Practical Exam

Question 1

Explain position of postural drainage for apical segments

Answer 1

supine, long seated inclined 30 degrees

Question 2

Explain position of postural drainage for right posterior segment

Answer 2

The patient should lie on the left side turned 45° on to the face, resting on a pillow, with another pillow supporting the head.

Question 3

Explain position of postural drainage for left upper lobe posterior segment

Answer 3

The patient should lie on the right side turned 45° on to the face with three pillows arranged to Raise the shoulder 12 inches from the bed.

Question 4

Explain position of postural drainage for upper lobes anterior segments

Answer 4

supine, pillow behind head, knees bent

Question 5

Explain postural drainage position for middle lobe, both medial and lateral

Answer 5

trendelenburg, left side lying on a pillow, foot of bed raised 14 inches, chest is turned to open up

Question 6

Explain postural drainage position for lingula

Answer 6

trendelenburg, right side lying on pillow, foot of bed raised 14 inches, chest is turned to open up

Question 7

Explain postural drainage, lower lobe, superior segments

Answer 7

prone with pillow under abdomen

Question 8

Explain postural drainage, lower lobe, post segment

Answer 8

trendelenburg prone, pillow under hips, foot of bed lifted 18 inches

Question 9

Explain postural drainage, lower lobe ant segments

Answer 9

supine trendelenburg, but on pillow, knees flexed, foot of bed tilted 18 inches

Question 10

Explain postural drainage lower right lobe

Answer 10

left side lying trendelenburg, pillow under hips, end of bed elevated 18 inches

Question 11

Explain postural drainage lower right lobe

Answer 11

left side lying trendelenburg, pillow under hips, end of bed elevated 18 inches

Question 12

S1 is the

Answer 12

Lub

Question 13

S1 is heard best over the

Answer 13

apex

Question 14

How to listen to S1/apex

Answer 14

left side lying and go under left nipple

Question 15

S2 is heard best over the

Answer 15

aortic area

Question 16

where is aortic area

Answer 16

right sided, 2nd intercostal

Question 17

3 abnormal breath sounds

Answer 17

bronchial, diminished, absent

Question 18

posterior lower segment marker

Answer 18

under scap inf border

Question 19

abnormal breath sounds

Answer 19

bronchial, diminished, absent

Question 20

bronchial (as abnormal) sounds like

Answer 20

megaphone, darth vador

Question 21

3 adventicious lung sounds

Answer 21

crackles, wheezes, rubs

Question 22

3 main dx that bruce prototocol is better for

Answer 22

H, A, C

Heart Transplant, asthma, cabg

Question 23

crackles sounds like

Answer 23

stepping on rice crispies

Question 24

bronchitis and pnemonia - make sure and ask

Answer 24

is your cough productive, if so, what color of sputum

Question 25

If emphysema you HAVE TO ASK

Answer 25

are you a smoker

Question 26

hyperlipidemia parameters

Answer 26

over 200 total | 130 and 40

Question 27

hyperlipidemia parameters

Answer 27

over 200 total | 130 and 40

Question 28

normal diaphragmatic excursion should be

Answer 28

3-5 cm

Question 29

If emphysema you HAVE TO ASK

Answer 29

are you a smoker

Question 30

Really good assessments for CABG

Answer 30

pain, visual

Question 31

Upon inhalation diaphragm moves

Answer 31

down

Question 32

normal diaphragmatic excursion should be

Answer 32

3-5 cm

Question 33

diaphragm is at level of

Answer 33

T10

Question 34

Big goal with PAD is

Answer 34

endurance

Question 35

Heart transplant and CABG important question

Answer 35

MEDS

Question 36

pillow at night question is related to

Answer 36

heart failure

Question 37

Target HR for MI is

Answer 37

MY 20 (less than 120, or RHR + 20)

Question 38

Big goal with PAD is

Answer 38

endurance

Question 39

the segments on the very bottom of the outside of the ribs is

Answer 39

anterior of the lower lobes

Question 40

pillow at night question is related to

Answer 40

heart failure

Question 41

how to determine post segment of lower lobe

Answer 41

just below inf border

Question 42

bronchial sounds like

Answer 42

blowing through a big tube

Question 43

explain 3 breathlessness positions

Answer 43

relaxed sitting - hands on thighs forward lean sitting- lean at hips and arms go on table in front wall relaxed stand- wall sit open up chest

Question 44

How to determine superior segment of lower lobe

Answer 44

level with spine of scapula

Question 45

sputum characteristics

Answer 45

color, viscosity, odor, amt, blood

Question 46

explain tactile fremitus

Answer 46

placing your ulnar side of hand on segments and having them say 99

Question 47

explain 3 breathlessness positions

Answer 47

relaxed sitting - hands on thighs forward lean sitting- lean at hips and arms go on table in front wall relaxed stand- wall sit open up chest

Question 48

What is segmental breathing

Answer 48

breath into my hand

Question 49

sputum characteristics

Answer 49

color, viscosity, odor, amt, blood

Question 50

HR mantra EKG

Answer 50

300 150 100 75 60

Question 51

All middle and lower are trendelenburg except for

Answer 51

sup of lower lobes

Question 52

phase 1 cardiac rehab you stay under how many mets

Answer 52

work towards 5 at end, but stay 1-2 at first

Question 53

Early on phase 1 rehab your freq is

Answer 53

3 x/day

Question 54

phase 2 cardiac rehab you see them

Answer 54

3 times a week

Question 55

kings crown is

Answer 55

vtac

Question 56

non pattern squiggly

Answer 56

vfib

Question 57

Afib is

Answer 57

flutter with more peaks

Question 58

p wave with no qrs is

Answer 58

3rd dhb, NO TREAT

Question 59

explain 1st degree heart block

Answer 59

pr interval is long and consistant

Question 60

explain 2nd degree heart block

Answer 60

there are some short and some long pr intervals, along with p waves with no qrs

Question 61

tacky crown

Answer 61

vtac

Question 62

degrees for both side lying uppers

Answer 62

45

Question 63

what 2 postural drainage positions are simple

Answer 63

anterior of upper and superior of lower

Question 64

time frame of phase 2 cardiac rehab is to reach ____ min

Answer 64

20-30

Question 65

list 2 reasons you would not recommend exercise

Answer 65

unstable angina, HTN over 200/110

Question 66

RPE goal for phase 1 AND 2 cardiac rehab

Answer 66

under 13

Question 67

difference in time in phase 1 and 2 rehab

Answer 67

1- intervals of 3 min | 2- 10-15 min working towards 20 -30

Question 68

things that are the same for phase 1 and 2 cardiac rehab

Answer 68

Intenstiy: HR is either RHR + 20 or RHR + 30, or under 13 RPE, Mode: is walking

Question 69

Heart blocks

Answer 69

1st - P-R far apart (they are pretty close together) 2nd- a p without a qrs (closer together) 3rd - p without a qrs and they are FAR apart with asystole in middle