Pulmonary Part One

Question 1

what is Pott’s disease

Answer 1

form of tuberculosis that primarily affects the thoracic and upper lumbar vertebrae

Question 2

how many segments in the right lung

Answer 2

10

Question 3

primary muscle of inspiration

Answer 3

diaphragm

Question 4

how many lobes in the right lung

Answer 4

3

Question 5

what is a sign of chronic hypoxemia

Answer 5

digit clubbing

Question 6

purpose of contract-relax PNF

Answer 6

increase ROM

Question 7

what is the sternal angle

Answer 7

bony ridge between the manubrium and body

Question 8

lower airway anatomy

Answer 8

trachea

bronchioles

Question 9

purpose of the visceral pleura

Answer 9

wraps outer surface of the lung (including fissure lines)

Question 10

because of the diaphragm, what happens to the abdominal wall during inhalation

Answer 10

protrusion of the wall during inhalation

Question 11

normal SpO2

Answer 11

98-100%

Question 12

what will complete blood count show for Pneumocystis pneumonia

Answer 12

nothing (no signs of infection)

Question 13

in order to provide extra support to the abdominal viscera, what can be applied

Answer 13

abdominal binder

Question 14

how is respiratory rate with COPD

Answer 14

increased

Question 15

normal (afebrile) body temperature

Answer 15

98.6 degrees F

37 degrees Celsius

Question 16

how many segments in the left lung

Answer 16

8

Question 17

what is anatomical dead space

Answer 17

a space that is well ventilated but in which no respiration occurs

Question 18

how many lobes in the left lung

Answer 18

2

Question 19

upper airway anatomy

Answer 19

nose/mouth

pharynx

larynx

Question 20

what is sarcoidosis

Answer 20

multisystem inflammatory disease consisting of granulomas in mutliple organs, most often the lungs, skin, lymph nodes, eyes, and liver

Question 21

purpose of alternating isometrics PNF

Answer 21

endurance, strengthening, stability

Question 22

smoking in pack years formula

Answer 22

number of packs per day

number of years smoked

Question 23

purpose of rhythmic initiation PNF

Answer 23

initiate movement

Question 24

what are “false or costochondral” ribs

and why are they called this

Answer 24

7-10

share costochondral attachments before attaching anteriorly to the sternum

Question 25

what is a sign of acute hypoxemia

Answer 25

cyanosis

Question 26

type of bacteria present with bacterial pneumonia

Answer 26

gram-positive (streptococcal)

Question 27

peripheral edema in gravity-dependent positions and jugular venous distension indicates...

Answer 27

heart failure

Question 28

who is trachael stimulation used for

Answer 28

patients who are unable to cough on command (infants/post TBI)

Question 29

purpose of parietal pleura

Answer 29

covers inner surface of the thoracic cage, diaphragm, and mediastinal border of the lung

Question 30

the sternal angle AKA

Answer 30

Angle of Louis

Question 31

what is respiratory distress syndrome

Answer 31

alveolar collapse in a premature infant resulting from lung immaturity, inadequate level of pulmonary surfactant

Question 32

what are "true" ribs and why are they called this

Answer 32

1-6 have a single anterior costochondral attachment to the sternum

Question 33

what is bronchiectasis

Answer 33

a chronic congenital or acquired disease characterized by abnormal dilatation of the bronchi and excessive sputum production

Question 34

what are "floating" ribs and why are they called this

Answer 34

11-12 they have no anterior attachments

Question 35

what position is the best for diaphragm

Answer 35

supine

Question 36

hemothorax results in the trachea and mediastinum in what direction

Answer 36

shift away from side of injury

Question 37

what is Pneumocystis pneumonia

Answer 37

pulmonary infection caused by fungus in immunocompromised hosts

Question 38

what are the 3 lobes of the right lung divided by

Answer 38

oblique and horizontal fissure lines

Question 39

during inhalation, the two upper ribs are raised by...

Answer 39

scales SCMs

Question 40

normal thoracic excursion

Answer 40

2-3 inches

Question 41

what are alternating isometrics PNF

Answer 41

isometric contractions on one side of the joint then the other side of the joint without rest

Question 42

how to perform contact-relax PNF

Answer 42

as extremity reaches point of limitation, patient performs maximal contraction of antagonistic muscle group therapist resists movement with relaxation

Question 43

purpose of hold-relax PNF

Answer 43

increase ROM

Question 44

what is scapular dyskinesia

Answer 44

dysfunctional movement of the scapula (leads to impaired shoulder function)

Question 45

when are accessory muscles of inspiration used

Answer 45

when a more rapid or deeper inhalation is used or with diseases

Question 46

purpose of calcium carbonate

Answer 46

bone mineral regulating agent that enhances and maximizes bone mass (prevents bone loss)

Question 47

what is a drug that can also be used as an antacid

Answer 47

calcium carbonate

Question 48

what is dantrolene sodium

Answer 48

treats spasticity by interfering with release of calcium from sarcoplasmic reticulum

Question 49

purpose of secobarbital

Answer 49

reduces seizures