Lung & Thorax

Question 1

The ___ intercostal space is just below the tip of the scapula (inferior tip)

Answer 1

7th

Question 2

The ___ lobes of the lungs are mainly posterior

Answer 2

Lower

Question 3

The oblique fissures of the lungs start at about the spinous process of ___

Answer 3

T3

Question 4

The diaphragm is located at approximately ____ posteriorly, and has 5cm of excursion to ____ with inspiration (vertebral levels)

Answer 4

T10, T12

Question 5

Blue or purple color of deoxygenated hemoglobin seen through the skin (lips, nails beds)

Answer 5

Cyanosis

Question 6

____ of the fingers/nails is seen with cardiopulmonary disease

Answer 6

Clubbing

Question 7

Name the accessory muscles of inhalation

Answer 7

Scalenes, SCM, traps

Question 8

If lateral and AP chest expansion is less than 1 inch think ________

Answer 8

Ankylosing spondylitis

Question 9

Palpation of the lungs (ant and posterior) for vibration is known as _____. “99, 99, 99”

Answer 9

Tactile fremitus

Question 10

During percussion, the normal lung sound is _____

Answer 10

Resonance

Question 11

In bronchophony (auscultating the lung fields with stethoscope-diaphragm) a fail would be ______

Answer 11

Clear words - consolidation

Question 12

Assesses ventilation capabilities

Answer 12

Spirometry

Question 13

A shallow, rapid rate of breathing >20rpm

Answer 13

Tachypnea

Question 14

A rapid rate of DEEP breathing. Volume and repetitions are increased

Answer 14

Hyperpnea (hyperventilation)

Question 15

A slow, shallow rate of breathing <12rpm

Answer 15

Bradypnea

Question 16

Name 3 things that cause prolonged expiration

Answer 16

Asthma, Chronic bronchitis, COPD

Question 17

Bloody sputum

Answer 17

Hemoptysis

Question 18

Inflammation of the pleura

Answer 18

Pleurisy/pleuritis

Question 19

Fluid buildup between the lungs and chest

Answer 19

Pleural effusion

Question 20

A collapsed lung (due to air entering chest)

Answer 20

Pneumothorax

Question 21

Complete or partial collapse of a lung, or section (lobe) of a lung

Answer 21

Atelectasis

Question 22

The trachea will deviate ___lateral with a pleural effusion or pneumothorax, and will deviate ____lateral when dealing with atelectasis.

Answer 22

Contra, ipsi

Question 23

The primary cause of “barrel chest”? (Chest is basically held in the position of inspiration)

Answer 23

Emphysema (destruction and enlargement of air spaces - subcategory of COPD)

Question 24

From superior to inferior/lateral, name the normal breathing sounds (lung sounds):

Answer 24

1. Bronchial (up above the manubrium)
2. Bronchovesicular (midline, heard best in 1st/2nd interspaces between scapulae)
3. Vesicular (over the majority of the lung)

Question 25

Medical term for crackles (breathing sounds)

Answer 25

Rales

Question 26

A high-pitched noisy respiration, “like the blowing of the wind”, which is a medical emergency

Answer 26

Stridor

Question 27

Course rattling or snoring quality (of breath sounds)

Answer 27

Ronchi

Question 28

A cough with GREEN sputum which tastes bad is a classic finding of ____

Answer 28

Bronchitis

Question 29

Inflammation of the air sacs in the lung(s). May fill with fluid (exudate)

Answer 29

Pneumonia

Question 30

The most common lung and airway infection of infants and children - caused by airborne pathogen

Answer 30

RSV (Respiratory Syncytial Virus)

Question 31

A “barking cough” due to swelling around the vocal cords

Answer 31

Croup

Question 32

An INHERITED life-threatening disorder that damages the lungs and digestive system. Repeated lung infections, inability to gain weight, greasy, fatty stools are all symptoms

Answer 32

Cystic Fibrosis

Question 33

Discomfort/dyspnea brought on or aggravated by lying flat - commonly at night

Answer 33

Orthopnea