Final: 3 Quizzes

Question 1

What does fetid mean?

Answer 1

Foul smelling

Question 2

Weak muscles of breathing and airway obstruction are associated with COPD patients have a weak _______

Answer 2

Cough

Question 3

To minimize bony interfereance with percussion on the posterior chest wall, what should the practitioner have the patient do?

Answer 3

Raise his or her arms above the shoulders

Question 4

The patient interview is done in what space?

Answer 4

Personal space

Question 5

In the presence of nausea and vomiting, a hx of cirrhosis of the liver suggests what organ as a source of hematemesis?

Answer 5

esophagus

Question 6

While palpating the chest of a pt who says “99”, you note there is an area of increased fremitus, over lower lobe. What is it?

Answer 6

Pneumonia only

Question 7

Cheyne stokes breathing is associated with what disorders?

Answer 7

Central nervous system disorder, CHF

Question 8

Blood tinged sputum is?

Answer 8

Hemoptysis

Question 9

Deep and fast breathing is most likely associated with?

Answer 9

DKA

Question 10

If patient has a fever, what does their RR look like?

Answer 10

Faster

Question 11

Irritablility is an early sign of low oxygen

T/F

Answer 11

True

Question 12

Inflamed pleural membranes can cause localized pain that can be heard with auscultation

T/F

Answer 12

True

Question 13

What do grading system do we use for the degrees of dyspnea?

Answer 13

Modified Borg Scale

Question 14

What is the hypothalamus responsible for regulating?

Answer 14

Body temp

Question 15

What is Orthodeoxia?

Answer 15

oxygen desat on assuming an upright postion

Question 16

What does orthodeoxia accompany?

Answer 16

Platypnea

Question 17

What is trepopnea?

Answer 17

lying down on one side relieves dyspnea

Question 18

What is trepopnea associated with?

Answer 18

CHF or pleural effusion

Question 19

136-145 mEq/L is the normal value for what?

Answer 19

Normal serum sodium level

Question 20

What can lead to hyponatremia? (low sodium)

Answer 20

severe vomiting, excessive water intake, CHF

Question 21

What is an approx. normal Hbg level?

Answer 21

14 gm/dl

Question 22

WBC count that is above normal value is?

Answer 22

Leukocytosis

Question 23

Magnesium is used in the tx of atrial fibrillation

T/F

Answer 23

False

Question 24

What test is used to eval. renal function?

Answer 24

Creatinine

Question 25

What is indicated by an elevation of the anion gap?

Answer 25

Metabolic acidosis

Question 26

Total Co2 is linked to what electrolyte in the blood serum?

Answer 26

Bicarb

Question 27

What happens to the blood when there is significant hypoxemia?

Answer 27

Polycythemia : trying to compensate for the lack of O2 so body makes more RBC, even though there is no O2 to latch on to it.

Question 28

D-dimer will be found in what conditions?

Answer 28

PE, DVT, and disseminated intravascular coagulation

Question 29

What is a D-dimer?

Answer 29

product of the breakdown of fibrin clots that form in vasculature

Question 30

What does fibrin do?

Answer 30

Holds blood clots together

Question 31

What WBC exists as two types B cell and T cells?

Answer 31

Lymphocytes

Question 32

What abnormal lab value is seen in a patient with TB?

Answer 32

Increase in monocytes

Question 33

What type of leukocytosis is seen in pts with viral infection?

Answer 33

Lymphocytosis

Question 34

A high lactate level is important to recognize bc it coincides with respiratory acidosis. T/F

Answer 34

False

Question 35

3.5-5 mEq/L is what normal serum level?

Answer 35

Potassium

Question 36

Potassium is associated with maintaining what?

Answer 36

Normal heart, kidney, and acid base balance

Question 37

Patient is in metabolic alkalosis, what lab value should we look at?

Answer 37

Potassium Bc metabolic is renal function

Question 38

A patient receiving heparin has a prothrombin time (PT) of 19 sec and an International Standardized Ratio (INR) of approximately 5.0, what does this indicate

Answer 38

High likely hood of excessive bleeding

Question 39

What are the 3 types of coagulation studies?

Answer 39

Platelet count APTT: partial thromboplastin time PT/INR: international normalized ratio

Question 40

_____ assess clotting factors in the intrinsic and common pathways by measuring the length of time required for plasma to form a fibrin clot

Answer 40

APTT

Question 41

What is the normal amount of time a APTT should take?

Answer 41

25-35 seconds

Question 42

A longer APTT indicates what?

Answer 42

Pt has higher likelihood of bleeding

Question 43

____ assess clotting factors in the extrinsic and common pathways

Answer 43

Prothrombin time (PT)

Question 44

____ standardizes PT test results between labs

Answer 44

PT/INR

Question 45

What is the normal reference range for PT/INR? What # indicates high likelyhood of bleeding What # indicates increased clotting

Answer 45

Normal: 0.8-1.2 Bleeding: 5.0 Clotting: 0.5

Question 46

APTT monitors what kind of therapy? PT/INR monitors what kind of therapy?

Answer 46

APTT: IV heparin therapy PT/INR: warfarin therapy

Question 47

You are auscultating a pt and hear fine crackles. Pt coughs but it does not change. You ask nurse about their nutrition status. What should you ask?

Answer 47

Do you know if their I's and O's are where they should be?

Question 48

Decreased phosphate levels can result in decreaed O2 being delivered to the tissues T/F

Answer 48

True

Question 49

Fluoroscopy is used during what procedures?

Answer 49

Cardiac catherization and bronchs (active visuals)

Question 50

On a AP film what # of posterior ribs should be visible above diaphragm?

Answer 50

6-7

Question 51

What is not a way for the RT to minimize their ionizing radiation exposure?

Answer 51

Dosimetry

Question 52

What is nitrogen balance useful in determining?

Answer 52

adequacy of protein intake

Question 53

Direct calorimetry measures what?

Answer 53

Heat produced and given off by the body, it is measured in calories

Question 54

What does indirect calorimetry measure?

Answer 54

Metabolic cart measures energy expenditure by measuring O2 consumption and CO2 production

Question 55

What is associated with low protein diet?

Answer 55

Immune compromise, edema, ascities

Question 56

What confirms presence of intrapulmonary disease?

Answer 56

air bronchogram

Question 57

Lateral decubitus view on CXR can be used to see.....

Answer 57

if there is pleural fluid or blood present in chest

Question 58

High fat diet can decrease PaO2 T/F

Answer 58

True bc too much can impair gas diffusion across AC membrane