Pulmonary Flashcards

1
Q

Lower lobe anterior basal segments

A

Supine decline

Lower ribs

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2
Q

What does the larynx do

A

Connects pharynx to trachea

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3
Q

What is Pneumocystis Pneumonia (PCP)

A

Pulmonary infection caused by a fungus in immunocompromised hosts

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4
Q

What is flail chest

A

Two or more fractures in two or more adjacent ribs

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5
Q

The upper two ribs are raised by…

A

Scalenes and SCM

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6
Q

What is digital clubbing a sign of

A

Chronic hypoxemia

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7
Q

What are ribs 1-7 called

A

False/costochondral ribs

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8
Q

Normal PaCO2

A

35-45 mmHg

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9
Q

By fixing the shoulder girdle, what muscles can become muscles of inspiration

A

Trap
Pecs
Serratus

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10
Q

What is assisted cough

A

Therapist’s hand becomes force behind patient’s exhaled air (pushes downward and inward on attempted cough)

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11
Q

What are vesicular breath sounds

A

A soft rustling sound heard throughout all of inspiration and the beginning of expiration

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12
Q

What is intrapleural space

A

Space between two pleurae that maintains approximation of the rib cage and lungs, allowing forces to be transmitted from one structure to another

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13
Q

Normal HCO3

A

22-28

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14
Q

What are bronchial sounds

A

A more hollow, echoing sound normal found of right superior anterior thorax

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15
Q

Lower lobes lateral basal segments

A

Prone decline

Uppermost ribs

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16
Q

Population for tracheal stimulation

A

Unable to cough on command (infants, brain injury, stroke)

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17
Q

What are ribs 1-6 called

A

True/costosternal ribs

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18
Q

Lower lobes superior segment

A

Prone flat

Middle of back at tip of scapula

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19
Q

What is Chronic Obstructive Pulmonary Disease

A

airflow limitation that is not fully reversible… usually an abnormal inflammatory response of the lungs to noxious particles or gases

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20
Q

What is inspiration reserve volume

A

Volume of gas that can be inhaled beyond a normal resting tidal inhalation

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21
Q

How many lobes does the right lung divide into

A

3

22
Q

What is the formula for smoking in pack years

A

Number of packs per day

X

Number of years smoked

23
Q

In general terms, what are vesicular sounds

A

Normal breath sounds

24
Q

Normal hematocrit values

A

35-48%

25
Q

What does visceral pleura do

A

Wraps outer surface of the lungs including fissure lines

26
Q

Lower lobes posterior basal segment

A

Prone decline

Lower ribs

27
Q

What does parietal pleura do

A

Covers inner surface of thoracic cage, diaphragm, and mediastinal border of lung

28
Q

What is the Angle of Louis

A

Sternal angle - the bony ridge between the manubrium and body

29
Q

What is residual volume

A

Volume of gas that remains in the lungs after ERV has been exhaled

30
Q

Patient position and percussion for right middle lobe

A

Patient supine in decline

Right nipple

31
Q

What is cystic fibrosis

A

Genetically inherited disease characterized by thickening of secretions of all exocrine glands, leading to obstruction

32
Q

What is cyanosis a sign of

A

Acute Hypoxemia

33
Q

Huffing is most appropriate for patients with…

A

Collapsible airways

34
Q

What are ribs 11 and 12 called and why

A

Floating

No anterior attachment to sternum

35
Q

What is respiratory distress syndrome

A

Alveolar collapse in a premature infant resulting from lung immaturity

36
Q

Why are ribs 7-10 called false/costochondral ribs

A

Share costochondral attachments before attaching anteriorly to sternum

37
Q

Respiratory alkalosis pH and PaCO2

A

pH increased

PaCO2 decreases

38
Q

What is pneumothorax

A

Air in pleural space usually through a lacerated visceral pleura

39
Q

Lingula

A

Supine, slightly rotated right in decline

Left nipple

40
Q

What is expiration reserve volume

A

Volume of gas that can be exhaled beyond a normal resting tidal exhalation

41
Q

Patient position and percussion for anterior segment of upper lobe

A

Supine on flat bed

Clap between clavicle and nipple on each side

42
Q

What is tidal volume

A

Volume of gas inhaled/exhaled during normal resting breath

43
Q

Normal pH for body

A

7.35-7.45

44
Q

When are accessory muscles of inspiration used

A

A more rapid or deeper inhalation is required or in Disease states

45
Q

Normal white blood cell count

A

4000-11000

46
Q

Respiratory acidosis pH and PaCO2

A

pH decrease

PaCO2 Increase

47
Q

Why are ribs 1-6 true ribs

A

They attach to the sternum via single anterior costochondral attachment

48
Q

What is Sarcoidosis

A

Multisystem inflammatory disease consisting of granulomas in multiple organs, most often lungs, skin, lymph nodes, eyes, and livers

49
Q

What is hemothorax

A

Blood in pleural space, usually from a laceration of the parietal pleura

50
Q

What is Alveolar Ventilation

A

Ability to remove carbon dioxide from pulmonary circulation and maintain pH

51
Q

Normal values of hemoglobin

A

12-16 g/dL