Quiz 3 pulmonary
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| Which chest structure contains all the thoracic viscera except the lungs? | show 🗑
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| show | 4 cm above the first rib.
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| Which structure transports air and removes noxious materials? | show 🗑
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| What is the barrel chest that is characteristic of many older adults the results of? | show 🗑
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| The number of each intercostal space corresponds to that of: | show 🗑
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| The costal angle is: | show 🗑
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| show | 4 weeks
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| show | closure of the ductus arteriosus.
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| show | The AP diameter approximates the transverse diameter.
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| During what age period is the xiphoid process more prominent, more moveable, and more cartilaginous? | show 🗑
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| show | dullness heard on percussion.
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| show | Pectus carinatum
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| Mr. Sanchez is a 62-year-old patient who presents with chronic obstructive lung disease. On examination you note a barrel chest. Which of the following is true regarding barrel chest? | show 🗑
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| The right and left scapular lines are located: | show 🗑
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| Respiratory effort usually exhibited by the patient with metabolic acidosis is called: | show 🗑
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| show | Hypopnea
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| show | Periodic apnea of the newborn
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| show | paradoxic breathing.
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| The degree and level of retractions depends on: | show 🗑
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| show | inflexibility of the xiphoid.
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| show | pleural friction rub.
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| Mrs. Janker is a 58-year-old patient who presents to your office with recurrent respiratory problems. Tactile fremitus is best felt: | show 🗑
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| show | Trachea
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| Percussion of the back should be done with the patient’s arms folded in front in order to: | show 🗑
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| The usual landmark at which the examiner percusses for diaphragmatic excursion is: | show 🗑
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| show | transmits high-pitched sounds.
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| Mrs. Bowers is a 57-year-old patient who presents to your office with complaints of shortness of breath. Breath sounds normally auscultated over most of the lung fields are called: | show 🗑
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| show | bronchial.
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| show | throughout inspiration and expiration.
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| The middle lobe of the right lung is best auscultated in the: | show 🗑
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| Your trauma patient has no auscultated breath sounds in the right lung field. You can hear adequate sounds in the left side. A likely cause of this abnormality could be that the patient: | show 🗑
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| show | crackles.
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| Mrs. Alexander is a 36-year-old patient who has asthma. As the examiner, you understand that a musical squeaking noise heard on auscultation of the lungs is called: | show 🗑
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| show | hold his or her breath.
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| show | lying on the left side.
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| show | consolidation from obstruction.
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| show | lung consolidation.
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| show | egophony.
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| Yellow, green, or rust-colored sputum usually indicates the presence of: | show 🗑
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| Assuming that the newborn is not crying, you would expect a respiratory rate per minute of about: | show 🗑
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| show | common in a cool environment.
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| show | normal, thin chest wall structures.
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| show | breathe more deeply.
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| show | Asthma
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| show | pleurisy
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| Dullness to percussion in intercostal spaces suggests the presence of: | show 🗑
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| show | at any age.
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| show | tuberculosis.
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| This positive “coin click” sign indicates the presence of which condition? | show 🗑
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| show | cough with sputum; frequent pulmonary infections.
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| As the chest of a newborn is examined, bowel sounds are auscultated in the chest. What is the significance of this finding? | show 🗑
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| show | A patient with paraplegia
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| The health care professional is examining the chest of a 22-year-old woman who is 8 months pregnant. The patient has a wide thoracic cage. Which of the following best explains this finding? | show 🗑
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| show | Enlarged heart
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| Which of the following findings indicates respiratory distress in the infant or young child? | show 🗑
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| show | expose maximum lung area.
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| show | Percussion
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| The patient tells the examiner, “I have been coughing up a lot of yellowish-green phlegm.” The examiner should suspect: | show 🗑
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| show | Malodorous breath
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| Which finding is considered unusual for a newborn? | show 🗑
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| show | Hyperresonance
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| A newborn infant with a small chest-to-head size ratio is usually associated with: | show 🗑
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lying on the left side.
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| show | Tracheal deviation away from the midline position
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Labored breathing and inspiratory stridor
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| show | Deglutition apnea
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| The best time to evaluate vocal and tactile resonance on a young child is while the child is: | show 🗑
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| show | 1:4.
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| show | “In what way has your activity level been affected?
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| show | Diminished or absent breath sounds over the area of the right middle lobe
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| show | Decreased tactile fremitus
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| show | between the third and fourth rib.
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| show | 90 degrees.
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| show | 1:1
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| An increase in progesterone in the pregnant woman causes which of the following to occur? | show 🗑
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| show | Drier mucous membranes
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| Pectus carinatum is best described by which of the following? | show 🗑
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| show | cyanosis.
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| show | Dyspnea
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| Periodic breathing patterns are characterized by intervals of respiration separated by periods of: | show 🗑
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| show |
obstruction to inspiration.
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| show | air in the subcutaneous spaces.
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| Thoracic expansion is assessed by: | show 🗑
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| show | an increase in lung tissue consolidation.
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| Diaphragmatic excursion may be slightly elevated on the right side due to the presence of: | show 🗑
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| show | breathes slowly and deeply through the mouth.
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| When auscultating the lungs, which of the following sequences should be used? | show 🗑
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| show | Crackles are discontinuous sounds, wheezes continuous sounds.
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| show | High-velocity air flow through a narrowed airway
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| show | an obstruction high in the respiratory tree.
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| The persistence of a round “barrel” chest in a child past the second year of life may be indicative of: | show 🗑
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| Increased distensibility of the lungs in older adults results in the presence of which of the following? | show 🗑
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| To begin counting the ribs and the intercostal spaces, you begin by palpating the reference point of the: | show 🗑
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| The lung begins its gestational development from the: | show 🗑
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| The foramen ovale should close by: | show 🗑
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| The characteristic barrel chest of the older adult is due to a combination of factors including: | show 🗑
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| The patient tells you that she uses herbal and other alternative therapies to maintain health. This information will be recorded in the: | show 🗑
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| show | Platypnea
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| Bradypnea may accompany: | show 🗑
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| A 34-year-old man is being seen for complaints of dull pain between the shoulder blades that is more intense with deep breathing and coughing. Upon auscultation of the chest you suspect that you will hear: | show 🗑
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| show | 1.0.
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| show | Right eighth rib
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| In which patient situation would you expect to assess tachypnea? | show 🗑
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| Which site of chest wall retractions indicates a more severe obstruction in the asthmatic patient? | show 🗑
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| Which type of apnea requires immediate action? | show 🗑
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| show | uremia.
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| You would expect to document the presence of a pleural friction rub for the patient being treated for: | show 🗑
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| show | parasternally at the second intercostal space.
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| The examiner percusses for diaphragmatic excursion along the: | show 🗑
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| When there is consolidation in the lung tissue, the breath sounds are louder and easier to hear while healthy lung tissue produces softer sounds. This is because: | show 🗑
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| an older pt is being seen today as a f/u for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: | show 🗑
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| To distinguish crackles from rhonchi, you should auscultate the lungs: | show 🗑
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| show | Nasal flaring
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| The pregnant woman is expected to develop: | show 🗑
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| show | Patient with pleuritic pain without dyspnea
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Created by:
TwiggyG85