Thorax and Lungs (Chapter 19) Flashcards
(90 cards)
1
Q
where is the suprasternal notch located
A
very top of sternum, in-between clavical
2
Q
what does the manubriosternal angle line up with
A
2nd rib
3
Q
what is the manubriosternal angle also called
A
angle of Louis
4
Q
where is the first rib located under
A
clavical
5
Q
where is the intercostal space located for 2nd rib
A. below the rib
B. Above the rb
A
below the rib
6
Q
what is the costal angle an angle of
A
starting at the xiphoid process the angle of the ribs coming up to connect
7
Q
if you ask a patient to hunch their back what is the prominace at the bottom of the neck
A
C7
8
Q
midsternal line
A
down the middle anterior
9
Q
midclavicular line
A
middle clavicle anterior
10
Q
scapular line
A
line of the scapula posterior
11
Q
vertebral line
A
line down spine posterior
12
Q
anterior axillary line
A
connection between anterior arm and chest
13
Q
midline axillary line
A
middle laterally
14
Q
posterior axillary line
A
connection between posterior deltoid and back
15
Q
where is the apex of the lung located
A
above the clavical
16
Q
what lung has more lobes
A
right
17
Q
how many lobes does the left lung have
A
2 lobes
18
Q
what lobe dominates the posterior region
A
LOWER LOBE
19
Q
if you know someone has lower lobe pneumonia where should you listen
A
back
20
Q
if you notice someone is using accessory muscles while breathing
A
they are having trouble breathing and normally in respiratory distress
21
Q
2 types of cough
A
productive and non productive
22
Q
what is coughing up blood called
A
hemoptysis
23
Q
what could hemoptysis mean
A
lung cancer
24
Q
pulmonary edema will look like what
A
pink frothy/pink tinge
25
if you notice someone is coughing up pink frothy spit what should you do
call doctor or RT immediately
26
what could pink frothy spit lead to
respiratory arrest
27
what color spit would someone with TB have
rust color
28
what is normal cough
clear/white
29
bacterial/vital infection cough will look like what
green/yellow
30
if someone has bronchitis what would you expect their cough to look like
green/yellow
31
shortness of breath is a concern at what time
rest
32
if you notice someone is complaining of chest pain what should you ask them
'take a deep breath and does it get worse or stay the same'
33
if someone is having chest pain and they take a deep breath and they say it stays the same what might the cause be
heart, MI
34
if someone is having chest pain and they take a deep breath and they say it gets worse what might be the cause
lungs
35
what are some self care behaviors to prevent lung issues
exercise, Xray, testing, COVID, TB, vaccines
36
orthopnea
difficultly breathing in supine position
37
what might you think if someone states "I have had to sleep in the recliner for the past 4 nights"
orthopnea
38
what might you think if someone states "I have had to sleep with 4 pillows instead of one recently"
orthopnea
39
what are someone diseased patients that might have accessory muscle use when breathing
ARDS
asthma
respiratory infection
chronic bronchitis
COPD
pneumonia
emphysema
pulmonary edema
pulmonary embolism
40
what is anteroposterior diameter
the distance from the front to the back looking from the side
41
what is transverse diameter
looking straight at the anterior of the individual
true width of a patient
42
what is the normal ratio for anteroposterior/transverse diameter
1:2
43
what two patients might have an anteroposterior/transverse diameter of 1:1
obese and COPD patients
44
COPD patients might have what kind of chest
barrel
45
if you have someone in respiratory distress what position would you expect them to be in
tripod postion
46
where would you see a change in skin color
lips
47
anteroposterior should be half of
transverse
48
where do you place your thumbs during symmetric expansion
9th rib
49
what is the normal expected finding for symmetric expansion
symmetric bilaterally
50
who might not have symmetric bilaterally symmetric expansion
collapsed lung (atelectasis)
penumonia
lobotomy
pnuemothorax
51
what do we have someone say when doing tactile fermitus
a two syllable word (99)
52
what does tactile fremitus assess
vibration of larynx through bronchi
53
who might have not equal bilaterally tactile fremitus
lung disease
pneumonia
54
who might have decreased tactile fremitus
asthma
pleural effusion
atelectasis
55
what is the predmoninate note over lung fields
resonance
56
where is the apex of the lungs
over clavicle
57
what are the 3 breath sounds
bronchial
bronchovesicular
vesicular
58
what are the main sounds you will hear in the airways
vesicular
59
what are the sounds of the peripheral fields
vesicular
60
are crackles high or low pitch
high
61
what is the cause of crackles
inhaled air colliding with deflated air way
62
when are crackles heard
insipiration
expiration
both
63
wheeze is caused by
consriction of airway
64
what part of stethoscope is used to listen to breath sounds
diagram
65
why is level of consciousness important
oxygen delivery
66
what are accessory muscles a cue for
respiratory disress
67
where are vesicular sounds heard
over lung fields
68
where are bronchovesicular sounds heard
in the middle between lungs
69
what side are bronchial sounds only heard on
anterior
70
where are bronchial sounds heard at
over the neck
71
what are bronchial sounds also called
tracheal
72
what patients have barrel chest
COPD
73
scoliosis
S shape, uneven shoulders
74
Kyphosis
posterior curve
humpback
75
who might have kyphosis
COPD and emphysema
76
COPD and emphysema patients do what kind of breathing
pursed lip
77
tachypnea
fast
78
Bradypnea
slow
79
cheyne stokes and biots are associated with
dying patient
80
stridor is associated with what
anaphylactic reaction
81
is stridor a late or early response
late
82
where should you listen for stridor
over trachea
83
tactile fremitus findings would be increased when
A. the patient has a mild case of pneumonia
B. the patient has an advanced case of pneumonia
C. the patient has a plural effusion
D. the patient has a blocked bronchus
B. the patient has an advanced case of pneumonia
84
which of the following is a true statement regarding the findings related to percussion
A. percussion us a useful technique for identifying small lesions in lung tissue
B. Percussion is helpful only in identifying surface alterations of lung tissue
C. Percussion notes are not influenced by the overlying chest muscle and fat tissue
D. a dull not elicited with percussion is the expected finding
B. Percussion is helpful only in identifying surface alterations of lung tissue
85
which of the following correctly expressed the relationship to the lobes of the lungs and their anatomic position
A. upper lobes- lateral chest
B. upper lobes-posterior chest
C. lower lobes-posterior chest
D. lower lobes-anterior chest
C. lower lobes-posterior chest
86
bronchial sounds
high pitch
loud
inspiration < expiration
harsh, hollow tubular
over trachea and larynx
87
bronchovesicular
moderate pitch
moderate amplitude
inspiration = expiration
heard over major bronchi
between scapula and upper sternum
88
vesicular
low pitch
soft
inspiration > expiration
rustling wind sound
main peripheral fields
89
stridor pitch
high pitch
90
stridor inspiratory or expiratory
inspiratory
