Chest to Abdomen Assessment

Question 1

Identifies the portion of the body extending from the base of the neck superiorlyto the level of the Diaphragm inferiorly

Answer 1

Thorax

Question 2

Lungs, Distal portion of the trachea, and the ronchi are located in the thorax

Answer 2

Lower respiratory system

Question 3

Outer structure of the thorax

Answer 3

Thoracic Cage

Question 4

Contains respiratory components

Answer 4

Thoracic Cavity

Question 5

Anterior Vertial Lines

Answer 5

Midsternal line, Right Midsternal line, Left Midsternal line

Question 6

Postrior Vertical Lines

Answer 6

Left scapula line, Right Scapula line, Vertebrate Line

Question 7

Lateral Vertical Lines

Answer 7

Anterior Axillary line, Midaxillary Line, Posterior Axillary Line

Question 8

Mechanics of Normal Lungs

Answer 8

Not shallow, Not deep

Question 9

During inhalation the diaphragm

Answer 9

Moves down

Question 10

During exhalation the diaphragm

Answer 10

Goes up

Question 11

Inspect the Configuration for the Assessment of the posterior Thorax

Answer 11

• Client sits with arms at both sides
• Stands behind the clientand observe the position of scapulae and the shape and configuration

Question 12

Normal Scapulae

Answer 12

Symmetric and Non-protruding

Question 13

Normal: Shoulders and Scapulae

Answer 13

Equal horizontal positions

Question 14

Ratio of the Anterposterior to the transeverse diameter

Answer 14

1:2

Question 15

Normal Spinous Processes

Answer 15

Appears Straight

Question 16

Normal Thorax Findings

Answer 16

Should be symmetric, with ribs sloping downward at approximately a 45 Degree angle in relation to the spine

Question 17

Spinous processes that deviate laterally in the thoracic area indicates

Answer 17

Scoliosis

Question 18

Spinal Configurations may have

Answer 18

Respiratory Implications

Question 19

Ribs appearing horizontal at a angle greater than 45 degrees with the spinal column are frequently the result of an

Answer 19

Increased ratio between the anteroposterior-transverse (Barrel Chest)

Question 20

Barrel Chest result of

Answer 20

Result of Emphysema due to hyperinflation of the lungs

Question 21

How to observe Accessory Muscles

Answer 21

• Watch as the client breathes and note use of muscles

Question 22

Normal Result of Accessory Muscles

Answer 22

• Client does not use accessory
• Diaphragm is the Major muscle at work

Question 23

COPD

Answer 23

Chronic Obstructive Pulmonary Disease

Question 24

Tender or Painful areas

Answer 24

Indicates inflamed fibrous connective tissue

Question 25

Pain over the intercoastal spaces

Answer 25

From Inflamed Pleurae

Question 26

Pain over the ribs, especially at the costal chondral junctions

Answer 26

Symptom of Fractured bones

Question 27

Subcutaneou emphysema, a crackling sensation: Air passing through flued or exudate

Answer 27

Crepitus

Question 28

Vibration of Air in the bronchial tubes transmitted to the chest wall

Answer 28

Fremitus

Question 29

The saying of '99' in the back test is for

Answer 29

Fremitus

Question 30

Atelectasis

Answer 30

Collapse or incomplete expansion of the lungs

Question 31

Pneumonothorax meaning

Answer 31

Air in the Pleural space

Question 32

Percussion of Diaphragmatic Excursion measurement

Answer 32

- Equal bilaterally and measures 3-5 Cm in adults - Well conditioned patients; 7 or 8 cm

Question 33

Normal Breathing Sounds

Answer 33

Brochial, Bronchovesicular, and Vesicular

Question 34

No. of Sequence for Palpation of the Posterior Thorax

Answer 34

10

Question 35

No. of Sequence for Ausculatation of the Posterior Thorax

Answer 35

20

Question 36

No. of Sequence for Percussion of the Posterior Thorax

Answer 36

20

Question 37

Sound added or superimposed over normal breath sounds

Answer 37

Adventitious Sounds

Question 38

Adventitious Lung sound

Answer 38

Wheezes, and Crackles

Question 39

Breath sound - Pitch : High - Quality : Harsh or Hollow - Amplitute : Loud - Duration : Short during inspiration; Long during expiration - Location : Trachea and Thorax

Answer 39

Bronchial

Question 40

Breath sound - Pitch : Moderate - Quality : Mixed - Amplitute : Moderate - Duration : Same during inspiration and expiration - Location : Over the major Bronchi - Posterior; bet. The Scapulae; Anterior; Around the uppder sternum in the first and scond intercostal spaces

Answer 40

Bronchovesicular

Question 41

Breath sound - Pitch : Low - Quality : Breezy - Amplitute : Soft - Duration : Long in inspiration; in expiration - Location : Peripheral lung field

Answer 41

Vesicular

Question 42

Adventitious Breath sounds

Answer 42

Discontinous Sound, Crackles (coarse), Crackles (fine), Continous Sound Pleural Friction Rub, Wheeze (Sibilant), Wheeze (Sonorous)

Question 43

Asking the client to repeat the phrase "ninety-nine" While you auculatate the chest wall

Answer 43

Bronchophony

Question 44

Ask the client to repeat the letter "E" while you listen over the chest wall

Answer 44

Egophony

Question 45

when the ribs and the breastbone (sternum) grow inward and form a dent in the chest

Answer 45

Pectus Excavatum

Question 46

Deformity of the chest wall in which the breastbone and ribs are pushed outward

Answer 46

Pectus Carinatum

Question 47

Respiration Patters: Norma Breathing