Pulmonary

Question 1

What are some causes of a dry cough?

Answer 1

Tumor
Congestion
Hypersensitive airways

Question 2

Pulmonary pain patterns are usually localized in…

Answer 2

the substernal or chest region

Question 3

Pulmonary pain (increase/decrease) with inspiratory movements.

Answer 3

Increase

Question 4

Palpation and resisted movements (will/ won’t)

reproduce the symptoms of pulmonary pain

Answer 4

Won’t

Question 5

Recumbency will cause pulmonary pain to get worse, especially at which time of day?

Answer 5

Night

Question 6

The diaphragm receives dual pain innervation

through the _________ and _________ nerves

Answer 6

phrenic and intercostal nerves

Question 7

Pain experienced in the peripheral diaphragm will result in …

Answer 7

sharp pain felt along the costal margins, and lumbar spine

Question 8

Pain experienced in the central portion of the diaphragm results in…

Answer 8

results in sharp

pain referred to the upper trapezius muscle and shoulder

Question 9

What are the acute symptoms of bronchitis?

Answer 9

• Mild fever  from 1 to 3 days
• Malaise
• Back and muscle pain
• Sore throat
• Cough with sputum production,
followed  by wheezing 
• Possible   laryngitis

Question 10

What are the signs and symptoms of chronic bronchitis?

Answer 10

• Fever
• Reduced chest expansion
• Dyspnea
• W heezing
• Persistent cough with sputum –
worse in morning 
• Decreased  exercise  tolerance 
• Cyanosis

Question 11

What are the 3 types of emphysema?

Answer 11

• Centrilobular emphysema
• Panlobular emphysema
• Paraseptal emphysema

Question 12

Signs and symptoms of tuberculosis

Answer 12

• Fatigue
• Malaise
• Anorexia
• W eight loss
• Low –grade fevers
• Night sweats
• Frequent productive cough
• Dull chest pain, tightness, or discomfort
• Dyspnea

Question 13

Signs and symptoms of systemic sclerosis lung disease

Answer 13

• Clubbing
• Dyspnea on exertion – DOE
• Nonproductive cough
• Peripheral edema
• Orthopnea
• Paroxysmal nocturnal dyspnea
• Hemoptysis

Question 14

What are the signs and symptoms of centrally located lung cancer tumors?

Answer 14

↑ cough, dyspnea, diffuse CP referred to the shoulders, scapulae and upper back

Question 15

What are the signs and symptoms associated with peripheral lung cancer tumors?

Answer 15

Asymptomatic until the tumor extends through the visceral and parietal pleura; then sharp pain

Question 16

What are the signs and symptoms associated with Apical (Pancoast’s) tumors?

Answer 16

Do not usually cause symptoms while confined in the lung parenchyma; they can extend into surrounding structures and involve C8 – T 1 nerve roots causing TOS

Question 17

What are the signs and symptoms of lung cancer?

Answer 17

• Any change in respiratory patterns 
• Recurrent pneumonia or bronchitis 
• Hemoptysis 
• Persistent cough 
• Change in cough or development of hemoptysis in a chronic smoker 
• Hoarseness or dysphagia 
• Sputum streaked with blood 
• Dyspnea (SOB) 
• Wheezing 
• Sharp chest pain, upper back, shoulder, scapular, rib, or arm pain ↑ by inspiration in presence of
respiratory signs and symptoms

Question 18

What are the signs and symptoms of a pulmonary embolism?

Answer 18

• Dyspnea
• Pleuritic (sharp, localized) chest pain
• Diffuse chest discomfort
• Persistent cough
• Hemoptysis (bloody sputum)
• Apprehension, anxiety, restlessness
• Tachypnea
• Tachycardia
• Fever
• Death

Question 19

What are the clinical signs and symptoms of a pneumothorax?

Answer 19

• Dyspnea
• Change in respiratory movements (affected side)
• Increased neck vein distention
• Weak and rapid pulse
• Fall in blood pressure
• Dry, hacking cough
• Shoulder pain
• Sitting upright is most comfortable