Test 2-Cher-Labeling parts

Question 1

Label the parts on the patient’s right from top to bottom:

Answer 1

1. Clavicle
2. 2nd intercostal space
3. Costal Cartilage
4. Dome of the diaphragm
5. 7th intercostal space

Question 2

Label the parts on the patient’s left:

Answer 2

1. suprasternal notch
2. Manubrium
3. Sternal Angle: Angle of Louis
4. Body of Sternum
5. Costachondral junction
6. Xiphoid Process
7. Costal Angle
8. Costal Margin

Question 3

Label the parts on the patient’s left:

Answer 3

1. Clavicle
2. Scapula
3. Inferior Angle of Scapula

Question 4

Label the parts with the arrows on the right:

Answer 4

1. Vertibrae C7
2. Spinous process of T3

Question 5

1 Patients top right =

Label all three parts:

Answer 5

1. Anterior Axillary Line
2. Midclavicular line
3. Midsternal Line

Question 6

1. Patient’s left =

Label the lines:

Answer 6

1. scapular line
2. vertebral line

Question 7

Label the lines from patients anterior to posterior:

Answer 7

1. Anterior axillary line
2. Midaxillary line
3. Posterior Axillary Line

Question 8

What should anteroposterior to transverse diameter of the thorax be?

Answer 8

1:2

Question 9

What are these 2 conditions called?

1: left - chest sinking in
2. right - chest pointing out

Answer 9

1. pectus excavatum
2. pectus carinatum

Question 10

Label the pic from left to right:

Answer 10

1. normal
2. barrel chest
3. kyphosis
4. pectus excavatum
5. pectus carinatum

Question 11

What is this called:

Answer 11

Scoliosis

Question 12

In what type of human is a round thorax normal?

Answer 12

Infant

Question 13

Newborns:

Obligate nose breather until _________.

_______ _______ with each respiration.

Breath sounds are _______ and _______.

Answer 13

3 months

abdominal bulge

loud and harsh

Question 14

The aging adult:

______ _______ calcification.

_________ elasticity of lungs.

_________ vital capacity and ________ residual volume.

Less ventilation of the ________ of the lungs.

Answer 14

Costal cartilage

decreased

decreased, increased

bases

Question 15

Respiratory Distress:

B

R

E

A

T

H

S

Answer 15

Breathing fast (tachypnea)

Retractions

Excess noises (grunting)

Accessory muscles

Tripod position

Head bobbing / Holes of nose (nasal flaring)

See-saw respirations

Question 16

As the patient attempts to breathe, the diaphragm descends, causing the abdomen to lift and the chest to sink. What is this called?

Answer 16

See Saw respirations

Question 17

Nme the types of respirations from top to bottom:

1.

2.

3.

4

Answer 17

1. Suprasternal retractions
2. Intercostal retractions
3. Substernal retractions
4. Subcostal retractions

Question 18

Name the type of respirations from left to right:

Answer 18

1. Apnea
2. Biots
3. Cheyne Stokes
4. Kussmaul’s

Question 19

Difficulty breathing when supine:

Answer 19

Orthopnea

Question 20

Awakening from sleep with shortness of breath and needing to be upright to achieve comfort:

Answer 20

Paroxymal Nocturnal Dyspnea

Question 21

What would we be looking for when we palpate the neck?

Answer 21

Tracheal deviation

Question 22

What are 2 examples of discontinuous sounds?

Answer 22

1. Crackles
2. Pleural rub

Question 23

What are 3 examples of continuous sounds?

Answer 23

Wheeze

Rhonchi

Stridor

Question 24

Label the parts:

1. Patients Right:
2. Patient’s 3rd right intercostal space:
3. Patients top right

Answer 24

1. pericordium
2. base of heart
3. apex of heart

Question 25

Label the heart sounds: 1. Yellow dot = 2. Turquoise dot = 3. Orange dot = 4. Purple dot = 5. Reddot =

Answer 25

1. Aortic 2. Pulmonic 3. Erb's point 4. Tricuspid 5. Mitral

Question 26

Cardiac Cycle: S1 = S2 =

Answer 26

Closure of AV valves Closure of semilunar valves

Question 27

Which sound can best be heard at the base of the heart? Which sound can best be heard at the apex of the heart

Answer 27

S2 S1

Question 28

What kind of lighting is needed to see the apical impulse? Where is it? In what population is it the easiest to see?

Answer 28

1. Tangential 2. 4th or 5th intercostal space 3. Children

Question 29

When do heaves/lifts occur? If a heave is caused by right ventricular hypertrophy where is it seen? If a heave is caused by left ventricular hypertrophy where is it seen?

Answer 29

Ventricular hypertrophy Sternal Border Apex

Question 30

When palpating the carotid arteries: Avoid excessive \_\_\_\_\_\_\_. How many should you palpate at a time? \_\_ Note the ________ and the \_\_\_\_\_\_\_\_. Both sides should be \_\_\_\_\_\_\_\_.

Answer 30

Pressure 1 contour, amplitude equal

Question 31

When palpating the apical impulse: Use 1 _____ \_\_\_\_\_ Ask the client to _____ \_\_\_\_ \_\_\_\_\_\_. You may need to roll the client to their \_\_\_\_\_\_\_.

Answer 31

finger pad exhale and hold left

Question 32

What would be noted in apical impulse findings: 1. 2. 3. 4.

Answer 32

1. location 2. amplitude 3. size 4. duration

Question 33

When palpating the pericordium: Use _____ aspect of _____ fingers Gently palpate: 1. 2. 3.

Answer 33

palmar, four 1. Apex 2. Left sternal border 3. base

Question 34

Auscultating the carotid artery: Keep the neck in ______ position Lightly apply bell of stethoscope over: 1. 2. 3.

Answer 34

neutral 1. angle of jaw 2. midcervical area 3. base of neck