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PHYS DI II > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Apices of the lungs rise to what vertebral level?>

A

T1

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2
Q

On deep inspiration the lungs reach what vertebral level?

A

T12

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3
Q

On forced expiration what vertebral level do the bottom of the lungs rise to?

A

T9

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4
Q

Where vertebral level does the trachea bifurcate?

A

T4 or T5

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5
Q

The main bronchus on the right has how many branches?

A

Three

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6
Q

How many branches does the main bronchi on the left have?

A

Two

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7
Q

Most of the blood supplied by the bronchial arteries is returned by what?

A

Pulmonary veins

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8
Q

The Failure of foramen ovale and ductus arteriosus is more common in infants form before how many weeks?

A

30

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9
Q

A large patent ductus arteriosus (PDA) can lead to what?

A

Left ventricular overload, and heart failure.

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10
Q

In older adults there is a decrease in _________and an increase in__________.

A

Vital capacity, residual volume

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11
Q

Coughs are usually preceded by what?

A

Deep inspiration

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12
Q

What is orthopnea ?

A

Shortness of breath that begins or increases when the parent lies down. Does patent need more than one pillow.

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13
Q

A sudden onset of shortness of breath after a period of sleep, sitting up may help is called what?

A

Paroxysmal nocturnal dysnpnea

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14
Q

What is dyspnea increase in the upright posture. ?

A

Platypnea

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15
Q

Blood streaked sputum is associated with?

A

Viral infection

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16
Q

Blood clotted and large amounts of blood in the sputum is associated with what?

A

Infarction

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17
Q

An acute onset cough with a fever suggests what?

A

Infection

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18
Q

What is the sequences of steps in the examination of the chest and lungs?

A

Inspection, palpation percussion, auscultation.

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19
Q

What is the ratio of respirations to heartbeats.?

A

1:4

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20
Q

What type of breathing pattern is breathing with intervals of apnea followed by crescendo/decrescendo sequence of respiration.

A

Cheyenne stokes

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21
Q

What kind of respiration is associated with inter-cranial pressure?

A

Biot

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22
Q

Does breathing increase with acidosis or alkalosis?

A

Acidosis

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23
Q

Does breathing increase with lesions to the pons or cerebrum ?

A

Pons

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24
Q

Deep rapid Labored breathing is associated with what kind of breathing

A

Kussmaul

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25
Significant disorganization with irregular and varying depths or respiration is associated with what kind of breathing?
Ataxic
26
I/E ratio for stridor?
2:1
27
What is associated with learning forward while sitting ?
Stridor
28
In a collapsed lung which way does the trachea deviate ?
Towards the collapse
29
A breath smell of cinnamon is associated with what?
Pulmonary tuberculosis
30
A breath smell that is sweet or fruity is what?
Diabetic ketoacidosis
31
An ammonia like breath smell is associated with what?
Uremia
32
The diaphragm is usually higher on what side?
The right
33
If a patient has CHF where should you begin auscultation?
Base of the lungs
34
People with what disease have frequent pulmonary problems and acute chest syndrome is the most common form?
Sickle cell
35
Breathing that resembles the noise made by blowing across the moth of a bottle?
Amphoric
36
What sound is discontinuous?
Crackles
37
A grating sound is associated with what?
Friction rub
38
When can you distinguish a murmur from a breath sound?
When a baby is sobbing, it is usually followed by a deep breath.
39
Asymmetric wheezing for the first time is associated with what?
Foreign body
40
If you hear stridor what two things should you consider?
Croup epiglottitis
41
If there is a loss of synchrony between right a left during respiratory effort what should you consider?
Atelectasis or diaphragmatic hernia
42
What lung condition is sometimes associated with neoplasm or asbestosis?
Pleurisy
43
Pain that is referred to the ipsilateral shoulder can be associated with what lung disease?
Pleurisy
44
Dullness to percussion and tactile Freitas are the most useful findings for what lung condition?
Pleural effusion
45
Purulent foul smelling sputum is associated with what lung condition ?
Lung abscess
46
Chills fever, rigors, abdominal spy tombs of nausea and vomiting right LQ pain are symptoms of?
Pneumonia
47
How is TB spread?
Airborne moisture from coughs and sneezes of infected
48
In tension pneumothorax which was does the trachea deviate?
Away from the involved side
49
Unexplained but persistent tachycardia may be an indication of what lung problem?
Penuomothorax
50
What side is diaphragmatic hernia mc?
Left (90%)
51
What respiratory condition are bowl sounds herd in the chest with a flat or scaphoid adbmoin and the heart is displaced to the right?
Diaphragmatic hernia
52
Bronchiectasis, barrel chest, nail polyps, low body mass are all associated with?
CF
53
What 3 things make up COPD?
Chronic bronchitis, bronchiectasis, and emphysema
54
Noisy breathing is associated with what>/
Tracheomalacia
55
Respiratory syncytial virus is usual cause of what lung disorder? (Others include adenovirus, parainfluenza, human metapneumo)
Bronchiolitis
56
Bronchiolitis is common in who?
In infants younger than 6
57
What is a hyperinflation of the lungs in infants?
Bronchiolitis
58
Epiglottitis is most common from what to what age?
3-7
59
What is an acute life threaten infection of the respiratory system?
Epiglottitis
60
What is the inflammation in croup termed?
Subgottic
61
Croup is most commonly seen from what to what age?
1.5-3
62
Drooling faces is associated with what contain?
Epiloglottitis
63
What causes epiglottitis?
Haemophilus influenza B
64
What causes croup?
Parainfluenza virus
65
Pleuritic chest pain with or without dyspnea is a major flue to what/.
Pulmonary embolism
66
Hypoxia by pulse oximetry be be evident in what?
Pulmonary embolism
67
What lung continued is often febrile and tachypneic? Which cough and chest pain?
Empyema
68
NON FREE FLOWING =?
Empyema
69
What lung disorder is usually sudden. Onset chest pain when taking a breath?
Pleurisy
70
A radiograph my show consolidation associated with a post-obstructive pneumonia in what condition?
Atelectasis
71
In what kind of bronchitis may cough be productive?
Chronic
72
What is a mechanism buy which the infant tries to expel trapped air or fluid while trying to retain air?
Respiratory grunting
73
High pitched piercing sound?
Stridor

PHYS DI II (7 decks)

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