Heart, Lungs & Thorax Flashcards
No QRS complex in EKG is caused by _____
No ventricular contractions
Lung Condition assoc with long term cigarette smoking, non-productive cough, unexplained weight loss, and clubbing of the finger nails
Bronchogenic Carcinoma
What lung condition is associated with inflammation of cartilage connecting ribs to sternum
Tietze Syndrome
(aka costochondritis)
What lung condition is commonly associated with young White males and Reed Sternberg cells?
Hodgkin’s
Marked depression of the chest is known as ___
Pectus Excavatum
Which breath sound is heard in most of the lung?
Vesicular
No QRS complex in EKG is called _____
Complete heart block
Two P waves before the QRS complex in an EKG is called:
Weinkbochs block of Bundle of HIS
A pulse from decreased cardiac output such as from CHF or aortic stenosis is called:
Pulsus Parvus
Jugular Venous pulsations measures the pressure on the ___ side of the heart
right
Lung Condition assoc with Mycobacterium cause.
TB
A decrease in tactile fremitus is caused by ____
air in chest (emphysema or pneumothorax)
What lung condition is associated with a long term cough with mucus due to years of cigarette smoking
COPD (chronic bronchitis)
Dextraposition of aorta
Right Ventricle hypertrophy
Interventricular Septal Defect
Pulmonic Stenosis
D.R.I.P.
Tetralogy of Fallot
An interruption of the Aortic intima allowing blood into the vessel wall with immediate tearing pain is known as ____
Aortic Distension
MC cause of R side heart failure is:
L sided heart failure
What lung condition is associated with clubbing of the finger nails and a non productive cough?
Bronchogenic carcinoma
Finger nail pattern related to iron defecient anemia
Koilonychia (aka Spoon Nail)
COY-low-NICKI-ah
(koilos = hollow; onych=nail)
Heart Valve at Left sternal border, 4th or 5th intercostal space
Tricuspid valve
Increased PR interval in EKG is caused by:
AV node delay
Vibrations produced by turbulent blood flow are called:
Thrills
Slow breathing is known as ______
Bradypnea
Lung Condition assoc with long term smoking causing shortness of breath & wheezing; caugh with mucus
Chronic Bronchitis (COPD)
A pulse where the amplitude is decreased on inspiration or increased with expiration
Pulsus Paradoxus
Lung conditions associated with Wheezing Breath sounds:
Emphysema
Asthma
Percussed resonate tone of the lung is an indication of ____ lung tissue.
normal
Heart Valve at mid-clavicular line, 5th intercostal space
Mitral valve
Lung Condition assoc with AIDS patients and caused by CMV
Cytomegalovirus
Pulse related to Left Ventricular failure
Pulsus Alterans
What lung condition is associated with Blacks and often appear in the lymph nodes?
Sarcoidosis
A coronary vasospasm that comes on with exertion
Angina Pectoris
Finger nail pattern related to inflammation of the nail fold near the cuticle
Paronychia
Lung Condition assoc with Type I hypersensitivity
Asthma
Respiration pattern characterized by alternating periods of apnea and hyperpnea (has pattern)
Cheyne Stokes Respiration
Respiration pattern related to respiratory acidosis
Cheyne Stokes
What lung condition is associated with a reptured lung?
pneumothorax
A weak or thready pulse is called:
Pulsus Parvus
Lung condition associated with Rales breath sound:
Bronchitis
Lung collapse from a mucous plug that causes a bronchial obstruction is called:
Atelectasis
What lung condition is associated with bronchospasms constricting airways and various hypersensitivities?
