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KSUCPM PAD > CHEST > Flashcards

CHEST Flashcards

1
Q

landmark for this procedure?

tension pneumothorax

A

2nd intercostal space

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2
Q

landmark for this procedure?

chest tube insertion

A

4th intercostal space

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3
Q

landmark for this procedure?

endotracheal tube on a chest x ray

A

T4

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4
Q

landmark for this procedure?

needles and tubes should be placed?

A

superior rib margins because of the neuromuscular structures that run along the inferior margin of each rib

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5
Q

landmark for this procedure?

thoracentesis with needle insertion immediately?

A

T7-T8 intercostal space with needle insertion immediately superior to the 8th rib which removes excess fluid from pleural space to help the patient breath

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6
Q

disease more common in right middle/lower lobes because the right main bronchus is more vertical

A

Aspiration pneumonia

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7
Q

Accumulation of pleural fluid (pleural effusion) may be:

A

transudates

exudates

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8
Q

this type of pleural fluid is seen in heart failure, cirrhosis and nephrotic syndrome

A

Transudates

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9
Q

this type of pleural fluid is seen in pneumonia, malignancy, pulmonary embolism, tuberculosis, and pancreatitis

A

Exudates

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10
Q

types of coughing?

A

acute
subacute
chronic

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11
Q

name this type of cough?

o Lasts less than 3 weeks
o Causes by: viral upper respiratory infection, acute bronchitis, left sided heart failure, foreign body, smoking, and ace inhibitor therapy

A

Acute

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12
Q

name this type of cough?

o 3-8 weeks
o Caused by: post-infectious cough, pertussis, acid reflux, bacterial sinusitis, and asthma

A

Subacute

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13
Q

name this type of cough?

o More than 8 weeks
o Caused by: post-nasal drip, asthma, gastroesophageal reflux, chronic bronchitis, and bronchiectasis

A

Chronic

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14
Q

how can we describe mucous?

A

Mucoid
Purulent
Foul smelling
Thick Tenacious

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15
Q

name the sputum?

Seen in cystic fibrosis and viral infection

A

Mucoid: translucent, white/gray

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16
Q

name the sputum?

Seen in bacterial pneumonia; in large amounts may be bronchiectasis or lung abscess

A

Purulent: yellow or green

17
Q

name the sputum?

Anaerobic lung abscess

A

Foul smelling

18
Q

name the sputum?

Cystic fibrosis

A

Thick Tenacious

19
Q

name this symptom

o Causes: bronchitis, malignancy, cystic fibrosis; and less commonly bronchiectasis, mitral stenosis, Goodpasture syndrome and Wegener
granulomatosis

o Blood originating in stomach will be darker than blood from lungs

A

Hemoptysis: coughing up blood

20
Q

Palpable vibrations transmitted through bronchopulmonary tree to chest wall as the PT speaks

A

tactile fremitus

21
Q

Soft voice, obstructed bronchus, COPD, Pleural Effusion, Tumor, Pneumothorax, Thick chest wall

A

Causes for decrease in tactile fremitus

22
Q

Lobar pneumonia

A

Causes for increase

in tactile fremitus

23
Q

name the thorax diameter?

Ratio is around 0.7 all the way up to 0.9 and increases with age

A

Normal Adult

24
Q

name the thorax diameter?

Increased AP diameter

A

Barrel Chest

25
Q

name the thorax diameter?

Depression in lower portion of sternum

A

Funnel Chest

26
Q

name the thorax diameter?

Sternum is displaced anteriorly → increased AP diameter

A

Pigeon Chest (pectus carinatum)

27
Q

name the thorax diameter?

Abnormal curvatures and vertebral orientation deform the chest

Distortion of underlying lungs may make interpretation of lung findings difficult

A

Thoracic Kyphoscoliosis

28
Q

name the thorax diameter?

Leads to paradoxical movements

From rib fractures

A

Traumatic Flail

29
Q

name this breath sound?

heard over lungs; soft, relatively low pitched, and inspiratory sound lasts longer than expiratory

A

Vesicular

30
Q

name this breath sound?

heard in 2nd ICS anteriorly and between scapulae; intermediate sound and pitch, inspiratory and expiratory equal

A

Bronchovesicular

31
Q

name this breath sound?

heard over manubrium; loud, relatively high pitched, and expiratory lasts longer than inspiratory

A

Bronchial

32
Q

name this breath sound?

heard over trachea; very loud, relatively high pitched, and inspiratory and expiratory equal

A

Tracheal

KSUCPM PAD (37 decks)

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