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spc

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
Mucoid Sputum   show
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show Pulmonary Edema  
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Purulent sputum   show
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Yellow/Green/Copious Sputum   show
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show Streptococcal pneumonia  
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Fetid Sputum   show
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Tachycardia causes   show
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Bradycardia causes   show
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show > 20/min - "J" receptor stimulation, metabolic acidemia, anxiety  
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show < 10/min - drug o.d., head trauma, hypothermia  
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Hypertension causes   show
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Hypotension causes   show
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Pursed lip breathing seen in   show
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show Drooping eyelids. Myasthenia Gravis  
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What is JVD? Common cause?   show
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Suprasternal Notch   show
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show COPD  
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Obstructive Breathing   show
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show rapid, shallow, decreases WOB  
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show Vibrations from vocal cords  
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Tactile Fremitus   show
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show Chest wall goes in w/ inspiration, out w/ expiration  
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show Abdomen sinks in w/ inspiration, seen in COPD pts w/ impending ventilatory failure  
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Acrocyanosis   show
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show Oral mucosa, due to severe -  
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show Denotes increased density(consolidation)(less air), pneumonia, atelectasis, fibrosis  
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show Denotes decreased density(more air), pneumothorax, emphysema  
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Thoracic Expansion - Bilateral Decrease causes   show
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Thoracic Expansion - Unilateral Decrease causes   show
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show Air w/in subq tissues, noted w/ pneumomediastinum & pneumothorax, feels like bubble wrap & sounds like rice crispies  
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Normal Percussion sound   show
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show Pneumothorax. Hyperinflation from asthma, emphysema (more air)  
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show Atelectasis, pleural effusion, consolidation(pneumonia) (less air, dull, dense, fluid)  
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Bronchial causes   show
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show Hypoventilation, hyperinflation, pneumothorax(absent), pleural effusion  
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Adventitious sound & causes   show
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show bronchospasm, asthma, large airway obstruction, chronic bronchitis  
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show Upper airway obstruction - croup, post-extubation  
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Hepatomegaly   show
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show Serous fluid in the peritoneal cavity. Assoc w/ CHF  
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Clubbing   show
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show Fluid in the subq tissues of the ankles/feet. Assoc w/ CHF, Cor Pulmonale  
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Slow Capillary Refill assoc w/   show
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Cold hands, feet assoc w/   show
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show JVD, 'pursed lips', active neck accessories w/ 'clavicular lift', barrel chest, hepatomegaly, clubbing, acrocyanosis, pedal edema, Decreased tactile fremitus, thoracic expansion bilateral decrease, Hyperresonant. Diminished, wheeze  
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Consolidation inspection   show
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Tension Pneumothorax inspection   show
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show thoracic expansion unilateral decrease, tracheal shift(away), Dullness. Absent breath sounds  
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Cor Pulmonale inspection   show
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Shock/Hypovolemia   show
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What is Radiolucent?   show
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What is Radiopaque?   show
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show away from problems outside of the lungs  
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show Cor pulmonale  
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show Heart ratio should be< 50% size of chest area, Right diaphragm 2cm higher than Left  
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Atelectasis xray description   show
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Pneumothorax xray description   show
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show Narrow tear/pear shaped heart, prominent PAs, low & flat diaphragms, wide posterior rib spaces, horizontal posterior ribs, radiolucent lung fields, small or narrow heart shadow  
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A miliary pattern in the apicies?   show
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show consolidation, Aleolar opacification (white areas)  
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show "Cobbwebs", Honeycombing, miliary pattern, diffuse nodules 2-4cm diameter  
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show ARDS  
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Cardiogenic Pulmonary Edema (CHF) xray desription?   show
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show pleural effusion  
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What is a stemi?   show
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Frothy white or pink sputum is noted with   show
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The two most common causes of hemoptysis are bronchogenic carcinoma and   show
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A child with croup will exhibit a cough most commonly referred to as   show
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show chest tightness  
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An increase in the cardiothoracic (C/T) ratio is most commonly associated with   show
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show atelectasis  
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A D-Dimer blood test is ordered for a suspected blood clot?   show
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show marker of stress to muscle tissue, could be heart or even exercise, and systemic inflammation  
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A 3rd heart sound is abnormal and indicates?   show
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show cardiomegaly or MI, left cardiomegaly (COPD) Right cardiomegaly( High BP)  
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When an MI is suspected, troponin levels are drawn?   show
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An elevated brain natriuretic peptide (BNP) ?   show
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Shock is?   show
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show shock, improving lactate mean 02 therapy is working  
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show septic shock, when blood pressure drops significantly  
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Systemic vascular resistance is normally 900-1400, a reduced SVR indicates?   show
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show pulm edema with normal wedge= ARDS  
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show all hemodynamic values, including BP  
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show all hemodynamic values including BP  
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A patient with a lactate greater than 2?   show
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What is the normal RBC count for males and females?   show
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show males 14-17 g/dl, females 12-15 g/dl  
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What are the normal hematocrit levels?   show
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What is the normal WBC level?   show
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show bacterial infection or inflammatory response  
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Leukopenia is a decrease in WBC's, this indicates?   show
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Anemia will?   show
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show chronic hypoxemic lung/heart disease, can cause rt heart failure, treated with 02 therapy COPD, pulm fibrosis  
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If eosinophilia is found in the sputum this always indicates?   show
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Thrombocytopenia is a decrease in clotting cells, this poses a risk of bleeding. What symptoms are seen with this?   show
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What is SOAP?   show
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show treat hypoxemia, decrease wob, and decrease myocardial workload  
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Hyperinflation protocol is used to prevent or treat atelectasis and alveolar consolidation, the methods for this are?   show
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show increased bronchial hydration, cough and deep breathing, CPT, PD, percussion, suctioning, mucolytic, bronchoscopy,  
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show A pulmonary infiltrate is a substance denser than air, such as pus, blood, or protein, which lingers within the parenchyma of the lungs. Pulmonary infiltrates are associated with pneumonia, tuberculosis  
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What is an air bronchogram seen on an xray?   show
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What vent parameter is most commonly seen in a patient with sepsis?   show
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What are symptoms of DKA?   show
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show Sp02 <90%, Pa02 <80 Acute Hypoxemia; tachypnea, tachycardia, cyanosis, confusion  
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show atelectasis, consolidation, fibrosis, opacity (white area) seen on xray, bronchial breath sounds, dull percussion note, restrictive pft's  
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What are clinical indications for bronchial hygiene therapy?   show
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show bronchospasm, airway secretions, relax bronchial smooth muscle, wheezing,  
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show thin and watery, few cells, less protein, CHF, Pulm emboli  
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What is exudate sputum?   show
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