Pages: 8-9 (Thorax) - 7% Flashcards
This DEFORMITY of the Thorax is seen with COPD (adults) and Cystic Fibrosis (children)…?
a. ) Pectus Excavatum
b. ) Pectus Carinatum
c. ) Barrel Chest
d. ) Bowing chest
c.) Barrel Chest
This DEFORMITY of the Thorax has marked depression noted in the sternum (sunken in)…?
a. ) Pectus Excavatum
b. ) Pectus Carinatum
c. ) Barrel Chest
d. ) Bowing chest
a.) Pectus Excavatum (aka: Funnel Chest)
This DEFORMITY of the Thorax has forward protrusion of the sternum (like keel of a ship)…?
a. ) Pectus Excavatum
b. ) Pectus Carinatum
c. ) Barrel Chest
d. ) Bowing chest
b.) Pectus Carinatum (aka: Pigeon Chest)
This RESPIRATION pattern has rapid, shallow breathing…?
a. ) Bradycardia
b. ) Bradypnea
c. ) Tachycardia
d. ) Tachypnea
d.) Tachypnea
This RESPIRATION pattern is slow breathing…?
a. ) Bradycardia
b. ) Bradypnea
c. ) Tachycardia
d. ) Tachypnea
b.) Bradypnea
This type of RESPIRATION is characterized by groups of quick, shallow inspirations followed by irregular periods of apnea (has NO pattern)…?
a. ) Kussmaul’s
b. ) Cheyenne Stokes Respiration
c. ) Biot’s Breathing
d. ) Blue Bloater
c.) Biot’s Breathing
This RESPIRATION breathing pattern is characterized by alternating periods of apnea and hyperpnea (has pattern)…?
a. ) Kussmaul’s
b. ) Cheyenne Stokes Respiration
c. ) Biot’s Breathing
d. ) Blue Bloater
b.) Cheyenne Stokes Respiration
This RESPIRATION breathing pattern is first rapid and shallow but as metabolic acidosis worsens, breathing gradually becomes deep, slow, labored and grasping…?
a. ) Kussmaul’s
b. ) Cheyenne Stokes Respiration
c. ) Biot’s Breathing
d. ) Blue Bloater
a.) Kussmaul’s
Which type of RESPIRATION breathing pattern is associated with Respiratory Acidosis…?
a. ) Kussmaul’s
b. ) Cheyenne Stokes Respiration
c. ) Biot’s Breathing
d. ) Blue Bloater
b.) Cheyenne Stokes Respiration
Which type of RESPIRATION breathing pattern is also known as “Air Hunger Breathing”?
a. ) Kussmaul’s
b. ) Cheyenne Stokes Respiration
c. ) Biot’s Breathing
d. ) Blue Bloater
a.) Kussmaul’s
Unguinal indentations of the nails seen with Psoriasis…?
a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted
f.) Pitted
Subacute bacterial endocarditis (Strep organism) of the nails…?
a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted
e.) Splinter hemorrhage
Inflammation of the nail fold near the cuticle…?
a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted
c.) Paronychia
Most commonly associated with Bronchogenic Carcinoma?
a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted
b. ) Clubbing
- refer to a pulmonologist
Clubbing of the nail base is seen EARLY with what condition…?
a. ) Psoriasis
b. ) COPD
c. ) Iron deficiency anemia
d. ) Hypoxia
d.) Hypoxia
Clubbing of the nail base is seen LATE with what condition…?
a. ) Psoriasis
b. ) COPD
c. ) Iron deficiency anemia
d. ) Hypoxia
b.) COPD
What is the term for spooning of the nails…?
a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted
a.) Koilonychia
What condition is associated spooning of the nails (Koilonychia)…?
a. ) Sickle cell anemia
b. ) Aplastic anemia
c. ) Chronic blood loss
d. ) Iron deficiency anemia
d.) Iron deficiency anemia
What is it called when you place your hands over the posterior ribs and have the patient take deep breathes…?
a. ) Diaphragmatic Excursion
b. ) Respiratory Excursion
c. ) Tactile Fremitus
d. ) Vocal Resonance
b.) Respiratory Excursion
What is it called when the Dr. asks the patient to exhale and hold it, percusses down the back in the intercostal margins, starting below the scapula, until sounds change from resonant to dull. Dr. marks this spot. Then the patient takes a deep breathe in and holds it as the Dr. percusses down again, marking the spot where the sound changes from resonant to dull again. The Dr. will measure the distance between the two spots…?
a. ) Diaphragmatic Excursion
b. ) Respiratory Excursion
c. ) Tactile Fremitus
d. ) Vocal Resonance
a.) Diaphragmatic Excursion
When performing Diaphragmatic Excursion the patient may have Pneumonia or a Pneumothorax if the distance between the two spots marked is what?
a. ) greater than 2 cm
b. ) greater than 4 cm
c. ) less than 1-2 cm
d. ) less than 3-5 cm
d.) less than 3-5 cm
What is your diagnostic follow up procedure if a patient has a Diaphragmatic Excursion distance of less than 3-5 cm?
Chest x-ray
Small clicking, bubbling, or rattling sounds in the lung. They are believed to occur when air opens closed air spaces…?
a. ) Wheezes
b. ) Stridor
c. ) Rales
d. ) Rhonchi
c. ) Rales
- Can be further described as moist, dry, fine, and coarse (Bronchitis).
High-pitched sounds produced by narrowed airways. They can be heard upon EXPIRATION…?
a. ) Wheezes
b. ) Stridor
c. ) Rales
d. ) Rhonchi
a.) Wheezes
If abnormal breath sounds are heard you must proceed with _____?
a. ) Diaphragmatic Excursion
b. ) Respiratory Excursion
c. ) Tactile Fremitus
d. ) Vocal Resonance
d.) Vocal Resonance
ALL of Vocal Resonance is performed with a _____?
stethoscope
What condition(s) have a RESONANT percussion sound to them…?
asthma
bronchitis
bronchiectasis
What condition(s) have a DULL percussion sound to them…?
atelectasis***
pleurisy
pneumonia
What condition(s) have a HYPERRESONANT percussion sound to them…?
emphysema
pneumothorax
What condition(s) have a FLAT percussion sound to them…?
atelectasis***
What condition(s) have a INCREASED fremitus sound to them…?
pneumonia
Which of the following causing spooning of the nail beds?
a. ) Psoriasis
b. ) COPD
c. ) Iron deficiency anemia
d. ) Hypoxia
c.) Iron deficiency anemia
Which of the following causing pitting of the nail beds?
a. ) Psoriasis
b. ) COPD
c. ) Iron deficiency anemia
d. ) Hypoxia
a.) Psoriasis
What is the normal distance between the two spots when performing diaphragmatic excursion?
3-5cm or 2 inches
