LESSON#11

Question 1

Automatic or involuntary

Answer 1

BREATHING

Question 2

Muscles contract, thorax expands

Answer 2

INSPIRATION

Question 3

Muscles relax, thorax contracts

Answer 3

EXPIRATION

Question 4

None
Everything except with a stenuous exercise

Answer 4

GRADE 0

Question 5

Mild

Trouble with shortness of breath when hurrying on level or walking up a slight hill

Answer 5

GRADE 1

Question 6

Moderate

Walk is lower than people of same age on the level or has to stop for breath walking at own pase on the level

Answer 6

GRADE 2

Question 7

Severe

Stop for brief after walking 100 yards or after a few minutes on the level

Answer 7

GRADE 3

Question 8

Very severe

Too breathless to leave the house or breathless when dressing or undressing

Answer 8

GRADE 4

Question 9

The sensation of breathlessness in the recumbent position, relieved by sitting or standing

Sleeping using three pillows or more

Answer 9

ORTHOPNEIC

Question 10

Reflex response to stimuli: mucus, pus, blood foreign bodies hot or cold air

Answer 10

COUGH

Question 11

Cough can be a symptom of

Answer 11

LEFT SIDED HEART FAILURE

Question 12

Viral upper respiratory infectionsare common cause of

Answer 12

ACUTE COUGH

Question 13

Asthma in

Answer 13

SUBACUTE COUGH

Question 14

Bronchiectasis in

Answer 14

CHRONIC COUGH

Question 15

An acute cough last

Answer 15

<3 weeks

Question 16

Sub acute cough last

Answer 16

3 to 8 weeks

Question 17

a chronic cough last

Answer 17

8 weeks

Question 18

Characteristics: mucoid, purulent, foul smelling

Amount in teaspoons

Answer 18

SPUTUM

Question 19

High pitch sound heard first upon exhalation

Suggest narrowed airways, as in asthma, COPD or bronchitis

Answer 19

WHEEZING/WHEEZES

Question 20

May be caused by cardiac, respiratory, gastrointestinal or musculoskeletal etiologies

Answer 20

CHEST PAIN

Question 21

Back first

Assess for CRAMP

Answer 21

INSPECTION

Question 22

There is an increase anteroposterior diameter
This shape is normal during infancy, and often accompanies aging and chronic obstructive pulmonary disease

Answer 22

BARREL CHEST

Question 23

The sternum is displaced anteriorly, increase is the anteroposterior diameter. The costal cartilages adjacent to the protruding is sternum are depressed

Answer 23

PIGEON CHEST

Question 24

Pigeon chest or

Answer 24

PECTUS CARINATUM

Question 25

Note depression in the lower portion of the sternum. Compression of the heart and great vessels may cause murmurs

Answer 25

FUNNEL CHEST

Question 26

Funnel chest or

Answer 26

PECTUS EXCAVATUM

Question 27

Abnormal spinal curvatures and vertebral rotation deform the chest

Answer 27

THORACIC KYPHOSIS / KYPHOSCOLIOSIS

Question 28

Feels like puffed rice cereal crackling under the skin, indicates that air is leaking from the airways or lungs

Answer 28

CREPITUS

Question 29

Palpable vibrations caused by transmission of air through the bronchopulmonary system

Answer 29

TACTILE FREMITUS

Question 30

Consolidation, as in atelectasis and extensive pleural effusion Short, soft high pitched extremely dull as found over the thigh

Answer 30

FLAT

Question 31

Solid area, as in lobar pneumonia Medium in intensity and pitch, moderate length thudlike, as found over the liver

Answer 31

DULL (sound percussion)

Question 32

Normal lung tissue, bronchitis Long loud low pitched hollow

Answer 32

RESONANT

Question 33

Hyperinflated lung, as in emphysema or pneumothorax Cloud lower pitch as found over the stomach

Answer 33

HYPERRESONANT

Question 34

Air collection, as in a large pneumothorax Loud high pitched moderate length musical drum like as found over a puffed out cheek

Answer 34

TYMPANIC

Question 35

Distance the diaphragm moves between inhalation and exhalation

Answer 35

DIAPHRAGMATIC EXCURSION

Question 36

Voice sounds resulting from chest vibrations that occur as the pt speaks

Answer 36

ASSESSING VOCAL FREMITUS

Question 37

Shallow breathing with increased respiratory rate

Answer 37

TACHYPNEA

Question 38

Decrease rate but regular breathing

Answer 38

BRADYPNEA

Question 39

Absence of breathing: may be periodic

Answer 39

APNEA

Question 40

Increased depth of breathing

Answer 40

HYPERPNEA

Question 41

Rapid deep breathing without pauses. In adults, more than 20 breaths/min; breeding usually sounds labored with deep breaths that resemble sighs

Answer 41

KUSSMAUL'S RESPIRATIONS

Question 42

Breathe that gradually become faster and deeper than normal, then slower, and alternative with periods of apnea

Answer 42

CHEYNE-STOKES RESPIRATIONS

Question 43

Rapid, deep breathing with abrupt pauses between each breath; equal depth to each breath

Answer 43

BLOT'S RESPIRATIONS

Question 44

Maybe heard over the hyper inflated lungs of COPD or asthma, but not reliable

Answer 44

GENERALIZED HYPERRESONANCE

Question 45

Nance a large pneumothorax or a large airfield bulla in the lung

Answer 45

UNILATERAL HYPERRESO

Question 46

Maybe from abnormalities of the lungs These are intermittent, non musical, brief crackling sounds or fluid filled alveoli popping open

Answer 46

CRACKLES

Question 47

Suggest secretions in large airways, this is a low pitch, snoring, rattling sounds that occur primarily during exhalation

Answer 47

RHONCHI

Question 48

Loud, high pitch crowing sound that is heard upon inhalation

Answer 48

STRIDOR