YOU GOT THIS
I DON'T HAVE THIS
HMMMM
LET ME SEE
READY OR NOT
100

Increased tactile fremitus would be evident in an individual who has which of the following conditions?

  •  Emphysema
  • Pneumonia 
  • Crepitus
  •  Pneumothorax

WHAT IS PNEUMONIA? 

100

Which of the following is not included in the definition of the thoracic cage?

  •  Sternum
  •  Ribs
  • Costochondral junction
  •  Diaphragm

WHAT IS 

  • Costochondral junction


100

Inspiration is primarily facilitated by which of the following muscles?

  •  Diaphragm and rectus abdominis
  •  Trapezius and sternomastoids
  •  Internal intercostal and abdominis
  •  Diaphragm and intercostal 

WHAT IS

Diaphragm and intercostal 

100

The gradual loss of intra-alveolar septa and a decreased number of alveoli in the lungs of elderly adults cause:

  •  hyperventilation.
  •  spontaneous atelectasis.
  •  decreased surface area for gas exchange. 
  • decreased dead space.

WHAT IS 

  • decreased surface area for gas exchange. 
100

Stridor is a high-pitched, inspiratory crowing sound commonly associated with:

  •  upper airway obstruction. 
  •  atelectasis.
  •  congestive heart failure.
  •  pneumothorax.

**BONUS EXTRA 100 POINTS

WHAT IS A POSSIBLE CAUSE OF STRIDOR?

WHAT IS 

UPPER AIRWAY OBSTRUCTION

WHAT IS CROUP,PERTUSSIS,EPIGLOTTIS,ASPIRATIONS

200

A common clinical manifestation in a patient with chronic obstructive pulmonary disease (COPD) is:

  •  periodic breathing patterns.
  • pursed-lip breathing.
  •  unequal chest expansion.
  •  hyperventilation.

WHAT IS 

  • pursed-lip breathing
200

Percussion of the chest is:

  •  a useful technique for identifying small lesions in lung tissue.
  •  helpful only in identifying surface alterations of lung tissue. 
  •  is not influenced by the overlying chest muscle and fat tissue.
  •  normal if a dull note is elicited.

WHAT IS 

helpful only in identifying surface alterations of lung tissue?

200

Which of the following pairs correctly expresses the relationship to the lobes of the lungs and their anatomic position?

  •  Upper lobes—lateral chest
  •  Upper lobes—posterior chest
  • Lower lobes—posterior chest 
  • Lower lobes—anterior chest

WHAT IS 

  • Lower lobes—posterior chest?


200

PATIENT STATED NINETY-NINE AND YOU HEARD IT WAS DISTINCT WHAT CAN YOU INDICATE FROM THIS ASSESSMENT.

WHAT IS 

A POSITIVE BRONCHOPHONY TEST; SOUND WAS DISTINCT;MEANING DENSITY IN LUNGS AND IS ABNORMAL 

200

short, popping, crackling sounds that sound like fine crackles but do not last beyond a few breaths 

1.atelectacic crackle

2.crepitus

3. fremitus

4.coarse crackle

WHAT IS 

1. atelectacic crackle

300

abnormal findings: configurations of the thorax IDENTIFY AT LEAST 2

WHAT IS 

barrel chest; pectus excavatum; pectus carinatum; scoliosis; kyphosis?



300

abnormal findings: respiration patterns LIST AT LEAST 3

WHAT IS 

sigh; tachypnea; bradypnea; hyperventilation; hypoventilation; cheyne-stokes respiration; biot's respiration; chronic obstructive breathing

300

A PATIENT HAS ALLERGIES WHAT TYPE OF BREATHING PROBLEM MAY THE PATIENT HAVE?

WHAT IS 

ALLERGY?

300

Upon examination of a patient, you note a coarse, low-pitched sound during both inspiration and expiration. This patient complains of pain with breathing. These findings are consistent with

WHAT IS PLUERAL FRICTION RUB

300

Upon examining a patients nails you note that the angle of the nail base is >160 degrees and that the nail base feels spongy to palpation. These findings are consistent with

chronic congenital heart disease and COPD



400

UNEQUAL CHEST EXPANSION OCCURS WITH WHAT DISEASES? NAME AT LEAST ONE

WHAT IS 

PNEUMOTHORAX,ATECLASIS,PNEUMONIA, AND THORACIC TRAUMA

400

Auscultation of breath sounds is an important component of respiratory assessment. Select the most accurate description of this part of the examination:

WHAT IS 

Hold the diaphragm of the stethoscope against the chest wall; listen to one full respiration in each location, being sure to do side-to-side comparisons.



400

A pleural friction rub is best detected by

WHAT IS 

AUSCULTATION

400

list what each color of sputum is indicative of

rust colored-

pink frothy-

white-

green-

blood-

yellow-

WHAT IS 

rust colored-tuberculosis,pneumococcal pneumonia

pink frothy-pulmonary edema

white-viral infections, common cold

green-bacterial infection

blood-hemoptysis

yellow-bacterial infection

400

When examining for tactile fremiuts, it is important to

WHAT IS 

PALPATE THE CHEST CORRECTLY

500

In order to use the technique of egophony, ask the patient to

say "eeeee" each time the stethoscope is moved



500

What is crepitus? how does it occur?

Crepitus is a crackling sensation that occurs when air escapes from lung to subcutaneous tissue.

- thoracic injury
- chest tube
- tracheostomy

500

How do you assess for fremitus?

What is it?

Palpate with ball of hand. Patient says "ninety-nine" as you move hand to each area.

Fremitus is the normal vibrations felt during vocalization. it should be symmetrical bilaterally.

500

labored noisy breathing found in

WHAT IS 

asthma. bronchitis

500

WHAT CONDITION IS WHEEZING SOMETIMES ASSOCIATED WITH?

WHAT IS ASTHMA?