quiz 1

Question 1

where does the frontal sinus drain

Answer 1

into ducts that empty into top of nasal cavity

Question 2

where does ethmoid sinus drain

Answer 2

lateral portions of nasal cavity

Question 3

where does the sphenoid sinus drain

Answer 3

posterior portions of nasal cavity

Question 4

where does maxillary sinus drain

Answer 4

superiorly to nasal cavity

Question 5

best position to drain maxillary sinus

Answer 5

prone

head must be horizontal to drain

Question 6

what is sinusitis

Answer 6

acute or chronic inflammation of paranasal sinuses

Question 7

causes of sinusitis

Answer 7

viral infection
bacterial infection
increase in pressure

Question 8

predisposing factors for sinusitis

Answer 8

deviation of nasal septum
dairy and wheat products
upper molar abscess

Question 9

what sinus empties into lateral portions of nasal cavity

Answer 9

ethmoid

Question 10

causes of sinusitis

Answer 10

viral, bacterial infection
increase in pressure

Question 10

predisposing factors of sinusitis

Answer 10

nasal septum deviation
dairy and wheat products
upper molar abscess

Question 11

CI’s for sinusitis

Answer 11

fever
local lymphatic drainage w acute infection

Question 12

what position do you drain the frontal, ethmoid, sphenoid sinus’

Answer 12

supine

Question 13

what position do you drain the maxillary sinus’

Answer 13

prone, sidelying

Question 14

where would you palpate the frontal sinus’

Answer 14

pressing superiorly at the medial angle of superior orbital margin

Question 15

focus of tx for sinusitis

Answer 15

relaxation based - unforced diaphragmatic breathing

Question 16

positioning for sinusitis

Answer 16

prone, sidelying with affected sinus uppermost is best position for draining single affected maxillary

supine for others

Question 17

head must be _____ to completely drain maxillary sinus

Answer 17

horizontal

Question 18

sidelying = single max sinus
prone = both max sinus

Answer 18

supine = ethmoid & sphenoid

Question 19

chronic bronchitis results in production of sputum for 6 months in a row over ___ consecutive years

Answer 19

2

Question 20

what is COPD a combo of

Answer 20

chronic bronchitis
emphysema

Question 21

chronic bronchitis symptoms

Answer 21

increased mucus production from bronchiole glands
increased number of goblet cells from irritation

narrow pathways due to chronic inflammation
thickening of bronchiole airways
decrease thoracic mobility
respiratory infections
productive chronic cough, worse in mornings
purulent mucus
cyanosis overtime occurs

Question 22

observations of chronic bronchitis

Answer 22

pt leans forward while sitting
clubbing of fingers / peripheral edema
hypertrophied accessory mm of respiration
dyspnea / tachypnea
apical breathing (upper chest)
barrel chest
hyper kyphosis, hyper lordosis

Question 23

chronic bronchitis

Answer 23

enlargement of mucus secreting bronchial glands
increase in epithelial goblet cells
decrease in ciliated epithelial cells

Question 24

blue bloater = chronic bronchitis

Answer 24

pink puffer = emphysema

Question 25

disease process of chronic bronchitis

Answer 25

airways become chronically inflamed leading to edema and thickening or hyperplasia of bronchial walls decrease in expiratory airflow rates and prolonged expiration

Question 26

what mm's would be hypertonic w chronic bronchitis

Answer 26

diaphragm intercostals scalenes SCM pec major/ minor abdominals

Question 27

when draining lower lobe , how is pt positioned

Answer 27

pt's hips must be elevated above head thorax is placed at angle between 30-45 degrees

Question 28

when draining right middle lobe what is positioning

Answer 28

lies one quarter turn from supine on left side supported on right side posteriorly by pillows

Question 29

upper lobe drainage positioning

Answer 29

seated

Question 30

what term describes an increase in the anteroposterior thoracic dimension

Answer 30

barrel chest

Question 31

centrilobular emphysema destroys what

Answer 31

central portion of lung associated w smoking found in upper lobes most frequently

Question 32

what is centrilobular emphysema

Answer 32

destroys central portion of lung from smoking

Question 33

what is panlobular emphysema

Answer 33

destroys lobules uniformly throughout lungs

Question 34

disease process of emphysema

Answer 34

alveolar walls are destructed leaving large air spaces called bullae

Question 35

cause of emphysema

Answer 35

overabundance of proteolytic enzymes

Question 36

emphysema symptom picture

Answer 36

dyspnea on exertion cough, wheezing, prolonged expiration diaphragm is flattened pink puffer barrel chest people are usually thin

Question 37

what is asthma

Answer 37

chronic inflammatory disorder characterized by bronchospasm (narrowing of airways in lungs)