Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
ChiroBoards2:Lungs &
ChiroBoards2: Lungs and Thorax
| Question | Answer |
|---|---|
| Barrel Chest is seen with what 2 conditions = | COPD and Cystic Fibrosis |
| AP = Lateral diameter of thorax (1:1 ratio) = | Barrel Chest |
| Pectus Excavatum, aka = | Funnel Chest |
| Marked depression of the sternum (sunken in) = | Pectus Excavatum (funnel chest) |
| Pectus Carinatum, aka = | Pigeon Chest |
| Forward protrusion of the sternum (like keel of a ship) = | Pectus Carinatum (pigeon chest) |
| Rapid shallow breathing = | Tachypnea |
| Slow breathing = | Bradypnea |
| group of quick, shallow inspirations followed by irregular periods of apnea (no pattern) = | Biot's breathing |
| characterized by alternating periods of apnea and hyperpnea (has pattern). Also this condition has respiratory acidosis. | Cheyne Stokes Respiration |
| breathing is first rapid and shallow but as metabolic acidosis worsens, breathing becomes deep, slow, labored, and gasping. = | Kussmaul's |
| "Air hunger breathing" = | Kussmaul's |
| Pitted nails seen with | psoriasis (look for silver scales) |
| Seen on nails with Subacute Bacterial Endocarditis | Splinter Hemorrhage |
| Transverse ridges assoc. with acute severe disease = | Beau's Lines |
| Inflammation of the nail fold near the cuticle | Paronychia |
| Nail base has angle of greater than 180 degrees = | Clubbing |
| What kind of nail may indicate hypoxia/COPD? | Clubbing |
| Spoon nail aka. | Koilonychia |
| Koilonychia indicates = | iron deficient anemia |
| Thoracic excursion aka. | Respiratory Excursion |
| Explain procedure for respiratory excursion = | Place hands over the posterior ribs and have the patient take a deep breath |
| What is tactile fremitus entail? = | palpable vibration; pt. is instructed to say 99 in a deep voice |
| Increased tactile fremitus seen with what = | Increased fluid, i.e Pneumonia |
| Decreased tactile fremitus seen with what = (4 conditions) | Emphysema, Pneumothorax; Atelectasis; and Pleurisy (PEPA) |
| Percussion Tones = Resonant | Normal over lung tissue |
| Percussion Tones = Hyperressonant | Emphysema; Pneumothorax (Increased air in chest) |
| Percussion Tones = Dull | Pneumonia; Atelectasis (Increased density) |
| Diaphragmatic Exursion = What is the normal distance between exhalation/inhalation points when compared side to side? | 3-5 cm |
| You suspect a pt. has pneumonia, or pneumothorax, after getting a positive on diaphragmatic excursion... what is your next step to confirm? | Take a chest xray. |
| Breath Sounds = Vesicular = duration? | Inspiration is longer than Expiration |
| Breath Sounds = Vesicular = location? | Most of lung; especially the base |
| Breath Sounds = Bronchovesicular = duration? | Inspiration equals expiration |
| Breath Sounds = Bronchvesicular = location? | Anterior 1st-2nd ribs post. between scapula at apex |
| Breath Sounds = Bronchial = duration? | Expiration is longer than inspiration |
| Breath Sounds = Bronchial = location? | Over manubrium |
| Breath Sounds = Tracheal = duration? | Inspiration equals expiration |
| Breath Sounds = Tracheal = location? | Over trachea in neck |
| Breath Sounds = small clicking, bubbling, or rattling sounds in the lungs. Also can be described as moist, dry, fine, and coarse = | Rales |
| Rales often occurs in what condition = | Bronchitis |
| Breath Sounds = Sounds that resemble snoring. They occur when air is blocked or becomes rough through large airways = | Rhonchi |
| Rhonchi often occurs in what condition = | Bronchiectasis |
| Breath Sounds = High pitched sounds produced by narrowed airways. The can be heard upon exhalation = | Wheezes |
