CPT Check Off

Question 1

Anterior basal segment

1. Position
2. Percussion Location

Answer 1

1. Side-lying in 30 degrees of trendelenburg, pillow under head and b/t knees
2. Lower ribs

Question 2

When doing vibration which direction should your fingers point?

Answer 2

Toward the hilum of the lung

Question 3

Which segments make up the upper lobe? (3)

Answer 3

1. Apical
2. Anterior
3. Posterior

Question 4

Apical segment in a child

1. Position
2. Percussion Location

Answer 4

1. Seated, leaning back on pillows at 30 degrees
2. Mm b/t collarbone and top of shld blade

Question 5

Posterior basal segments

1. Position
2. Percussion Location

Answer 5

1. Laying prone in 30 degrees of trendelenburg, pillow under hips
2. Near the spine

Question 6

Lingula (left only)

1. Position
2. Percussion Location

Answer 6

1. Side-lying in 15 degrees of trendelenburg, pillow under head and potentially behind back [1/4 turn back]
2. Just outside the L nipple

Question 7

Apical segment in an infant

1. Position
2. Percussion Location

Answer 7

1. Seated on lap, leaned back on pillows at 30 degrees
2. Mm area b/t collarbone and top of shld blade

Question 8

Anterior segment

1. Position
2. Percussion Location

Answer 8

1. Laying flat in supine, pillow under head and knees
2. b/t collarbone and nipple

Question 9

Posterior segment

1. Position
2. Percussion Location

Answer 9

1. Seated, leaning forward 30 degrees over a pillow
2. Upper back

Question 10

LEARN CHEST PT TX SEQUENCE

Answer 10

YOU’LL DO IT!!!!!

Question 11

Which segments make up the lower lobe? (4)

Answer 11

1. Anterior Basal
2. Posterior Basal
3. Lateral Basal
4. Superior

Question 12

Term: coughing up blood

Answer 12

Hemoptysis

Question 13

List the Contraindications for postural drainage (13)

[Pneumonic: CHAIR, PEARS, & LBP]

Answer 13

1. Confused/anxious who doesn’t tolerate position change
2. Head/Neck injury (unstable)
3. Active hemorrhage w/hemodynamic instability
4. ICP > 20 mmHg
5. Rib fx w/w/o flail chest
6. Pulmonary embolism
7. Empyema (pus b/t lung/chest)
8. Active hemoptysis
9. Recent spinal surgery
10. Sx wound or healing tissue
11. Large pleural effusion
12. Bronchopleural fistual
13. Pulmonary edema associated w/CHF

Question 14

Superior segments

1. Position
2. Percussion Location

Answer 14

1. Laying flat in prone, 2 pillows under the hips
2. Middle back at the bottom of the shld blade

Question 15

Middle lobe (right only)

1. Position
2. Percussion Location

Answer 15

1. Side-lying in 15 degrees of trendelenburg, pillow under head and potentially behind back {1/4 turn back]
2. Just outside the R nipple

Question 16

Lateral basal segments

1. Position
2. Percussion Location

Answer 16

1. Side-lying in 30 degrees of trendelenburg, pillow under head and b/t knees [1/4 forward]
2. Uppermost portion of lower ribs

Question 17

What 5 areas should be strictly avoided during percussion?

Answer 17

1. Spine
2. Sternum
3. Scapula
4. Lower ribs
5. Stomach

Question 18

Apical segment in a adult

1. Position
2. Percussion Location

Answer 18

1. Seated, leaning back on pillows at 30 degrees
2. Mm area b/t collarbone and top of shld blade

Question 19

List the contraindications for the trendelenburg position (5)

[Pneumonic: U RUDE]

Answer 19

1. Uncontrolled HTN
2. Recent gross hemoptysis related to lung carcinoma
3. Uncontrolled airway at risk for aspiration (tube feeding/recent meal)
4. Distended abdomen
5. Esophageal sx

Question 20

What can be done if a pt. is sensitive to percussion?

Answer 20

Place a towel between them and the percussing hand