Ch4 Pulm questions

Question 1

A woman is diagnosed with LLL PNA, you perform tactile premitus on her left lower thorax, you would expect fremitus to be...
A: Decreased
B: Increased
C: Unchanged
D: Displaced

Answer 1

B: Increased

Question 2

When you percuss that patients left lower thorax, you would expect the sound to be…

1) Dull
2) Resonant
3) Flat
4) Hyperresonant

Answer 2

A: Dull

Question 3

When you perform the test for egophony on this patient, you would expect to hear...
A:  EEE
B:  AAAy
C: Whispered Pectoriloquy
D: OOO

Answer 3

B: AAAy

Question 4

In a patient with lobar PNA you would expect breath sounds on auscultation to reveal...
A: Rhonchi
B: Egophony
C: Decreased Resonance
D: Increased Air Movement

Answer 4

B: Egophony

Question 5

You see a guy with SOB, and 100-pack/year history,  and you diagnose him with COPD, On physical examination of the thorax, you would expect to find...
A) Increased AP
B) Decreased AP
C) No change in AP
D) Pectus Excavatum

Answer 5

A: Increased AP

Question 6

Upon auscultation in a patient with COPD, you would expect to hear...
A) Stridor
B) Delayed expiratory phase
C) Late Inspiratory Crackles
D) Pleural Rub

Answer 6

B) Delayed Expiratory Phase

Question 7

A 19-year old college student who is 6’2’’ and 135 pounds comes in for sudden dyspnea. You dx a PTX. What findings would you expect with percussion of the thorax?
A) Decreased resonance on the affected side
B) Increased (hyperresonance) on the affected side
C) Increased resonance on the nonaffected side
D) Dullnes

Answer 7

B: Increased resonance on the affected side. (hyperresonant)

Question 8

In a patient with a PTX, what findings would you expect with auscultation of the thorax on the affected side?
A: Wheezes
B: Rhonchi
C: Absent Breath Sounds
D: Resonance

Answer 8

C: Absent Breath Sounds

Question 9

In a healthy adult, the expected measurement of descent of the diaphragm is…

1: 1 to 2cm
2: 5 to 6cm
3: 7 to 8 cm
4: 10 to 12cm

Answer 9

B: 5 to 6cm

Question 10

In a healthy adult, the respiratory rate is...
A: 4-14
B: 14-16
C: 14-20
D: 24-40

Answer 10

C: 14-20

Question 11

Location, anteriorly, of the lower border of the lung.
A: 1st and 2nd interspaces anteriorly and between the scapulae.
B: Sternal angle anterioly and T4 spinsous process posteriorly.
C: T10 S.P.
D: Palpable Vibrations transmitted when the patient speaks
E: 6th rib midclavicular line. And 8th rib mid axillary.

Answer 11

E: 6th rib midclavicular line. And 8th rib mid axillary.

Question 12

Location, posterioly, of the lower border of the lung.
A: 1st and 2nd interspaces anteriorly and between the scapulae.
B: Sternal angle anterioly and T4 spinsous process posteriorly.
C: T10 S.P.
D: Palpable Vibrations transmitted when the patient speaks
E: 6th rib midclavicular line. And 8th rib mid axillary.

Answer 12

C: T10 SP

Question 13

Trachea Bifurcation.
A: 1st and 2nd interspaces anteriorly and between the scapulae.
B: Sternal angle anterioly and T4 spinsous process posteriorly.
C: T10 S.P.
D: Palpable Vibrations transmitted when the patient speaks
E: 6th rib midclavicular line. And 8th rib mid axillary.

Answer 13

B: Sternal angle anteriorly and T4 posteriorly.

Question 14

Fremitus.
A: 1st and 2nd interspaces anteriorly and between the scapulae.
B: Sternal angle anterioly and T4 spinsous process posteriorly.
C: T10 S.P.
D: Palpable Vibrations transmitted when the patient speaks
E: 6th rib midclavicular line. And 8th rib mid axillary.

Answer 14

D

Question 15

Location of bronchovesicular lung sounds.
A: 1st and 2nd interspaces anteriorly and between the scapulae.
B: Sternal angle anterioly and T4 spinsous process posteriorly.
C: T10 S.P.
D: Palpable Vibrations transmitted when the patient speaks
E: 6th rib midclavicular line. And 8th rib mid axillary.

Answer 15

A: 1st and 2nd interspaces anteriorly and between the scapulae.