Cardiopulmonary Symptoms
Palpation and CXRs
Percussion and CXRs
Auscultation
Miscellaneous
100
This condition is the most common cause of pedal edema.
What is heart failure?
100
Which of the following conditions is associated with increased vocal (tactile) fremitis? Emphysema or Pneumonia
What is pneumonia?
100
You note a hyper-resonant percussion note. Which of the following disease processes is a most likely cause? emphysema atelectasis pleural effusion pneumonia
What is emphysema?
100
Your patient has adventitious breath sounds that clear with cough. Define that breath sound.
What is rhonchi?
100
This breathing pattern is often a sign of diaphragmatic fatigue.
What is abdominal paradox?
200
Your patient has a prolonged expiratory time. Which disease process is the most likely lead to a prolonged expiratory time? Asthma, pneumonia, pneumothorax, or pulmonary fibrosis
What is asthma?
200
While palpating your patient's chest wall, you note symmetrical expansion but a decreased tactile fremitis. What is the most likely cause? pneumothorax pneumonia pulmonary edema emphysema
What is emphysema?
200
During your assessment, you note increased resonance on the patient's right side. The most likely cause is: pneumonia atelectasis pneumothorax pleural effusion
What is pneumothorax?
200
While auscultating your patient, you hear fine fluidic sounds at the bases bilaterally. What breath sound are you hearing?
What are crackles?
200
The patient complains of chest pain. He is diaphoretic, has cold extremities, and speaks of radiating pain in his left arm. Are his symptoms most likely associated with: Left-sided pneumothorax OR Acute myocardial infarction
What is Acute Myocardial infarction
300
The bluish color or the skin and mucous membranes that is a result of deoxygenated hemoglobin.
What is cyanosis?
300
During palpation of an adult patient, you notice little or no movement on the right side when the patient takes a full deep breath. Which condition is the most likely cause? RLL atelectasis Pulmonary edema R sided consolidation R sided pleural effusion
What is pulmonary edema?
300
You are evaluating a chest x-ray for hyperinflation. Would you expect to see: increased lung volumes or decreased lung volumes? Would the patient's intercostal spaces be widened or narrowed?
What is increased lung volumes and widened intercostal spaces?
300
You are called to the emergency department for a patient in respiratory distress. You note the presence of stridor. Does this adventitious breath sounds indicate bronchospasm or an upper airway obstruction?
What is upper airway obstruction?
300
A chest pain that worsens with deep breathing would be classified as: pleuritic chest pain cardiac chest pain
What is pleuritic chest pain?
400
Of the following conditions, which is most likely to cause a nonproductive cough? chronic bronchitis pneumonia COPD/emphysema pulmonary edema
What is pulmonary edema?
400
Radio density refers to:
What is whiter areas on a chest x-ray?
400
Blunting of the costophrenic angles on a chest x-ray indicate:
What is excessive pleural fluid (pleural effusion)?
400
During assessment of your patient, you hear coarse adventitious breath sounds during inspiration and expiration. The sound improves after the patient coughs. What is the cause of this abnormal sound?
What is secretions in the larger airways?
400
A pulse rate below the normal range is referred to as:
What is bradycardia?
500
Tachycardia is often a first clue to what cardiopulmonary problem?
What is hypoxemia?
500
When evaluating the CXR of a patient with emphysema, would you expect the hemidiaphragms to be elevated or depressed?
What is depressed?
500
During your assessment, you notice a dull percussion note over the right upper lobe. You also see an area of increased radiodensity on the chest x-ray. What is the most likely cause?
What is pneumonia (consolidation)?
500
Your patient has fine inspiratory crackles; however, his chest x-ray and physical assessment do not indicate the presence of fluid overload. What is the most likely cause of the crackles?
What is atelectasis (opening of the airways during inspiration)?
500
What is the breathing pattern most often associated with diabetic ketoacidosis?
What is Kussmaul's breathing?
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