| Wheezes are seen in two generational populations with 2 different conditions = | Asthma in young people ; Emphysema in older people |
| Breath Sounds = A wheeze-like sound heard on inspiration and is usually due to a blockage of airflow. | Stridor |
| If abnormal breath sounds are heard then proceed with what? | performing vocal resonance |
| what is used to perform vocal resonance testing? | stethoscope |
| If clear, distinct sounds are heard as pt. says "99", consolidation is present = what terminology? | Bronchophony |
| If you hear "aaaaa" as pt. says "eeeee", consolidation is present = terminology? | Egophony |
| Asthma = percussion? | resonant |
| Asthma = fremitus? | decreased |
| Asthma = breath sounds? | wheezing |
| Atelectasis = percussion? | dull/flat |
| Atelectasis = fremitus? | decreased |
| Atelectasis = breath sounds? | absent |
| Bronchiectasis = percussion? | Resonant |
| Bronchiectasis =fremitus? | Normal |
| Bronchiectasis = breath sounds? | Rhonchi |
| Bronchitis = percussion? | Resonant |
| Bronchitis = fremitus? | Normal |
| Bronchitis = breath sounds? | Rales |
| Emphysema = percussion? | Hyperressonant |
| Emphysema = fremitus? | Decreased |
| Emphysema = breath sounds? | Wheezing |
| Pleurisy = percussion? | Resonant |
| Pleurisy = fremitus? | Decreased |
| Pleurisy = breath sounds? | Crackles (Friction Rub) |
| Pneumothorax = percussion? | Hyperresonant |
| Pneumothorax = fremitus? | Decreased |
| Pneumothorax = breath sounds? | decreased |
| Pneumonia = percussion? | Dull |
| Pneumonia = fremitus? | Increased |
| Pneumonia = breath sounds? | Egophony, bronchophony, whispering pectoriloquy, Crack |
| If the words "1,2,3" are heard clearly and distincly, consolidation is present. = what test? | Whispered Pectoriloquy |
| Lobar Pneumonia = 4 stages = | 1) Consolidation, 2) Red Hepatization, 3) Gray Hepitization, 4) Resolution |
| Exam Findings for Lobar Pneumonia = (7) | Productive Cough at 10 days, Dull percussion, Rales, Increased tactile fremitus, Rusty brown sputum; silhouette sign; air bronchogram |
| Productive cough at 10 days = seen in? | Lobar Pneumonia |
| Rales, aka = | Crackles |
| Rusty brown sputum = seen in? | Lobar Pneumonia |
| Silhoutte sign = seen in? | Lobar Pneumonia |
| Air bronchogram is positive in? | Lobar Pneumonia |
| Red jelly sputum; what condition? (seen in immunocompromised hosts) | Friedlander's Pneumonia |
| What bacteria causes Friedlander's Pneumonia? | Klebsiella pneumona |
| what is the most common opportunistic infection? | Pneumocystic Carinii |
| Pneumocystic Carinii is caused by = | yeast/fungus |
| Pneumocystic Carinii is most commonly seen in this type of patient = | AIDs patient |
| Cytomegalovirus is most commonly seen in this type of patient = | AIDs patient |
| Tuberculosis is caused by what bacteria? | mycobacterium (tuberculosis) |
| What condition presents with productive cough, yellow/green sputum, and has ghon lesions on xray? | TB |
| ghon lesions on xray with what condition? | TB |
| Ghon lesions start where in the lungs? | At the Apices |
| Special tests for Tuberculosis: (3) | Tine test/Mantoux test ; Purified protein derivative test; Sputum Culture |
| Most definitive test for Tuberculosis is = | Sputum Culture |
| Usually produces an exudative pleural effusion and stabbing chest pain that worsens b respiration and cough = | Pleurisy |
| Pleurisy Exam findings? | Dull percussion, non-productive cough, decreased respiratory excursion, decreased tactile fremitus, friction rub present, decreased breath sounds, :(+) Schepelmann's test |