Asthma
Lung Condition assoc with a rusty brown sputum
Lobar Pneumonia
Pulse related to COPD
Pulses Paradoxus
Lung Condition assoc with friction rub
Pleurisy
A pulse that alternates in amplitude is called:
Pulsus Alterans
The AKA for secondary heart block where EKG shows two P waves before the QRS complex
Weinblochs block of Bundle of HIS
Lung Condition assoc with an X-ray finding of B/L darkened lung fields, narrowed compressed heart, horizontal ribs, flattening of the diaphragm domes
Emphysema
M/C cause of L side heart failure is:
hypertension
Edema in the extremities and Jugular Venous distension is probably caused by _______
R side heart failure
Heart valve at Right sternal border, 2nd intercostal space
Aortic valve
Lung Condition assoc with IgE rise and crystals in the sputum
Asthma
What lung condition is associated with having had chicken pox as a child and involves CN 5 dorsal root ganglion
Herpes Zoster (shingles)
What lung condition is associated with an inherited disease of the body’s mucus glands
Cystic Fibrosis
What lung condition is associated with 4 stages of consolidation
Lobar Pneumonia
A jerky pulse that is rapidly increasing and then collapsing is called:
Water Hammar Pulse
Lung Conditon assoc with a disease of the body’s mucus glands
CF (cystic fibrosis)
Pulse related to Aortic regurgitation or stenosis
Pulses Bisferiens
Failure of shunt to close between the aorta and left pulomary artery is called:
PDA - patent ductus arteriosus
patent = hole
Lung Condition assoc with ruptured lung
Pneumothorax
An acute heart failure that comes on with rest and caused by atherosclerosis
Myocardial Infarct
A forward protrusion of the sternum is known as ____
Pectus Carinatum (pigeon chest)
Respiration pattern characterized by rapid and shallow breathing first, but as metabolic acidosis worsens, breathing becomes deep, shallow, slow, labored and gasping
Kussmaul’s
3 enzymes that are used as markers for a MI
CK (creatinine kinase) increased
SGOT increased
LDH increased
Finger nail pattern related to psoriasis
pitted
Lung Condition assoc with a productive red jelly sputum
Friedlander’s Pneumonia
What lung condition is associated with mycobacterium tuberculosis and the Mantoux test
Tuberculosis
Lung Condition assoc with Mantoux Testing
TB
Rapid, shallow breathing is known as ____
Tachypnea
Lung Condition assoc with permanent destruction of elastic pulmonary connective tissue
Emphysema
Patient says 99 and doctor feels chest vibrations
fremitus
2 Diseases related to barrel chest
COPD
Cystic Fibrosis - CF
A pulse you would expect from increased cardiac output is called:
Pulsus Magnus
A dull percussed tone over the lung is an indication of ____ in the lung cavity
liquid (pneumonia or atelectasis)
Constriction of the descending aorta causing a hypertension in upper extremities
Coarctation of the aorta
Lung Condition assoc with IgE rise and enlarged spleen
Hodgkin’s
A bounding pulse is called:
Pulsus Magnus
Lung Condition assoc with and caused by Klebsiella
Friedlander’s Pneumonia
Marfan’s typically affects which blood vessel and may be related to intima tearing?
Ascending Aorta
A lung condition that causes R sided heart failure is known as _____
Cor Pulmonale
(R heart fails by itself)
ST segment enlarged or inverted in EKG is due to ____
M.I.
Finger nail pattern related to acute severe disease showing transverse ridges
Beau’s Lines
MC cause of Mitral Stenosis is:
Rheumatic Fever
Early signs of L sided heart failure are:
Pulmonary Edema
(causing) shortness of breath (exertional dyspnea)
and diffulty breathing in recumbent position (orthopnea)
Finger nail pattern related to COPD or hypoxia where the nail base angle is greater than 180 degrees
Clubbing
Narrowing of Vertebral Artery causes blood to backflow into Subclavian Artery. The phenomena is called _____
Subclavian Steal Syndrome
Which heart sound would you associate with R heart failure?
S3
What lung condition is associated with Klebsiella pneumonia in old age and immunocomprimised patients?
Friedlander’s Pneumonia
Heart valve at Left sternal border, 2nd intercostal space
Pulmonic Valve
What lung condition is associated with destruction of elastic pulmonary connective tissue resulting in permanent dilation of the alveoli air sacs?
Emphysema
Respiration pattern characterized by groups of quick, shallow inspiration followed by irregular periods of apnea (no pattern)
Biot’s breathing
Lung Condition assoc with an irreversible focal bronchial dilation
Bronchiectasis
Which breath sound is heard anteriorly between ribs 1 & 2 as well as posteriorly between the scapula at apex?
Bronchovesicular
An atypical coronary vasospasm that comes on with rest
Printzmetal Angina
What lung condition is associated with yeast or fungus most commonly seen in AIDS patients?
Pneumocystitis Carinii
Lung condition associated with Crackling breath sounds:
Pleurisy
Lung Condition assoc with an inflammation of the cartilage connection between the ribs and the sternum
Tietze Syndrome
Abnormal breath sound associated with a blockage of air flow during inspiration
Stridor
What lung condition is associated with a permanent focal bronchial dilation that presents with a productive cough?
Bronchiectasis
A hyperresonate percussed tone is indicative of ______ in the chest cavity
air (emphysema or pneumothorax)
Finger nail pattern related to subacute bacterial endocarditis from strep
Splinter Hemorrhage
Lung Condition assoc with the Trigeminal Nerve
Herpes Zoster (Shingles)
What lung condition is associated with friction rub and a positive Schepelmann’s test?
Pleurisy
Tool used to detect heart murmurs
EKG
Which breath sound is heard over the trachea in the neck?
tracheal
Heart sound abnormal in adults but normal for children, athletes, and young adults
S3
Lung Condition assoc with AIDS patients and caused by a yeast or fungus infection
Pneumocystis Carinii
Which breath sound is heard over the manubrium?
bronchial
What causes an increase in fremitus
fluid in lungs (pneumonia)
Respiration pattern related to metabolic acidosis
Kussmaul’s