Pulmonary

Question 1

bronchophony

Answer 1

increased vocal sound with spoken words = 99

Question 2

Egophoy

Answer 2

E sounds like A; type of brochophony

Question 3

whispered pectoriloquy

Answer 3

recognition of whispered words 1,2,3

Question 4

BMI classification

Answer 4

<18.5 underweight, 18.5-24.9 = normal, 25-29 = overweight; 30-34= obese 1, 35 -39= obese 2, >40 extreme obestiy

Question 5

what is normal BMI? what is considered obese?

Answer 5

18.5-24.9 = normal; obese = 30-34 and over

Question 6

how is lymphedema classified

Answer 6

mild, moderate, severe - basesd on cm difference betwen limbs; <3 mild, 3-5 = moderate, >5cm difference = severe

Question 7

1st degree conduction block

Answer 7

1st = PR interval >0.2sec, no change in cardiac function

Question 8

2nd degree conduction block; type 1 vs type 2

Answer 8

AV conduciton intermittently fails to get to ventricules; Type I = Motibiz = progressive prolongation of PR interval; type II = bad. normal PR interval followed by one or more completely dropped.. can lead to 3rd degree block = requires a pacemaker

Question 9

absolute indication of BP for ending exercise test

Answer 9

SBP drops >10mmHg

Question 10

hyperresonance vs tympany

Answer 10

intermediate sound vs. hollow sound; first suggest emphysema or pneumothorax where tympany is definitely pneumothorax

Question 11

Borg RPE scale vs. max HR

Answer 11

13-14 = 70% max HR; 11-13 = upper limit of prescribed training for early cardiac rehab

Question 12

waist circumference and CV disease M and W

Answer 12

M = >40in, W = >35in

Question 13

Karvonen’s formula

Answer 13

Lower target HR = HRmax x55%; Upper = HRmax x90% OR (HRmax-HRrest) x40% + HRrest same but with 85% for max

Question 14

PD: apical segments

Answer 14

sitting leaning back, percussion above the clavicles

Question 15

PD: posterior segments

Answer 15

1/4prone around medial border of scapula

Question 16

L lingula

Answer 16

1/4 supine between axilla and L nipple

Question 17

Anterior segments

Answer 17

supine over clavicles

Question 18

R middle lobe

Answer 18

1/4 supine + trendelenburg

Question 19

anterior basal segments

Answer 19

supine + trendlenbuerg, over the lower ribs

Question 20

superior segments

Answer 20

prone inferior to scapula

Question 21

Posterior basal segments

Answer 21

prone + trendelenburg

Question 22

lateral basal segments

Answer 22

sidelying with trendelenburg

Question 23

semi-fowler position

Answer 23

supine with bed 45deg elevated