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Flashcards in The Chest Deck (80)
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1

What generates the power to breathe?

The diaphragm and the external intercostal muscles

2

At what level does the trachea bifurcates?

At the level of the fourth or fifth thoracic vertebrae

3

How does the right bronchus differ from the left?

The right is shorter, wider and straighter than the left bronchus

4

What lobes are present in the right lung?

Upper, Middle, Lower

5

What lobes are present in the left lung?

Upper and Lower only

6

What is an other name for the sternomanubrial angle?

Angle of Louis

7

Where is the Angle of Louis located?

Approximately 5cm below the suprasternal notch lateral to the second rib

8

What landmark is associated with the inferior wing of the scapula?

T7

9

What landmark is associated with the most prominent cervical spinous process?

C7

10

What ribs articulate with the sternum?

Only the first seven ribs

11

Where do ribs eight, nine and ten articulate?

With the cartilage above

12

What is another name for the eleventh and twelfth ribs?

Floating ribs, have free anterior portions

13

What fissure divides the upper and lower lobes in both the right and left lung?

Oblique fissure

14

What are the borders of the oblique fissure?

Begins on the anterior chest at the six rib at the midclavicular line and extends laterally upward to the fifth rib in the midaxillary line ending at the posterior chest at the spinous process T3

15

What is the fissure that separates the right upper and middle lobes?

The horizontal fissure

16

What are the borders of the horizontal fissure?

It extends from the fourth rib at the sternal border to the fifth rib at the midaxillary line

17

How far up do the lungs extend?

Approximately 3-4cm above the medial end of the clavicles

18

Where are the inferior margins of the lungs?

Extend to the sixth rib at the midclavicular line to the eight rib at the midaxillary line and between T9 and T12 posteriorly

19

What causes the right hemidiaphragm higher than the left?

The liver

20

What is the most common symptom of lung disease?

Cough

21

Describe paroxymal nocturnal dyspnea?

Sudden onset of SOB at night, the patient is seized with sudden intense strangulation sensation

22

What disease is strongly correlated with paroxymal nocturnal dyspnea?

CHF

23

Describe orthopnea?

Difficulty breathing while lying flat

24

How is orthopnea relieved?

Use of multiple pillows to prop the patients head

25

Describe platypnea.

Difficulty breathing while sitting up

26

What relieves platypnea?

The recumbent position

27

Describe Trepopnea.

Condition in which patients are more comfortable breathing while lying on one side

28

What is abnormally high pitched noise hear predominately on expiration?

Wheezing

29

What two situations can cause a decrease in the amount of wheezing hear on auscultation?

Either an opening of the airway or a progressive closing off of the air passage

30

When does central cyanosis occur?

Only after the O2 saturation has fallen to less than 80%