Bates ch 8

Question 0

4th intercostal space used for

Answer 0

Chest tube insertion

Question 1

2nd intercostal space used for

Answer 1

Needle insertion for pneumothorax

Question 2

T4 used for

Answer 2

Lower margin of endotracheal tube on chest x ray

Question 3

T7-8 interspace used for

Answer 3

Thoracentesis

Question 4

Needle insertion for tension pneumothorax is at what level

Answer 4

2nd intercostal space

Question 5

Chest tubes inserted at what level

Answer 5

4th intercostal space

Question 6

Lower margin of endotracheal tube on chest x ray

Answer 6

T4

Question 7

Level for thoracentesis

Answer 7

T7-8 interspace

Question 8

Person describes chest pain with clenched fist over sternum suggests

Answer 8

Angina pectoris

Question 9

Patient describes chest pain with finger pointing to tender area on chest wall suggests

Answer 9

Musculoskeletal problem

Question 10

Patient describes chest pain with hand moving from neck to epigastrum suggests

Answer 10

Heartburn

Question 11

Most frequent cause of chest pain in children

Answer 11

Anxiety

Question 12

Acute vs subacute vs chronic cough

Answer 12

Acute <3 weeks
Subacute 3-8
Chronic >8

Question 13

Most common cause of acute cough

Answer 13

Viral upper respiratory infection

Question 14

2 types of sputum

Answer 14

Mucoid sputum - translucent/white

Purulent sputum - yellow/green

Question 15

Large volume of purulent sputum suggests

Answer 15

Bronchiectasis or lung abscess

Question 16

Rarely see hemoptysis in children, but if you do it’s most likely from

Answer 16

Cystic fibrosis

Question 17

5 A’s of quitting smoking

Answer 17

Ask
Advise
Assess (willingness to quit)
Assist
Arrange (FU)

Question 18

5 stages of change

Answer 18

Precontemplation
Contemplation
Preparation
Action 
Maintenance

Question 19

3 drugs to help quit cigarettes

Answer 19

Nicotine replacement
Bupropion
Varenicline

Question 20

Streptococcus pneumoniae vaccine for adults vs children

Answer 20

Adults get polysaccharide

Children get conjugate

Question 21

If about to get cochlear implant, what vaccine should you get

Answer 21

Strep pneumoniae

Question 22

Order of lung exam

Answer 22

Inspect
Palpate
Percussion
Auscultation

Question 23

Normal respiratory rate

Answer 23

14-20

Question 24

AP diameter may increase with

Answer 24

Aging | COPD

Question 25

Asymmetric chest expansion suggests

Answer 25

Pleural effusion

Question 26

Retraction during inspiration suggests

Answer 26

Severe asthma COPD Upper airway obstruction

Question 27

Unilateral impairment or lagging of respiratory movement suggests

Answer 27

Pleural disease from asbestosis or silicosis | Phrenic nerve damage

Question 28

What are sinus tracts

Answer 28

Blind, inflammatory, tubelike structures opening onto skin

Question 29

Sinus tracts indicate

Answer 29

Infection of underlying pleura and lung

Question 30

Tactile fremitus most prevalent in what location

Answer 30

Interscapular area

Question 31

Asymmetric increase fremitus from

Answer 31

Unilateral pneumonia from increased transmission through consolidated tissue

Question 32

Asymmetric decrease in fremitus from

Answer 32

Unilateral pleural effusion Pneumothorax Neoplasm

Question 33

Finger that gets hit

Answer 33

Pleximeter

Question 34

Finger that hits

Answer 34

Plexor

Question 35

If you need to make percussion louder, what do you do

Answer 35

More pressure with pleximeter (finger on patient's body)

Question 36

Flat sound suggests

Answer 36

Large pleural effusion

Question 37

Dull sound suggests

Answer 37

Lobar pneumonia

Question 38

Resonant sound suggests

Answer 38

Simple chronic bronchitis | Healthy lungs

Question 39

Hyperresonant sound suggests

Answer 39

COPD | Pneumothorax

Question 40

Tympanitic sound suggests

Answer 40

Large pneumothorax

Question 41

Healthy lungs have what kind of sound

Answer 41

Resonant

Question 42

What location do you not percuss

Answer 42

Over scapula

Question 43

Descent of diaphragm called

Answer 43

Diaphragmatic excursion

Question 44

Large diaphragmatic excursion suggests

Answer 44

``` Pleural effusion High diaphragm (atelectasis, diaphragmatic paralysis) ```

Question 45

Normal diaphragmatic excursion

Answer 45

3-5.5 cm

Question 46

Different breath sounds

Answer 46

Vesicular Bronchovesicular Bronchial Tracheal

Question 47

Ladder pattern used for

Answer 47

Percussion | Auscultation

Question 48

Where you hear vesicular breath sounds

Answer 48

Over most of both lungs

Question 49

Where you hear bronchovesicular breath sounds

Answer 49

Anteriorly: 1st and 2nd interspace a Posteriorly: between scapulae

Question 50

Where you hear bronchial breath sounds

Answer 50

Over manubrium if heard at all

Question 51

Where you hear tracheal breath sounds

Answer 51

Over trachea in neck

Question 52

If bronchovesicular or bronchial breath sounds are heard in locations distant from typical, suspect

Answer 52

Fluid in lungs

Question 53

3 types of adventitious sounds

Answer 53

Crackles / rales Wheezes Rhonchi

Question 54

Crackles suggest

Answer 54

Lung or airway abnormalities - pneumonia - fibrosis - early heart failure - bronchitis - bronchiectasis

Question 55

Wheezes suggest

Answer 55

Narrowed airways - asthma - COPD - bronchitis

Question 56

Rhonchi suggest

Answer 56

Secretions in large airways

Question 57

Discontinuous adventitious sounds

Answer 57

Crackles

Question 58

Continuous adventitious sounds

Answer 58

Wheezes | Rhonchi

Question 59

How to diagnose COPD

Answer 59

Spirometry and often further pulmonary function testing

Question 60

Louder, clearer voice sounds called

Answer 60

Bronchophony

Question 61

E to A egophony suggests

Answer 61

Lobar pneumonia

Question 62

Louder, clearer whispered sounds is called

Answer 62

Whispered pectoriloquy

Question 63

If a patient prefers to sit leaning forward, probably has

Answer 63

COPD

Question 64

Normal forced expiration time

Answer 64

Less than 6 seconds

Question 65

If do AP chest compression causes local pain suggests

Answer 65

Rib fracture