P.E. Flashcards

1
Q

Smell for odors of the breath

Sweet smell =

A

diabetic ketoacidosis

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2
Q

Smell for odors of the breath

Ammonia =

A

uremia

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3
Q

Smell for odors of the breath

Musty fish =

A

hepatic failure

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4
Q

Smell for odors of the breath

Foul/feculent =

A

intestinal obstruction/diverticulum

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5
Q

Smell for odors of the breath

Foul/putrid =

A

respiratory infection (emphysema, lung abscess, bronchiectasis)

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6
Q

Smell for odors of the breath

Halitosis =

A

gingivitis, Vincent’s angina

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7
Q

Smell for odors of the breath

Cinnamon =

A

tuberculosis

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8
Q

Apnea is defined as

A

Absence of spontaneous respirations

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9
Q

Dyspnea is defined as

A

the feeling or sensation that one cannot breath well enough

effort/work, chest tightness, and air hunger

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10
Q

Secondary Apnea is defined as

A

Grave condition in which breathing stops and will not spontaneously start again unless resuscitative measures are immediately instituted.

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11
Q

Orthopnea is defined as

A

Shortness of breath that begins or increases when the patient lies down; ask whether the patient needs to sleep on more than one pillow and whether that helps

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12
Q

Paroxysmal nocturnal dyspnea is defined as

A

A sudden onset of shortness of breathe after a

period of sleep; sitting upright is helpful.

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13
Q

Platypnea is defined as

A

Dyspnea increase in the upright posture

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14
Q

Tachypnea is defined as

A

A persistent respiratory rate faster than 20 and approaching 25 breaths per minute.
(May be observed in those with metabolic acidosis).

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15
Q

Bradypnea is defined as

A

A rate slower than 12 respirations per minute

-may indicate neurologic or electrolyte disturbance, infection or a sensible response to protect against the pain of pleurisy
-may also indicate a splendid level of
cardiorespiratory fitness

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16
Q

Cheyne Stokes Respirations is defined as

A

A regular periodic pattern of breathing, with intervals of apnea followed by a crescendo/decrescendo

17
Q

Biot Respirations is defined as

A

Somewhat irregular respirations varying in depth and interrupted by intervals of apnea but lacking the repetitive pattern of periodic respirations of Cheyne Stokes.

18
Q

Hyperpnea is defined as

A

Respirations greater than 20, and deep (hyperventilation)

19
Q

Kussmaul breathing is defined as

A

Rapid, deep and labored respiratory pattern associated with metabolic acidosis.

20
Q

Eupnea is defined as

A

Regular comfortable breathing at a rate of 12-20 breaths per minute

21
Q

diaphragmatic excursion is usually what length

A

3-6 cm

22
Q

What sound
Are deeper, more rumbling, more pronounced during EXPIRATION, more likely to be prolonged and continuous, and less discrete than crackles
-teds to disappear with sounds

A

Rhonchi (Sonorous Wheeze)

23
Q

What sound
Abnormal sound heard more often during inspiration and characterized by discrete discontinuous sounds, each lasting just a few milliseconds.
-will NOT be cleared by coughing

A

Crackles

24
Q

What sound
A high-pitched, wheezing sound caused by disrupted airflow, usually caused by blockage in the larynx or trachea
-Can be inspiratory or expiratory

A

Stridor

25
Q

What sound
Occurs outside the respiratory tree, it has a dry, crackly low pitched sound and is heard in both expiration and inspiration
-disappears when the breath is held

A

Friction Rub

26
Q

What sound

It is a continuous, high pitched, musical sound (almost a whistle) heard during inspiration or expiration

A

Wheezes (Sibilant Wheeze)

27
Q

lateral curvature/deviation of the spine

A

Scoliosis

28
Q

excessive curvature of the lumbar spine.

A

Lordosis

29
Q

Hyper-resonance indicates

A

hyperinflation of lungs

30
Q

Dullness indicates

A

lung consolidation