Pages: 8-9 (Thorax) - 7%

Question 1

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

Answer 1

c.) Barrel Chest

Question 2

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

Answer 2

a.) Pectus Excavatum (aka: Funnel Chest)

Question 3

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

Answer 3

b.) Pectus Carinatum (aka: Pigeon Chest)

Question 4

This RESPIRATION pattern has rapid, shallow breathing…?

a. ) Bradycardia
b. ) Bradypnea
c. ) Tachycardia
d. ) Tachypnea

Answer 4

d.) Tachypnea

Question 5

This RESPIRATION pattern is slow breathing…?

a. ) Bradycardia
b. ) Bradypnea
c. ) Tachycardia
d. ) Tachypnea

Answer 5

b.) Bradypnea

Question 6

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

Answer 6

c.) Biot’s Breathing

Question 7

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

Answer 7

b.) Cheyenne Stokes Respiration

Question 8

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

Answer 8

a.) Kussmaul’s

Question 9

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

Answer 9

b.) Cheyenne Stokes Respiration

Question 10

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

Answer 10

a.) Kussmaul’s

Question 11

Unguinal indentations of the nails seen with Psoriasis…?

a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted

Answer 11

f.) Pitted

Question 12

Subacute bacterial endocarditis (Strep organism) of the nails…?

a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted

Answer 12

e.) Splinter hemorrhage

Question 13

Inflammation of the nail fold near the cuticle…?

a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted

Answer 13

c.) Paronychia

Question 14

Most commonly associated with Bronchogenic Carcinoma?

a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted

Answer 14

b. ) Clubbing

- refer to a pulmonologist

Question 15

Clubbing of the nail base is seen EARLY with what condition…?

a. ) Psoriasis
b. ) COPD
c. ) Iron deficiency anemia
d. ) Hypoxia

Answer 15

d.) Hypoxia

Question 16

Clubbing of the nail base is seen LATE with what condition…?

a. ) Psoriasis
b. ) COPD
c. ) Iron deficiency anemia
d. ) Hypoxia

Answer 16

b.) COPD

Question 17

What is the term for spooning of the nails…?

a. ) Koilonychia
b. ) Clubbing
c. ) Paronychia
d. ) Beau’s lines
e. ) Splinter hemorrhage
f. ) Pitted

Answer 17

a.) Koilonychia

Question 18

What condition is associated spooning of the nails (Koilonychia)…?

a. ) Sickle cell anemia
b. ) Aplastic anemia
c. ) Chronic blood loss
d. ) Iron deficiency anemia

Answer 18

d.) Iron deficiency anemia

Question 19

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

Answer 19

b.) Respiratory Excursion

Question 20

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

Answer 20

a.) Diaphragmatic Excursion

Question 21

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

Answer 21

d.) less than 3-5 cm

Question 22

What is your diagnostic follow up procedure if a patient has a Diaphragmatic Excursion distance of less than 3-5 cm?

Answer 22

Chest x-ray

Question 23

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

Answer 23

c. ) Rales

- Can be further described as moist, dry, fine, and coarse (Bronchitis).

Question 24

High-pitched sounds produced by narrowed airways. They can be heard upon EXPIRATION…?

a. ) Wheezes
b. ) Stridor
c. ) Rales
d. ) Rhonchi

Answer 24

a.) Wheezes

Question 25

If abnormal breath sounds are heard you must proceed with _____?

a. ) Diaphragmatic Excursion
b. ) Respiratory Excursion
c. ) Tactile Fremitus
d. ) Vocal Resonance

Answer 25

d.) Vocal Resonance

Question 26

ALL of Vocal Resonance is performed with a _____?

Answer 26

stethoscope

Question 27

What condition(s) have a RESONANT percussion sound to them…?

Answer 27

asthma
bronchitis
bronchiectasis

Question 28

What condition(s) have a DULL percussion sound to them…?

Answer 28

atelectasis***
pleurisy
pneumonia

Question 29

What condition(s) have a HYPERRESONANT percussion sound to them…?

Answer 29

emphysema

pneumothorax

Question 30

What condition(s) have a FLAT percussion sound to them…?

Answer 30

atelectasis***

Question 31

What condition(s) have a INCREASED fremitus sound to them…?

Answer 31

pneumonia

Question 32

Which of the following causing spooning of the nail beds?

a. ) Psoriasis
b. ) COPD
c. ) Iron deficiency anemia
d. ) Hypoxia

Answer 32

c.) Iron deficiency anemia

Question 33

Which of the following causing pitting of the nail beds?

a. ) Psoriasis
b. ) COPD
c. ) Iron deficiency anemia
d. ) Hypoxia

Answer 33

a.) Psoriasis

Question 34

What is the normal distance between the two spots when performing diaphragmatic excursion?

Answer 34

3-5cm or 2 inches