Pulmonary Flashcards

(51 cards)

1
Q

Lower lobe anterior basal segments

A

Supine decline

Lower ribs

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2
Q

What does the larynx do

A

Connects pharynx to trachea

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3
Q

What is Pneumocystis Pneumonia (PCP)

A

Pulmonary infection caused by a fungus in immunocompromised hosts

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4
Q

What is flail chest

A

Two or more fractures in two or more adjacent ribs

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5
Q

The upper two ribs are raised by…

A

Scalenes and SCM

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6
Q

What is digital clubbing a sign of

A

Chronic hypoxemia

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7
Q

What are ribs 1-7 called

A

False/costochondral ribs

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8
Q

Normal PaCO2

A

35-45 mmHg

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9
Q

By fixing the shoulder girdle, what muscles can become muscles of inspiration

A

Trap
Pecs
Serratus

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10
Q

What is assisted cough

A

Therapist’s hand becomes force behind patient’s exhaled air (pushes downward and inward on attempted cough)

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11
Q

What are vesicular breath sounds

A

A soft rustling sound heard throughout all of inspiration and the beginning of expiration

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12
Q

What is intrapleural space

A

Space between two pleurae that maintains approximation of the rib cage and lungs, allowing forces to be transmitted from one structure to another

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13
Q

Normal HCO3

A

22-28

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14
Q

What are bronchial sounds

A

A more hollow, echoing sound normal found of right superior anterior thorax

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15
Q

Lower lobes lateral basal segments

A

Prone decline

Uppermost ribs

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16
Q

Population for tracheal stimulation

A

Unable to cough on command (infants, brain injury, stroke)

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17
Q

What are ribs 1-6 called

A

True/costosternal ribs

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18
Q

Lower lobes superior segment

A

Prone flat

Middle of back at tip of scapula

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19
Q

What is Chronic Obstructive Pulmonary Disease

A

airflow limitation that is not fully reversible… usually an abnormal inflammatory response of the lungs to noxious particles or gases

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20
Q

What is inspiration reserve volume

A

Volume of gas that can be inhaled beyond a normal resting tidal inhalation

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21
Q

How many lobes does the right lung divide into

22
Q

What is the formula for smoking in pack years

A

Number of packs per day

X

Number of years smoked

23
Q

In general terms, what are vesicular sounds

A

Normal breath sounds

24
Q

Normal hematocrit values

25
What does visceral pleura do
Wraps outer surface of the lungs including fissure lines
26
Lower lobes posterior basal segment
Prone decline Lower ribs
27
What does parietal pleura do
Covers inner surface of thoracic cage, diaphragm, and mediastinal border of lung
28
What is the Angle of Louis
Sternal angle - the bony ridge between the manubrium and body
29
What is residual volume
Volume of gas that remains in the lungs after ERV has been exhaled
30
Patient position and percussion for right middle lobe
Patient supine in decline Right nipple
31
What is cystic fibrosis
Genetically inherited disease characterized by thickening of secretions of all exocrine glands, leading to obstruction
32
What is cyanosis a sign of
Acute Hypoxemia
33
Huffing is most appropriate for patients with...
Collapsible airways
34
What are ribs 11 and 12 called and why
Floating No anterior attachment to sternum
35
What is respiratory distress syndrome
Alveolar collapse in a premature infant resulting from lung immaturity
36
Why are ribs 7-10 called false/costochondral ribs
Share costochondral attachments before attaching anteriorly to sternum
37
Respiratory alkalosis pH and PaCO2
pH increased PaCO2 decreases
38
What is pneumothorax
Air in pleural space usually through a lacerated visceral pleura
39
Lingula
Supine, slightly rotated right in decline Left nipple
40
What is expiration reserve volume
Volume of gas that can be exhaled beyond a normal resting tidal exhalation
41
Patient position and percussion for anterior segment of upper lobe
Supine on flat bed Clap between clavicle and nipple on each side
42
What is tidal volume
Volume of gas inhaled/exhaled during normal resting breath
43
Normal pH for body
7.35-7.45
44
When are accessory muscles of inspiration used
A more rapid or deeper inhalation is required or in Disease states
45
Normal white blood cell count
4000-11000
46
Respiratory acidosis pH and PaCO2
pH decrease PaCO2 Increase
47
Why are ribs 1-6 true ribs
They attach to the sternum via single anterior costochondral attachment
48
What is Sarcoidosis
Multisystem inflammatory disease consisting of granulomas in multiple organs, most often lungs, skin, lymph nodes, eyes, and livers
49
What is hemothorax
Blood in pleural space, usually from a laceration of the parietal pleura
50
What is Alveolar Ventilation
Ability to remove carbon dioxide from pulmonary circulation and maintain pH
51
Normal values of hemoglobin
12-16 g/dL