Pulmonary Flashcards

1
Q

Normal ratio of AP diameter to transverse diameter

A

1:2

barrel chest is 1:1

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2
Q

causes of asymmetrical breathing

A

paralysis of hemi-diaphragm

chest trauma

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3
Q

What do you ask the patient to say to assess tactile fremitus?

A

99

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4
Q

decreased tactile fremitus indicates

A

fluid or no air

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5
Q

increased tactile fremitus indicates

A

consolidation (pneumonia)

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6
Q

what lobe is not housed in the posterior chest?

A

RML

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7
Q

hearing tracheal breath sounds in areas other than where they belong

A

bronchophony

“hearing a normal sound in an unusual location

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8
Q

high-pitch wheezes

A

sibilant

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9
Q

What do you have the pt say to test for egophony?

A

EE

abnormal sound is “A”

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10
Q

fissure that divides upper and lower portions of each lung

A

oblique

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11
Q

divides the R lung into upper and middle lobes

A

lesser horizontal fissure

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12
Q

sudden onset of SOB after a period of sleep

A

PND

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13
Q

RR < 12

A

bradypnea

may be neuro of electrolyte disturbance, infection , pain

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14
Q

palpable vibration of the chest wall that results from speech or other verbalizations

A

tactile fremitus

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15
Q

apnea that occurs on inhalation of irritating vapors

A

reflex apnea

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16
Q

point at which the second rib articulates with the sternum

A

angle of Louis

17
Q

shortness of breath that begins when the patient lies down

A

orthopnea

18
Q

shortness of breath that begins when the patient sits upright

A

platypnea

19
Q

Order of pulmonary exam:

A

Inspection
palpation
percussion
auscultation

20
Q

Where do the inferior borders of the lung generally cross?

A

6th rib at the MCL

21
Q

posterior deviation of the spine

A

kyphosis

22
Q

ratio of respirations to heartbeats

A

1:4

23
Q

irregular breathing with interspersed periods of apnea in a disorganized sequence of breaths

A

Biot

24
Q

significant disorganization with irregular varying depths of respiration

A

Ataxic

25
Q

apnea that occurs after a blow to the head or birth

A

primary apnea

26
Q

breathing stops and will not begin spontaneously without resuscitative measures

A

secondary apnea

27
Q

breathing deeply

A

hyperpnea

Ex: exercise & anxiety

28
Q

lower thorax is drawn in on inspiration and out on expiration

A

paradoxic breathing

29
Q

palpable coarse grating vibration on inspiration

A

pleural friction rub

30
Q

diaphragmatic excursion distance

A

3-6 cm

31
Q

breath sound where I = E

A

bronchovesicular

32
Q

breath sound where I > E

A

vesicular