Skills check 1 (Lobes & postural drainage)

Question 1

postural drainage position for the apical segment of the right upper lobe

Answer 1

half sitting, propped up as far as possible with a pillow under the knees

Question 2

postural drainage position for the anterior segment of the right upper lobe.

Answer 2

laying flat on back with pillow under head and under knees with hips in external rotation

Question 3

postural drainage position for the anterior segment of the left upper lobe.

Answer 3

head of the bed slightly elevated with pillow under knees

Question 4

postural drainage position for the lingula

Answer 4

(left side) side-lying (head would be tilted down) 2 pillows in between legs, open chest up to the sky with right arm up grabbing the pillow under the head and left arm behind back

Question 5

postural drainage position for the middle lobe

Answer 5

(right side) side lying (head would be tilted down) 2 pillows in between legs, open chest up to the sky with left arm up grabbing the pillow under the head and right arm behind back

Question 6

modified postural drainage position for the lateral segment of the left or right lower lobe

Answer 6

side-lying, 2 pillows between their legs, chest facing the side both arms up around pillow

Question 7

postural drainage position for the superior segment of the left or right lower lobe.

Answer 7

prone lying, pillow under feet and head with arms up above head

Question 8

postural drainage position for the posterior segment of the left or right lower lobe.

Answer 8

lying prone, pillow under hip and knees but none under the head (tipped down)

Question 9

postural drainage position for the anterior segment of the left or right lower lobe

Answer 9

lying on back (head tilted down) with pillow under head and knees

Question 10

describe the location of the apical-posterior segment of the left upper lobe and the apical segment of the right upper lobe.

Answer 10

above the clavicle, below the first rib

Question 11

describe the location of the apical-posterior segment of the left upper lobe and the posterior segment of the right upper lobe.

Answer 11

above the spine of the scapula posteriorly

Question 12

describe the location of the anterior segments of both upper lobes

Answer 12

below the clavicle but above the 4th rib

Question 13

describe the location of the medial segment of the middle lobe and the inferior segment of the lingula

Answer 13

below the 4th rib, around or slightly midline to mid-clavicular level

Question 14

describe the location of the lateral segment of the middle lobe and the superior segment of the lingula

Answer 14

below the 4th rib, slightly lateral to the mid-clavicular line

Question 15

describe the location of the anterior segments of both lower lobes

Answer 15

line of the xiphoid process, lateral to the midclavicular line

Question 16

describe the location of the lateral segments of both lower lobes

Answer 16

anteriorly can be found between mid-clacicular line and mid-axillary around the level of the 6th rib or xiphiod

Question 17

describe the location of the superior segments of both lower lobes

Answer 17

just below the spine of the scapula (posteriorly)

Question 18

describe the location of the posterior segments of both lower lobes

Answer 18

below the inferior angle of the scapula (7th/8th rib)

Question 19

describe where the horizontal fissure runs

Answer 19

on right side, runs along the 4th rib anteriorly, stops at the mid axillary line

Question 20

describe where the oblique fissure runs

Answer 20

starts at the level of the spine of the scapula which is about at the level of T2. when hands are up on head it traces the medial border of the scapulae around the chest to the mid-clavicular line at the level of the xiphiod process around the front.