Pulmonary Rehabilitation

Question 1

Normal Breath Sounds

Answer 1

1. Tracheal
2. Bronchial
3. Bronchiovesicular
4. Vesicular

Question 2

Tracheal
1. Sound
2. I & E
3. Location

Answer 2

1. Loud
2. I = E
3. Neck

Question 3

Bronchial
1. Sound
2. I & E
3. Location

Answer 3

1. Loud
2. I<E
3. Jugular Notch, Sternal Notch, Manubrium, Between Clavicle

Question 4

Bronchovesicular
1. Sound
2. I & E
3. Location

Answer 4

1. Soft
2. I = E
3. Parasternum, Sternum, Interscapular

Question 5

Vesicular
1. Sound
2. I & E
3. Location

Answer 5

1. Soft
2. I > E
3. Periphery

Question 6

Mediastinal Shift in Ipsilateral Direction

Answer 6

1. Atlectasis
2. Lobectomy
3. Pneumonectomy

Question 7

Mediastinal Shift in Contralateral Direction

Answer 7

1. Edema
2. Pneumothorax & Hemothorax
3. Abdominal Hernia

Question 8

COPD Conditions since COPD is an umbrella term

Answer 8

1. Acute Bronchitis
2. Chronic Bronchitis
3. Emphysema
4. Bronchiectasis
5. Asthma
6. Cystic Fibrosis
7. Pneumonia
8. Pulmonary Tuberculosis

Question 9

Chronic Restrictive Pulmonary Disease Conditions

Answer 9

1. Pneumothorax
2. Hemothorax
3. Atelectasis
4. Pulmonary Edema

Question 10

Pulmonary Rehabilitation Prescription

Answer 10

1. Mode
2. Intensity
3. Duration
4. Frequency

Question 11

Rate of Perceived Shortness of Breath

Answer 11

0- Nothing at all
0.5- Very very slight (just noticeable)
1- Very Slight
2- Slight
3- Moderate
4- Somewhat Severe
5- Severe
7- Very Severe
9- Very very severe (almost maximal)
10- Maximal

Question 12

To increase ventilation and improve gas exchange, decrease work of breathing, increase excursion of diaphragm

Answer 12

Diaphragmatic Breathing

Question 13

To emphasize expansion of hypoventilated segments of lungs.

Answer 13

Segmental Hypoventilation

Question 14

To relieve dyspnea and keep airway open and improve exercise tolerance

Answer 14

Pursed-Lip Breathing

Question 15

To improve weaning from ventilator and improve cough

Answer 15

Glossopharyngeal Breathing

Question 16

To improve strength and endurance of the respiratory muscles and increase the volume of air inspired.

Answer 16

Incentive Respiratory Spirometry

Question 17

What type of breathing is functional for COPD patients?

Answer 17

Pursed Lip Breathing

Question 18

The most common and easiest means of clearing the airway.

Answer 18

Coughing

Question 19

For collapsible airways

Answer 19

Ha

Question 20

To elicit cough in infant and those disoriented patients.

Answer 20

Tracheal Stimulation

Question 21

To allow airway clearance for those who cannot cough or huff; takes 10-15 seconds.

Answer 21

Endotracheal Suctioning

Question 22

Placing the patient in varying positions for optimal gravity drainage of secretions and increased expansion of the involved segment.

Answer 22

Postural Drainage

Question 23

Indication for the use of postural drainage

Answer 23

1. Atelectasis
2. Increased pulmonary secretions
3. Aspirations

Question 24

Time per postural drainage position

Answer 24

20 minutes

Question 25

Cupped hands and rhythmically applied.

Answer 25

Percussion

Question 26

Applied throughout exhalation and 5-10 deep inhalations

Answer 26

Shaking (Vibration)

Question 27

9 Postural Drainages

Answer 27

1. Upper Lobe Apical Segment
2. Upper Lobe Posterior Segment
3. Upper Lobe Anterior Segment
4. Right Middle Lobe
5. Left Upper Lobe Singular Segments
6. Lower Lobe Anterior Basal Segments
7. Lower Lobe Lateral Basal Segments
8. Lower Lobe Posterior Basal Segment
9. Lower Lobe Superior Segment

Question 28

To prevent occurrence of dyspnea. An activity that usually causes dyspnea needs to be broke down into component parts such that each component can be performed at a rate that does not exceed breathing abilities.

Answer 28

Activity Pacing