respiratory labs

Question 1

if someone has pleural effusion what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

Answer 1

tracheal deviation- contralateral
fremitus- decreased
percussion- dull
pectoriloquy- decreased
breath sounds - decreased

Question 2

if someone has consolidation what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

Answer 2

tracheal deviation- none
fremitus- increased
percussion- dull
pectoriloquy- increased
breath sounds- decreased

Question 3

if someone has emphysema what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

Answer 3

tracheal deviation- none
fremitus- decreased
percussion- hyper resonant
pectoriloquy- decreased
breath sounds- crackles

Question 4

if someone has tension pneumothorax what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

Answer 4

tracheal deviation- contra
fremitus- decreased
percussion- hyper resonant
pectoriloquy- decreased
breath sounds- decreased

Question 5

if someone has mucous plug (with collapse) what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

Answer 5

tracheal deviation- ipsilateral
fremitus- decreased
percussion- dull
pectoriloquy- decreased
breath sounds- decreased

Question 6

if there is decreased breath sounds and then u assess tactile fremitus if it is increased it is ___ and if it is decreased it can be what 3 things

Answer 6

increased consolidation (pneumonia)
decreased is pneumothorax , pleural effusion and pulmonary edema

Question 7

what breath sound is like crowing sound during inspiration , suggesting an upper airway obstruction or laryngospasm

Answer 7

stridor

Question 8

what is pleural friction rub caused by

Answer 8

rubbing of inflamed pleural surfaces against lung tissue

Question 9

when is pleural friction rub

Answer 9

both inspiration and expiration

Question 10

asthma casues narrowing of the airways due to what 2 things

Answer 10

bronchocontriction
secretions

Question 11

what are continuous , high-pitched, musical tones that can be heard during either inspiration and expiration or both.

Answer 11

wheezes

Question 12

what could wheezes be a result of

Answer 12

collapsed airway lumen gradually opens during inspiraiotn or gradually closes during expiration or extensive secretions in expiration

Question 13

what are fluid secretions in large airways, lower pitch

Answer 13

rhonchi

Question 14

what are 4types of adventitious breath sounds

Answer 14

wheezes or rhonchi
crackles or rales
stridor
pleural rub

Question 15

rhonchi are suggestive of what

Answer 15

secretions in large airways

Question 16

wheezes are suggestion of

Answer 16

asthma

Question 17

crackles are ____ sounds

Answer 17

discontinuous

Question 18

crackles are due to what

Answer 18

interstitial lung disease or fluid build up from CHF or pulmonary fibrosis

Question 19

coarse crackles are ____ , ___ pitch and ____

Answer 19

louder
lower
longer

Question 20

coarse crackle are due to what

Answer 20

large airway obstruction (rales)

Question 21

what diseases (4) can you hear coarse breath sounds in

Answer 21

pneumonia
COPD
pulmonary edema
aspiration

Question 22

crackles are heard more commonly during what

Answer 22

inspiration

Question 23

id crackles are heard during early inspiration it may be due to what 2 things

Answer 23

choleric bronchitis or early emphysema in lagrange airways

Question 24

if crackles are heard later in inspiration it may originate from what

Answer 24

from smaller peripheral airways

Question 25

restrictive lung diseases: interstitial fibrosis, sarcoidosis, asbestosis, pneumonia, scleroderma, pulmonary edema can all lead to crackles being heard in …

Answer 25

late inspiration phase

Question 26

what are the 3 abnormal sounds

Answer 26

bronchial decreased absent

Question 27

if the chest goes up but the tummy goes in then its is ___ paradox breathing

Answer 27

abdominal

Question 28

what is a clinical diagnosis of daily productive cough for 3 months or more in at least 2 consecutive years

Answer 28

chronic bronchitis

Question 29

someone with chronic bronchitis will have ___ hemoglobin , ___ edema and what kind of adventitious breath sounds

Answer 29

elevated peripheral rhonchi and cheering

Question 30

what is pathologic diagnosis of permanent enlargement and destruction of airspace’s distal to the terminal bronchiole

Answer 30

emphysema

Question 31

the x-ray for emphysema patients will show what

Answer 31

hyperinflation with flatten diaphragm

Question 32

if the sputum is purulent what does that mean

Answer 32

lung infection

Question 33

if the sputum is rusty colored what does that mean

Answer 33

damage to lung tissue

Question 34

is the sputum is foamy white or frothy pink what does that mean

Answer 34

cardiac problem can casues pulmonary edema