Pulmonary assessment

Question 1

What is a normal FEV1/FVC?

Answer 1

70%

Question 2

What is FEV1?

Answer 2

maximum amount of air expelled in 1 second

Question 3

What FEV1 indicates stage 1COPD?

Answer 3

> 80%

Question 4

What FEV1 indicates stage 2 COPD?

Answer 4

50-79%

Question 5

What FEV1 indicates stage 3 COPD?

Answer 5

30-49%

Question 6

What FEV1 indicates stage 4 COPD?

Answer 6

<30%

Question 7

Using FEV1 (PERF) to measure reversible obstruction is used in what disease?

Answer 7

asthma

Question 8

How is PERF calculated?

Answer 8

1. Repeat FEV1 1-2 times daily for 14 days and find the average
2. average is 100% capacity

Question 9

What should be done if someones PERF is 50-79%?

Answer 9

rescue inhaler

Question 10

What should be done if someones PERF is < 50 ?

Answer 10

seek medical attention

Question 11

What is dyspnea?

Answer 11

difficulty breathing

Question 12

What is orthopnea?

Answer 12

dyspnea while lying down
number of pillows
positional dyspnea

Question 13

What is paroxysmal nocturnal dyspnea?

Answer 13

dyspnea upon awakening at night

Question 14

What is tachypnea?

Answer 14

increased respiratory rate

Question 15

What is bradypnea?

Answer 15

decreased respiratory rate

Question 16

What is apnea?

Answer 16

absence of breathing

Question 17

What is hyperapnea?

Answer 17

normal rate but deep respirations

Question 18

How should treacheal auscultation sound?

Answer 18

loud, high pitched blowing

Question 19

How should bronchial auscultation sound?

Answer 19

harsh, high pitched

Question 20

How should vescular auscultation sound?

Answer 20

gentle, soft, low pitched

Question 21

What is the cause of the abnormal sound of rales?

Answer 21

congestion, usually cardiac disease

Question 22

What are abnormal lung sounds upon ausultation ?

Answer 22

1. rales
2. rub
3. rhonchi
4. crackles
5. wheezing
6. stridor

Question 23

What is rough coarse sound when pleural surfaces rub together?

Answer 23

rub

Question 24

What is continuous, low piched rattling sound with snoring quality

Answer 24

rhonchi

Question 25

What are bubbly discontinuous sounds?

Answer 25

crackles

Question 26

What are high pitched sounds best heard during expiration?

Answer 26

wheezing

Question 27

What is a loud hiss or shriek heard best during expiration?

Answer 27

stridor, needs ergent medical attention

Question 28

What is felt during pulmonary palpitation?

Answer 28

crepitation fremitus

Question 29

What is a coarse, crackling sensation near the shoulder?

Answer 29

crepitation

Question 30

When is fremitus abnormal?

Answer 30

strong and clear vibrations