Pulmonary

Question 1

Normal ratio of AP diameter to transverse diameter

Answer 1

1:2

barrel chest is 1:1

Question 2

causes of asymmetrical breathing

Answer 2

paralysis of hemi-diaphragm

chest trauma

Question 3

What do you ask the patient to say to assess tactile fremitus?

Answer 3

99

Question 4

decreased tactile fremitus indicates

Answer 4

fluid or no air

Question 5

increased tactile fremitus indicates

Answer 5

consolidation (pneumonia)

Question 6

what lobe is not housed in the posterior chest?

Answer 6

RML

Question 7

hearing tracheal breath sounds in areas other than where they belong

Answer 7

bronchophony

“hearing a normal sound in an unusual location

Question 8

high-pitch wheezes

Answer 8

sibilant

Question 9

What do you have the pt say to test for egophony?

Answer 9

EE

abnormal sound is “A”

Question 10

fissure that divides upper and lower portions of each lung

Answer 10

oblique

Question 11

divides the R lung into upper and middle lobes

Answer 11

lesser horizontal fissure

Question 12

sudden onset of SOB after a period of sleep

Answer 12

PND

Question 13

RR < 12

Answer 13

bradypnea

may be neuro of electrolyte disturbance, infection , pain

Question 14

palpable vibration of the chest wall that results from speech or other verbalizations

Answer 14

tactile fremitus

Question 15

apnea that occurs on inhalation of irritating vapors

Answer 15

reflex apnea

Question 16

point at which the second rib articulates with the sternum

Answer 16

angle of Louis

Question 17

shortness of breath that begins when the patient lies down

Answer 17

orthopnea

Question 18

shortness of breath that begins when the patient sits upright

Answer 18

platypnea

Question 19

Order of pulmonary exam:

Answer 19

Inspection
palpation
percussion
auscultation

Question 20

Where do the inferior borders of the lung generally cross?

Answer 20

6th rib at the MCL

Question 21

posterior deviation of the spine

Answer 21

kyphosis

Question 22

ratio of respirations to heartbeats

Answer 22

1:4

Question 23

irregular breathing with interspersed periods of apnea in a disorganized sequence of breaths

Answer 23

Biot

Question 24

significant disorganization with irregular varying depths of respiration

Answer 24

Ataxic

Question 25

apnea that occurs after a blow to the head or birth

Answer 25

primary apnea

Question 26

breathing stops and will not begin spontaneously without resuscitative measures

Answer 26

secondary apnea

Question 27

breathing deeply

Answer 27

hyperpnea | Ex: exercise & anxiety

Question 28

lower thorax is drawn in on inspiration and out on expiration

Answer 28

paradoxic breathing

Question 29

palpable coarse grating vibration on inspiration

Answer 29

pleural friction rub

Question 30

diaphragmatic excursion distance

Answer 30

3-6 cm

Question 31

breath sound where I = E

Answer 31

bronchovesicular

Question 32

breath sound where I > E

Answer 32

vesicular