Respiratory

Question 1

Pack years = number of ____ ____ X number of ____ _____

Answer 1

Packs daily, years smoking

Question 2

Bloody sputum, refer to last TB test

Answer 2

Hemoptysis

Question 3

Difficulty breathing that awakens patient

Answer 3

Paroxysmal nocturnal dyspna

Question 4

You should inspect fingers, toenails, lips for ______ status

Answer 4

Oxygenation

Question 5

This is a rounded chest; pts with COPD may have this chest appearance

Answer 5

Barrel chest

Question 6

Pectus ______ is where the breastbone is sunken inward

Answer 6

Excavatum

Question 7

Pectus ______ is where the breastbone sticks outward

Answer 7

Carinatum

Question 8

COPD is an umbrella term for what two conditions?

Answer 8

Chronic bronchitis, emphysema

Question 9

Chronic bronchitis pts are called this

Answer 9

Blue bloater

Question 10

Emphysema pts are called this

Answer 10

Pink puffer

Question 11

You want to see if there’s use of THESE during work of breath (WOB)

Answer 11

Accessory muscles

Question 12

Kussmaul’s breathing is indicative of what? (i.e. diabetes mellitus)

Answer 12

Metabolic acidosis

Question 13

Cheyne-Strokes breathing results from ______ of respiratory center, and is characterized by ____ & ________

Answer 13

hypoperfusion; apnea & hyperventilation

Question 14

This is done during posterior respiratory PE; feeling vibrations

Answer 14

Tactile fremitus

Question 15

This is done during posterior respiratory PE; butterfly test; looking for symmetry of breath. Would be UNEVEN in ________

Answer 15

Excursion; pneumothorax (collapsed lung)

Question 16

What 5 things are you listening for in percussion of posterior chest?

Answer 16

Resonance, hyperresonance, dullness, flat, tympany

Question 17

Think of a “tight drum” over organs that stretch. This will NOT BE FOUND in respiratory system!

Answer 17

Tympany

Question 18

This percussion sound is indicative of pleural effusion or lobar pneumonia; it is MOST DENSE

Answer 18

Dullness

Question 19

This percussion sound is indicative of pneumothorax

Answer 19

Hyperresonance

Question 20

Where may dullness be found during percussion?

Answer 20

Liver

Question 21

Auscultation assesses air _____ through tracheobronchial tree, presence of _____ & mucous, and condition of lungs & pleural space

Answer 21

Flow, fluid

Question 22

What are the 3 normal breath sounds?

Answer 22

Bronchial/tracheal, bronchiovesicular, vesicular

Question 23

What are 5 abnormal breath sounds?

Answer 23

Crackles/rales, wheezes, rhonchi, pleural friction rub, stridor

Question 24

Crackles/rales are indicative of fluid in _____

Answer 24

Alveoli

Question 25

Wheezing is indicative of lungs clamping down in ______. Moisture or debris in larger airway

Answer 25

Bronchioles