cardiopulm - 10 tests and measures book

Question 1

what are adventitious breath sounds

Answer 1

abnormal breath sounds heard with inspiration and or expiration that can be continuous or discontinous

Question 2

what are crackle lung sounds

Answer 2

high pitched popping sound heard more often during inspiration

Question 3

what disease is crackle sounds often associated

Answer 3

restrictive or obstructive respiratory disorders

present w/ fluid or secretions

Question 4

what is pleural friction rib lung sounds

Answer 4

dry crackle heard with both inspiration and expiration

Question 5

where do we hear pleural friction rib lung sounds

Answer 5

heard or area where pt feels pleuritic pain

Question 5

when do we hear pleural friction rib lung sounds

Answer 5

when inflammed viseral and partial pleura rub together

Question 6

what do rhonchi lung sounds sound like

Answer 6

continous low pitched sound described as having snoring or gurgling quality

Question 7

what are rhonchi lung sounds caused by

Answer 7

cuased by air passing through an airway which is obstructed by inflammatory secreations, bronchi spasma, or a neoplasm

Question 8

what does stridor lung sounds sound like

Answer 8

contoniues high pitcjed wheeze heard with inspiration or expiration

Question 9

what do stridor lung sounds indicate

Answer 9

upper airway obstruction

Question 10

what does wheeze lung sound sound like

Answer 10

continuous musical or whistling sound made of a variety of pitches

variable area to area

Question 11

what causes wheezing sound

Answer 11

turbulant air flow and vibrations of the walls of the small airways 2/2 narrowing by

bronchospasm

edema

collapse

secretiosn

foreign body

Question 12

what do absent breath sounds indicate

Answer 12

collaspe

Question 13

what is considered obese on the BMI scale

Answer 13

30

Question 14

what is claudation a cardinal sym of

Answer 14

PAD

Question 15

what is claudation

Answer 15

when the skeletal muscle oxy demand exeedsthe blood oxy supply

Question 16

what is the claudication test

Answer 16

the pt walks on a flat track at max speed or treadmill at 2.0 mph at a constant grade

Question 17

what is the grading scale for claudication out of

Answer 17

1- 4

1 being best

4 being worst

Question 18

how much is the borg dyspnea scale out of

Answer 18

1-10

10 - worst

1 -best

Question 19

what is the point of a ECG

Answer 19

the is a graphic rep. of the hearts electrical activity

recorded from electrodes on the body

Question 20

what is a ECG used for

Answer 20

assess cardiac arrthy

to diagnosis the place, acuteness of MI

eval changes w/ activtiy

Question 21

what ICS are the most superior ECG leads

Answer 21

4th ICS at the sternal

Question 22

what is hoamans sign for

Answer 22

a test used to detect a DVT in the lower leg

Question 23

what is the procedure for hoamans sign

Answer 23

pass DF the ankle while keeping the knees straight

Question 24

what is the interprestation of hoamans sign

Answer 24

positive: if the manuver produced pain in the calf of the popliteal space

Question 25

mediated percussion - flat or dull sound

Answer 25

sounds liek you are hitting your thigh muscle in the upper lungs this suggest a neoplasm, atelectasis or consolidation in the lung

Question 26

mediated percussion - resonance

Answer 26

this is normal sound of a air filled lung

Question 27

mediated percussion - hyper resonance

Answer 27

int sound between resonce and tymphany suggest pulmonary emphysema or pnemothorax

Question 28

mediated percussion - tympany

Answer 28

hollow sound that kinda sounds like a drum beat occur with a large pneumothorax

Question 29

when is someones pulse irregular

Answer 29

with cardiac arthym

Question 30

when is someones pulse weak and hard to palpate

Answer 30

w/ PAD

Question 31

carotid pulse - where to find

Answer 31

the memdial aspect of the SCM in the lower half of the neck

Question 32

brachial pulse - where to find

Answer 32

medial to the biceps tedon and lateral to the medial epi

Question 33

ulnar pulse - where to find

Answer 33

at the wrist between the flexor digitorum superficalis and the flexo carpi ulnaris tendon

Question 34

radial pulse - where to find

Answer 34

at the wrist lateral the the flexor carpi radialis

Question 35

femoral pulse - where to find

Answer 35

in the upper thigh 1/3 the distance to the pubis

Question 36

popliteal pulse - where to find

Answer 36

in the popliteal space behind the knee

Question 37

posterior tibial pulse - where to find

Answer 37

in the psace between the medial mall and the achilles tendon above the calcaneus

Question 38

dorsalis pedis - where to find

Answer 38

near the center of the long axis of the foot between the 1st and 2nd metatarsal

Question 39

what is the normal heart rate for a child

Answer 39

80 - 100 bpm

Question 40

what does 3+ mean for pulse

Answer 40

large and bounding pulse

Question 41

what does 2+ mean for pulse

Answer 41

normal or average pulsation

Question 42

what does 1+ mean for pulse

Answer 42

small or reduced pulse

Question 43

what does 0 mean for pulse

Answer 43

absent pulse

Question 44

what is pulmonary function testing

Answer 44

a test that measure the volume of flow of air during inhalation and exhalation test I did for asthma looking at forced vital capcity

Question 45

what is forced vital capacity

Answer 45

the maximum amount of air a person can exhale forcefully after a deep breath

Question 46

what does FEV1/FVC < 70%

Answer 46

this is a primary indicator of obstructive impairment asthma, empahsema, chronic bronchitis

Question 47

what is pulse oximetry looking at

Answer 47

the estimates the oercent of arterial oxy saturation of hemoglobin

Question 48

what is rate pressure product

Answer 48

is an index of myocardial oxygen consumption and coronary blood flow RPP = HR x SBP (measured during the same exercise)

Question 49

what is the borg scale

Answer 49

RPE

Question 50

what does a RPE of 13-14 represent in HR

Answer 50

70% of max HR

Question 51

in cardiac training what is the max RPE suggested

Answer 51

11-13

Question 52

what is the normal RR for - newborn

Answer 52

33-45

Question 53

what is the normal RR for - 1 year

Answer 53

25 - 35

Question 54

what is the normal RR for - 10 year old

Answer 54

15-20

Question 55

what is the normal RR for - adult

Answer 55

12 20

Question 56

normal inspiration vs expiration

Answer 56

1:2 inspiration is half as long as expiration

Question 57

COPD inspiration vs expiration

Answer 57

1:3 or 1:4

Question 58

what is apnea

Answer 58

absence of spontaneous breathing

Question 59

what is bradypnea

Answer 59

slower the normal RR <12 breaths per min

Question 60

what is biot's

Answer 60

irregular breathing that have periods of apnea often associated with increase intercranial pressure or damage to the medulla

Question 61

what is eupnea

Answer 61

normal rate and depth of breathing

Question 62

what is hyperpnea

Answer 62

increased rate and depth of breathing

Question 63

what is hypopnea

Answer 63

decrease rate and depth of breathing

Question 64

what is kussmaul's

Answer 64

deep and fast breathing often associated with metabolic acidosis

Question 65

what is paradoxical breathing

Answer 65

the chest wall move in w/ inhalation and out exhalation this is 2/2 chest trauma or paralysis of the diaphragm

Question 66

what is tachpnea

Answer 66

faster the normal respirtory reate >20 breaths/min in adults

Question 67

what is the purpose of the 6 MWT

Answer 67

used to measure functional status and to document treatment outcomes in those w/ lung disease and healthy adults

Question 68

how many walks are reccomended for the 6 MWT

Answer 68

3 walks w/ 15 min rest in between