CPR Lab Objective Exam

Question 1

discuss rate of perceived exhaustion

Answer 1

borg’z RPE scale

6-11: inc intensity

12-13: normal intensity

14-20: too hard; dec intensity

Question 2

what is documented under breathing pattern

Answer 2

character - quality

amplitude - deep or shallow

rhythm - regular or irreg

rate is under VS

Question 3

(N) rate; (N) depth; regular rhythm

Answer 3

Eupnea

Question 4

Absence of Breath

Answer 4

Apnea

Question 5

Slow rate (<12 cpm); (N)/shallow depth; regular rhythm

Answer 5

Bradypnea

Question 6

Fast rate (>20 cpm); shallow depth; regular rhythm

Answer 6

Tachypnea

Question 7

Fast rate; increased depth; regular rhythm

Answer 7

Hyperventilation - kussmaul

Question 8

(N) rate; increased depth; regular rhythm

Answer 8

Hyperpnea

Question 9

Slow rate; increased depth; irregular rhythm

Answer 9

apneusis

can have absent inspiration - brainstem prob

Question 10

Slow rate; shallow depth; irregular rhythm

Answer 10

biot’s - meningitis

Question 11

Variable rate and depth; regular rhythm

Answer 11

cheyne-stokes

Question 12

Apnea with concomitant mouth opening and closing

Answer 12

fish mouth - assoc c neck ext and bradypnea

Question 12

N) rate; (N) rhythm Abrupt cessation of inspiration when restriction is encountered

Answer 12

doorstop - pleurisy

Question 13

discuss semilunar and atrioventricular valves

Answer 13

semilunar - aortic and pulmonic

atrioventricular - tricuspid and mitral

Question 14

discuss aortic valve

Answer 14

auscultation - 2 (R) ICS at (R) sternal border

loc - 3 (L) ICS

Question 15

discuss pulmonic valve

Answer 15

auscultation - 2 (L) ICS at (L) sternal border

loc - 3 (L) CC

Question 16

discuss tricuspid valve

Answer 16

auscultation - 4 (L) ICS at (L) sternal border

loc - 4 (R) ICS

Question 17

discuss mitralvalve

Answer 17

auscultation - 5 (L) ICS at mid clavicular line

loc - 4 (L) CC

Question 18

discuss S1

Answer 18

lub - low pitch long sound

closure of atrioventrcular valves - at systole

loudest at apex of heart

Question 19

discuss S2

Answer 19

dub - high pitch rapid sound

closure of semilunar valves - loudest over base of heart

sys - bet S1 and S2
dia - bet S2 and next S1

Question 20

S3

Answer 20

vensticular filling after S2 agad

ventricular gallop - CHF

Question 21

S4

Answer 21

ventricular filling and atrial contraction before S1

atrial gallop - CV disease

Question 22

what are heart murmurs

Answer 22

stenosis - narrowing

or

regurgitation - backflow

replaces systole nagiging swish sound

Question 23

discuss tracheal breath sounds

Answer 23

normal high pitch on trachea

Question 24

discuss bronchial breath sounds

Answer 24

like tracheal but not as loud = consolidated lung tissue

Question 25

discuss vesicular breath sounds

Answer 25

low pitched normal inspi loduer and longer

Question 26

discuss bronchovesicular breath sounds

Answer 26

slightly break bet two phases

Question 27

Fine crackling sounds on inspiration

Answer 27

rales or crackles

Question 28

air flowing at high velocities through (continuous, high-pitched) narrowed airways

Answer 28

wheeze More on exhalation

Question 29

Coarse, grating, leathery sounds

Answer 29

pleural friction rub inspi or exhale

Question 30

Continuous, low-pitched, sonorous breath sounds

Answer 30

rhonchi - snore like

Question 31

inspiratory wheezes

Answer 31

stridor

Question 32

discuss bronchophony

Answer 32

usual voice - loud and muffled 99

Question 33

discuss egophony

Answer 33

vibration of voice EE

Question 34

discuss whispered petriloquy

Answer 34

whisper 99 - faint or wala

Question 35

discuss vocal or tactile fremitus

Answer 35

vibration produced by the voice and transmitted to the chest wall

Question 36

discuss mediastinal shift

Answer 36

check trachea or palpate 5th ICS

Question 37

discuss lung percussion

Answer 37

resonant - low and hollow; normal hyperresonant - loud low and hollow; excess air hyperresonant - soft brief and high; less air

Question 38

phases of coughing

Answer 38

deep inhale close glottis forced expi

Question 39

grading of cough

Answer 39

F: normal WF: cough but diff expel or expel but diff cough NF: diff both cough and expel 0: wala

Question 40

normal amount of sputum

Answer 40

100 ml dec = dehydration

Question 41

discuss chest expansion

Answer 41

on axilla, xiphoid and subcostal margin normal diff: 2-5 cm

Question 42

discuss O2 sat

Answer 42

normal: 98-100 supp oxygen: 90 or 97 discontinue ex: 86 below

Question 43

THR formula

Answer 43

((MHR - RHR) x % intensity) + RHR MHR: 220- age never exceed THR

Question 44

discuss blue bloaters

Answer 44

chronic bronchitis - (R) sided heart failure deoxygenated blood pumped

Question 45

discuss pink puffers

Answer 45

alveoli or gas exhange prob no diffusion - smokers