERV.
• Present a problem of mucus, inflammation and bronchospasm.

question 3:

Which of the following statements are true?

• Mucus is composed of 70% water.
• Mucus is composed of 95% water.
• Mucus is necessarily pathological.
• Mucus is thixotropic: i. e. it is fluid at rest, and thick when subjected to mechanical stimulation.
• Mucus is thixotropic: i. e. it is thick at rest and fluid when subjected to mechanical stimulation.

question 4:

What are the 3 major causes of bronchial obstruction?

• Congestion, inflammation, atelectasis.
• Congestion, inflammation, bronchospasm.
• Congestion, inflammation, low compliance.
• Congestion, hemoptysis, bronchial dilatation.

question 5:

Preparation of mucus...

• Is an essential prerequisite before any session of respiratory physiotherapy for airway clearance.
• Is achieved through sport, hydration and aerosol therapy.
• is not necessary when using Simeox, since it fluidizes secretions.
• Should be avoided because too fluid secretions go down into the lung.
• Is an essential prerequisite after any session of respiratory physiotherapy for airway clearance.

2. THE THEORY :

question 1:

Which of the following proposals are not contraindications to the use of Simeox?

• Massive hemoptysis.
• Emphysema.
• Recent pneumothorax.
• Unstable cardiovascular diseases.
• Bronchial hyper-reactivity (wheezing, sibilants).

question 2:

The Simeox signal is present:

• On the inspiration and expiration.
• Only on inspiration.
• Only on the expiration.

question 3:

Simeox is indicated:

• For patients with bronchial congestion and the ability to inhale and cough.
• For patients with chest distension and the ability to breathe in and cough.
• For neuromuscular patients with bronchial congestion and cough dysfunction.
• For tracheostomized or intubated patients with bronchial congestion.

question 4:

The target pathologies/conditions of Simeox are:

• Cystic fibrosis, COPD, bronchiectasis, and atelectasis.
• Cystic fibrosis, bronchiectasis, COPD and neuromuscular disorders.
• Amyotrophic lateral sclerosis, myopathies and motor neuron diseases.
• Cystic fibrosis, bronchiectasis, COPD and Primary Ciliary Dyskinesia.

question 5:

The risk of bronchial collapse is minimized when using Simeox, because:

• The device generates a low continuous flow rate.
• The device generates a PEP.
• The device does not generate a continuous flow.

question 6:

The Simeox technology uses a specific biophysical property of the bronchial mucus that causes:

• A significant reduction in mucus viscosity as long as it is exposed to a specific vibration signal.
• A significant reduction in mucus viscosity after mucus has been exposed to a specific vibration signal.
• A significant increase in mucus viscosity as long as it is exposed to a specific vibration signal.

3. THE MANIPULATION OF THE DEVICE :

question 1:

The setting of PROG 1, PROG 2 and PROG 3 corresponds to:

• Number of expirations per cycle (6, 8 or 10).
• Number of cycles (6, 8 or 10).
• Number of inspirations per cycle (6, 8 or 10).

question 2:

The POWER setting allows you to adjust:

• The volume of air sampled 12 times per second during expiration.
• The air flow during expiration.
• The duration of the expiration.

question 3:

What does the performance index mean?

• The performance index indicates that the patient has taken a good breath.
• The performance index indicates a gradual increase of the intrapulmonary depression generated, indicating that the device is being used correctly.
• The performance index helps the patient to know when to stop exhaling.

question 4:

What is the objective to be achieved in relation to the performance index during the use of Simeox?

• Turn on all lights, including red ones.
• Light 1 green light.
• Gradually switch on the 5 green lights.

question 5:

Consumables are specific to Simeox and have a limited lifespan to maintain good system hygiene:

• True.
• False.

question 6:

The tube, the Simeox and its remote control are to be cleaned:

• Once a week.
• After each use.
• Once a month.

4. CLINICAL PRACTICE :

question 1:

What are the criteria for the effectiveness of a Simeox session?

• The chest deflates and the patient lights up the green diodes.
• The chest does not move and the patient turns on the green diodes.
• The patient systematically spits at the end of the session.
• The red LEDs light up and the cough is triggered.
• The patient feels a greater capacity for inspiration.

question 2:

The patient activates the Simeox:

• During inspiration.
• While maintaining inspiration.
• During inhalation and expiration.
• During expiration.

question 4:

What are the keys of success for a good use of Simeox: (only 1 possible answer)

• Pedagogical qualities, Relaxed patient, vigilance regarding the quality of ventilation, increased power setting as the patient deflates.
• Pedagogical qualities, Relaxed patient, vigilance regarding the quality of ventilation, decrease power setting as the patient deflates.
• Pedagogical qualities, vigilance regarding the quality of ventilation, reduction of the power setting as the patient deflates.
• Pedagogical qualities, Relaxed patient, decrease power setting as patient deflates.

question 6:

The diodes turn red:

• I increase the power setting.
• I decrease the power setting.
• I correct the position of the mouthpiece.
• I pinch my patient's nose.
• I change the number of expirations per cycle.