Exam 2 Flashcards Preview

Physical Assessment > Exam 2 > Flashcards

Flashcards in Exam 2 Deck (60)
Loading flashcards...
1
Q

What two bony landmarks are good to know when listening to heart and lung sounds with a stethoscope?

A

sternal angle and 2nd rib interspace

2
Q

If you are palpating the inferior angle of the scapula, which rib do you know is just below the scapula?

A

Rib 8

3
Q

Which spinal segment is attached to the first rib and which spinal segment is attached to the 12th (last) rib

A

first rib: T1

last rib: T12

4
Q

What is another term for the sternal angle?

A

Angle of louis

5
Q

The trachea is a ____ shape

A

tube

6
Q

True or false:

Chest pain is not always a concern

A

False: it is always a concern

7
Q

What is pneumothorax or hemothorax

A

It is when the space between the parietal pleura and visceral pleural (pleural cavity) either fills up with air or blood

8
Q

What does GERD stand for and what causes it

A

GERD stands for gastroesophageal reflux disease and it is when stomach acid coming up into the esophagus

9
Q

Can pain in the chest be referred pain?

A

yes

10
Q

What are the 9 possible causes for chest pain

A
angina
pleurisy 
pneumo/hemothorax
bronchitis
pneumonia
costochondritis 
rib fracture/rib separation
GERD
Referred from other structures
11
Q

Chest pain can be referred from what two structures

A

gall bladder and stomach

12
Q

The (visceral/parietal) pleura is the membrane that covers the lungs

A

visceral

13
Q

The (visceral/parietal) pleura is the membrane that covers the chest cavity

A

parietal

14
Q

What is pleural effusion

A

It is when fluid accumulates in the pleural cavity and the lung gets smaller and smaller due to the increase of fluid

15
Q

What is dyspnea

A

shortness of breath

16
Q

_____ is nonpainful, increased depth and frequency of breathing and not associated with exertion

A

dyspnea

17
Q

_____ is high pitched breathing indicating partial airway obstruction

A

wheezing

18
Q

wheezing is a high pitched breathing indicating partial ______ obstruction

A

airway

19
Q

Dyspnea is nonpainful, increased depth and frequency of breathing and is not associated with _____.

A

exertion

20
Q

A _____ is a reflexive, forceful expiration

A

cough

21
Q

A cough is a reflexive, forceful ______

A

expiration

22
Q

What are examples of what can stimulate a cough

A

fluids, solids, inflammation, congestive heart failure

23
Q

In regards to coughing, we want to be mindful of sputum. What is sputum?

A

Color, smell, consistency characteristics

24
Q

What is the term used to describe coughing up blood

A

hemoptysis

25
Q

What is hemoptysis

A

coughing up blood

26
Q

What is the normal respiratory rate

A

12-20/min

27
Q

What must the respiratory rate be to be considered bradypnea

A

less than 12

28
Q

What must the respiratory rate be to be considered hyperpnea/hyperventilation

A

greater than 20

29
Q

______ respiratory rate may indicate drug induced respiratory depression

A

bradypnea

30
Q

_____ respiratory rate is normal with exercise or may indicate hypoxia

A

hyperpnea/hyperventilation

31
Q

_____ respiratory rate is normal in kids and the elderly or it may indicate brain injury, drug OD, or heart failure

A

Cheyne-stokes breathing

32
Q

ataxic breathing occurs when there is a ____ injury

A

brain

33
Q

During the physical examination, what two things should we inspect

A

chest symmetry and deformity

34
Q

During the physical examination, what three things should we palpate

A

tenderness, chest expansion, and fremitus

35
Q

During the physical examination, what two things should we auscultate

A

breath sounds and voice sounds

36
Q

How do we assess lung expansion

A

put both hands on the back of someone’s back and watch how your hands move at the patients inspires and expires

37
Q

If you are percussing a patient’s back and you hear a hollow sound, you suspect that the area is filled with ____

A

air

38
Q

If you are percussing a a patient’s back and you hear a dull sound, you suspect that the area is filled with _____

A

fluids/solid

39
Q

_____ breath sounds are soft and low pitch sounds heard over main lung fields

A

vesicular

40
Q

What is the ratio of vesicular breath sounds

A

3:1 inspirations to expiration sound

41
Q

Is vesicular breath sounds normal or abnormal

A

normal

42
Q

Is bronchial breath sounds normal or abnormal

A

normal

43
Q

_____ breath sounds are loud, harsh, and higher pitch sounds heard over the bronchi

A

bronchial

44
Q

Which type of breathing is heard in midline from ribs 2-4

A

bronchial breath sounds

45
Q

_____ sounds are added sounds or superimposed sounds

A

adventitious

46
Q

What are the four types of adventitious breath sounds

A

discontinuous, continuous, stridor, pleural rub

47
Q

______ sounds are crackles

A

discontinuous

48
Q

____ sounds are wheezes and rhonchi

A

continuous

49
Q

_____ sounds like dots in time, velcro, crushed dry leaves, or fluid in the lungs

A

crackles

50
Q

_____ sounds like high pitch, musical, and can be from asthma

A

wheezes

51
Q

____ sounds are low pitch, musical, snore-like and can be from secretions in large airways and will often disappear with cough

A

rhonchi

52
Q

_____ sounds are continuous, high pitch, and heard best over the neck due to airway edema. This is a urgent situation

A

stridor

53
Q

____ ____ sounds are grating sounds like leather rubbing over leather or a hand over a wet balloon

A

pleural rub

54
Q

What type of transmitted voice sounds are normal if a patient say eeee and you either hear eeee or aaaa

A

egophony

55
Q

What are normal egophony voice sounds

A

eeeee

56
Q

what are abnormal egophony voice sounds

A

aaaaa with a nasal quality

57
Q

What is a normal bronchophony voice sounds

A

vague 99 sounds

58
Q

what is an abnormal bronchophony voice sounds

A

distinguishable 99 sound

59
Q

What is a normal whispered pectoriloquy sound

A

faint or not heard 99 sound

60
Q

What is an abnormal whispered pectoriloquy sound

A

whispered 99 voice that is heard