| (+) Schepelmann's test seen with ? | Pleurisy |
| Unilateral darkening of the chest due to collapse of the lung; tracheal shifts AWAY from lesion = what condition? | Pneumothorax |
| Bronchial obstruction due to a mucous plug causes lung collapse in what condition? = | Atelectasis |
| On xray, a collapsed lung is seen with increased density and the mediastinal shift to the same side, = what condition? | Atelectasis |
| Irreversible focal bronchial dilation that presents with a chronic, productive cough = | Bronchiectasis |
| What test is necessary to diagnose and confirm Bronchiectasis? | CT scan |
| Defined by a long term cough with mucous and shortness of breath, and wheezing. (Smoking is the main cause) = | Chronic Bronchitis/ COPD |
| What respiratory condition will show increased eosinophils on labs? | Asthma |
| Bronchospasm constricting airways = | Asthma |
| Type I hypersensitivity reaction that is usually triggered by airborne allergens = | Asthma |
| Presents with tachycardia, tachypnea, decreased tactile fremitus, wheezing, eosinophils and IgE rise = condition? | Asthma |
| Curshmann's spirals and Charcot Laden Crystals = seen in .... | Asthma |
| Destruction of elastic pulmonary connective tissue results in permanent dilation of alveoli air sacs = condition? | Emphysema |
| Caused by a deficiency of alpha 1 anti-trypsin | Emphysema |
| Emphysema is due to a deficiency of what? | alpha 1 anti-trypsin |
| Presents with decreased tactile fremtius, hyperresonant percussion, decreased breath sounds, and prolonged expiration with an expiratory wheeze = condition? | Emphysema |
| In Emphysema, fluid will accumulate where first? | costophrenic recesses |
| Xray findings for Emphysema = (4) | Bilateral darkening lung fields; narrowed compressed heart; horizontal ribs; flattening of diaphragmatic domes |
| Pancoast tumor is an example of this type of carcinoma and is directly related to smoking = Bronchogenic Carcinoma | Bronchogenic Carcinoma |
| Primary malignant lung tumor that starts in the area of the bronchus | Bronchogenic Carcinoma |
| Long term hx of smoking; non-productive cough for more than 30 days; afebrile; dyspnea; weight loss; and clubbing of the finger nails = what condition? | Bronchogenic Carcinoma |
| Costochodritis, aka = | Tietze Syndrome |
| This condition exhibits palpable tenderness at the costosternal articulation = | Costochondritis (Tietze Syndrome) |
| CN most commonly associated with Herpes Zoster = | CN V |
| Herpes Zoster, aka = | Shingles |
| Disease with abnormal collection of inflammatory cells (granulomas) that form as nodules = | Sarcoidosis |
| granulomas that most often appear in the lungs or lymph nodes = what condition? | Sarcoidosis |
| Sarcoidosis is seen in which cultural descent, in US = | African |
| Sarcoidosis on xrays show = | bilateral hilar lymphadenopathy |
| Unilateral hilar lymphadenopathy is seen with what condition? | Hodgkin's |
| Cancer of the lymphatic system that can spread to the spleen? | Hodgkin's |
| Hodgkin's can bee seen most commonly in what demographical group? | YOUNG, caucasian males |
| Presents with fever, night sweats, weight loss, intense pruritis (release of IgE) and enlarged spleen = | Hodgkin's |
| Best diagnosis for Hodgkin's = | Reed Sternberg cells, on biopsy |
| Chronic, progressive, and frequently fatal genetic disease of the body's sweat and mucus glands | Cystic Fibrosis |
| Loss of excessive amounts of salt; thick accumulations of mucus in intestines and lungs; COPD; Barrel Chest; pancreatic insufficiency; and meconium ileus is seen in what condition? | Cystic Fibrosis |
Created by:
bglasman
Popular Chiropractic sets