Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCM II Exam 1 > Lower Respiratory Tract Exam DSA > Flashcards

Lower Respiratory Tract Exam DSA Flashcards

1
Q

Which of the following is the collapse of lung tissue that affects the alveoli from normal O2 absorption?

A. Hypoxia

B. Tachypenea

C. Atelectasis

D. Hypoxemia

A

Atelectasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which of the following correctly describes the Pleximeter finger?

A. The “tapping” finger of the dominant hand

B. the hyperextended middle finger of non-dominant hand in percussion

C. Finger that the spirometer gets placed on

D. the hyperextended pointer finger of the non-dominant hand in percussion

A

B. the hyperextended middle finger of non-dominant hand in percussion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In which of the following locations would you insert a chest tube?

A. 2nd intercostal space

B. 3rd instercostal space

C. 4th intercostal space

D. 7th intercostal space

A

4th intercostal space

NOTE:

Needle thoracentesis: 2nd

Thoracentesis landmark: 7th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

For physical examination of the Lower Respiratory tract, what is the order of operation?

A

Inspection

Palpation

Percussion

Auscultation

IPPA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following correctly explains how the Pulse oximeter works?

A. Oxygenated blood absorbs infrared light and lets the red light pass through, while deoxygenated blood does the opposite

B. Oxygenated blood absorbs the red light and lets the infrared light pass through, while deoxygenated blood does the opposite

C. Oxygenated blood and Deoxygenated blood both absorb infrared light

D. None of the above

A

Oxygenated blood absorbs infrared light and lets the red light pass through, while deoxygenated blood does the opposite

The pulse oximeter detects this ratio of absorption and uses the values to approx. the peripheral arterial oxygen saturation level or SpO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which of the following affect the accuracy of pulse oximetry reading?

A. Signal Failure

B. Peripheral Vascular Disease

C. Extremity elevation

D. Vasoconstriction

E. All of the above

A

All of the above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Capnography is the non-invasive measurement of CO2 in the exhaled air, with the EtCO2 being the [CO2] at the end of respiration/exhalation. What is the normal value of the EtCO2?

A. 0-35

B. 35-40

C. 40-70

D. 10-12

A

35-40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which of the following classifies as clbbing of the finger nails?

A. Angle of < 180 between nail and proximal nail fold

B. Angle of >180 between nail and proximal nail fold

A

Angle of >180 between nail and proximal nail fold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The following phot below depicts tracheal deviation. Name the 4 clinical scenarios where trachial deviation occurs (as seen in the lecture).

A

Pneumothorax (tension and non tension)

Pleaural effusion

Atelectasis

Mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

All of the following can cause clubbing of the fingers, EXCEPT?

A. Congenital heart disease

B. Inflammatory Bowel Disease (IBD)

C. Bronchiectasis

D. All the above are correct

A

All the above are correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pectus excavatum is a ________ in the chest, while Pectus Carinatum is a where the sternum is displaced more anteriorly causing an increase in AP diameter.

A

Pectus excavatum is a Depression in the chest, while Pectus Carinatum is a where the sternum is displaced more anteriorly causing an increase in AP diameter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

T/F: A barrel chest can often be seen in PTs with COPD

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What’s the difference between chronic bronchitis and emphysema? don’t think to hard there’s a picture on the other side of this

A

Chronic bronchitis: productive cough for 3 months or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When performing Tactile Fremitus you use the bony part of your palms to palpate vibrations while the PT says “99” or “1-1-1”. All of the following are indicated when the vibrationsare decreased or absent, EXCEPT which of the following that is indicated when vibrations are increased?

A. COPD

B. Pneumonia

C. Pleural Effusions

D. Fibrosis or Infliltrating tumor

E. Pneumothorax

A

Pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which of the following OMM techniques is useful for normalizing sympathetic nervous system?

A. Doming the diaphragm

B. Rib raising

C. Tapotement

D. THoracic Pump

A

Rib raising

NOTE: Thoracic pump helps with atelectasis (partial lung collapse)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which of the following is true of percussion?

A. Unable to determine if underlying structures are air filled

B. Only able to determine if underlying structures are fluid filled

C. Cannot be used to detect deep seated lesions

D. None of the above

A

Cannot be used to detect deep seated lesions

Percussion can only penetrate 5-7cm

17
Q

A healthy lung should have which of the following sounds upon percussion?

A. Resonant

B. Tympanic

C. Flat

D. Dull

A

Resonant

18
Q

Which of the follow sounds are you liekly to hear in patients with COPD/emphysema or asthma?

A. Hyperresonance

B. Tympanic

C. Flat

D. Dull

A

Hyperresonance

unilateral hyperresonance could also indicate a large pneumothorax or large air-filled bulla in lungs (COPD/emphysema)

19
Q

Which of the follow sounds are you likely to hear in patients with empyema(not a typo) or lobar pneumonia?

A. Hyperresonance

B. Tympanic

C. Flat

D. Dull

A

Dull

REMEMBER:

fluid is dull

air is resonant

20
Q

Diaphragmatic excursion iis the distance between the diaphragm during exhalation and inhalation. Which of the following is the normal distance?

A. 1-3cm

B. 3-5 cm

C. 3-5.5 cm

D. 5.5-10 cm

A

3-5.5 cm

21
Q

T/F: Assymetry between diaphragmatic excursion could insdicate pleural effusion, damage to phrenic N, or atelectasis.

A

True

22
Q

T/F: Chest hair, clothes, gowns can act like adventitious sounds (added sounds) and cause you to erronyously think there’s a respiratory issue going on

A

True

Adventitious sounds include:

Stridor, wheezes, crackles

23
Q

What are the 4 common causes of stridor? Generally an inspiratory sound, but could be expiratory or biphasic.

A

Croup

Epiglottitis

Upper Airway foreign body

Anaphylaxis

CEAU

24
Q

Which of the following is true of wheezing?

A. generally an inspiratory sound caused by narrowing in the upper airway

B. generally an expiratory sound caused by rapid airflow through a narrow bronchial airway

C. An inspiratory sound

D. None of the above

A

generally an expiratory sound caused by rapid airflow through a narrow bronchial airway

25
Q

Which of the following is true of crackles?

A. generally an inspiratory sound caused by narrowing in the upper airway

B. generally an expiratory sound caused by rapid airflow through a narrow bronchial airway

C. An inspiratory sound caused by a closed small airway popping open

D. None of the above

A

An inspiratory sound caused by a closed small airway popping open

NOTE: seen in pneumonia, CHF, atelectasis, pulmonary fibrosis, bronchiectasis, COPD, asthma

26
Q

Which of the following disorders is Incentive Spirometer most useful?

A. ASthma

B. Emphysema

C. Atelectasis

D. COPD

E. Pneumonia

A

Atelectasis

27
Q

Which of the following is considered normal during vocal resonance exams?

A. Spoken words get louder

B. whispered words get louder and clearer during auscultation

C. Words are distinct

D. Words are muffled and indistinct to auscultation

A

Words are muffled and indistinct to auscultation

distinct words indicate: tumor, pneumonia, effusions

28
Q
A

PCM II Exam 1 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions