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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
Q

Significant disorganization with irregular and varying depths or respiration is associated with what kind of breathing?

A

Ataxic

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26
Q

I/E ratio for stridor?

A

2:1

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27
Q

What is associated with learning forward while sitting ?

A

Stridor

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28
Q

In a collapsed lung which way does the trachea deviate ?

A

Towards the collapse

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29
Q

A breath smell of cinnamon is associated with what?

A

Pulmonary tuberculosis

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30
Q

A breath smell that is sweet or fruity is what?

A

Diabetic ketoacidosis

31
Q

An ammonia like breath smell is associated with what?

A

Uremia

32
Q

The diaphragm is usually higher on what side?

A

The right

33
Q

If a patient has CHF where should you begin auscultation?

A

Base of the lungs

34
Q

People with what disease have frequent pulmonary problems and acute chest syndrome is the most common form?

A

Sickle cell

35
Q

Breathing that resembles the noise made by blowing across the moth of a bottle?

A

Amphoric

36
Q

What sound is discontinuous?

A

Crackles

37
Q

A grating sound is associated with what?

A

Friction rub

38
Q

When can you distinguish a murmur from a breath sound?

A

When a baby is sobbing, it is usually followed by a deep breath.

39
Q

Asymmetric wheezing for the first time is associated with what?

A

Foreign body

40
Q

If you hear stridor what two things should you consider?

A

Croup epiglottitis

41
Q

If there is a loss of synchrony between right a left during respiratory effort what should you consider?

A

Atelectasis or diaphragmatic hernia

42
Q

What lung condition is sometimes associated with neoplasm or asbestosis?

A

Pleurisy

43
Q

Pain that is referred to the ipsilateral shoulder can be associated with what lung disease?

A

Pleurisy

44
Q

Dullness to percussion and tactile Freitas are the most useful findings for what lung condition?

A

Pleural effusion

45
Q

Purulent foul smelling sputum is associated with what lung condition ?

A

Lung abscess

46
Q

Chills fever, rigors, abdominal spy tombs of nausea and vomiting right LQ pain are symptoms of?

A

Pneumonia

47
Q

How is TB spread?

A

Airborne moisture from coughs and sneezes of infected

48
Q

In tension pneumothorax which was does the trachea deviate?

A

Away from the involved side

49
Q

Unexplained but persistent tachycardia may be an indication of what lung problem?

A

Penuomothorax

50
Q

What side is diaphragmatic hernia mc?

A

Left (90%)

51
Q

What respiratory condition are bowl sounds herd in the chest with a flat or scaphoid adbmoin and the heart is displaced to the right?

A

Diaphragmatic hernia

52
Q

Bronchiectasis, barrel chest, nail polyps, low body mass are all associated with?

A

CF

53
Q

What 3 things make up COPD?

A

Chronic bronchitis, bronchiectasis, and emphysema

54
Q

Noisy breathing is associated with what>/

A

Tracheomalacia

55
Q

Respiratory syncytial virus is usual cause of what lung disorder? (Others include adenovirus, parainfluenza, human metapneumo)

A

Bronchiolitis

56
Q

Bronchiolitis is common in who?

A

In infants younger than 6

57
Q

What is a hyperinflation of the lungs in infants?

A

Bronchiolitis

58
Q

Epiglottitis is most common from what to what age?

A

3-7

59
Q

What is an acute life threaten infection of the respiratory system?

A

Epiglottitis

60
Q

What is the inflammation in croup termed?

A

Subgottic

61
Q

Croup is most commonly seen from what to what age?

A

1.5-3

62
Q

Drooling faces is associated with what contain?

A

Epiloglottitis

63
Q

What causes epiglottitis?

A

Haemophilus influenza B

64
Q

What causes croup?

A

Parainfluenza virus

65
Q

Pleuritic chest pain with or without dyspnea is a major flue to what/.

A

Pulmonary embolism

66
Q

Hypoxia by pulse oximetry be be evident in what?

A

Pulmonary embolism

67
Q

What lung continued is often febrile and tachypneic? Which cough and chest pain?

A

Empyema

68
Q

NON FREE FLOWING =?

A

Empyema

69
Q

What lung disorder is usually sudden. Onset chest pain when taking a breath?

A

Pleurisy

70
Q

A radiograph my show consolidation associated with a post-obstructive pneumonia in what condition?

A

Atelectasis

71
Q

In what kind of bronchitis may cough be productive?

A

Chronic

72
Q

What is a mechanism buy which the infant tries to expel trapped air or fluid while trying to retain air?

A

Respiratory grunting

73
Q

High pitched piercing sound?

A

Stridor

PHYS DI II (7 decks)

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