Respiratory Flashcards

1
Q

What are the primary muscles of respiration (inspiration)

A

Diaphragm

External intercostal muscles

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2
Q

What are the primary muscles of respiration (exhalation)

A

Interior intercostal muscles
Trapezius
Sternocleidomastoid

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3
Q

How many lobes does the right lung have

A

three lobes

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4
Q

How many lobes does the left lung have

A

two lobes and lingula

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5
Q

What vertebral level does the trachea divide into left and right main bronchi

A

T4/T5

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6
Q

Which bronchus is wide, short and vertical

A

Right main bronchi

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7
Q

Which bronchus is long, narrow, horizontal

A

Left main bronchi

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8
Q

how does the fetus partake in gas exchange

A

Through placenta

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9
Q

What causes the closure of the foramen ovale

A

Relative decrease in pulmonary pressure

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10
Q

What is the shape of the chest of a newborn

A

Round

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11
Q

What is the physiological reason for a barrel chest in older adults

A

Loss of muscle strength in thorax and diaphragm

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12
Q

What happens to the alveoli in older adults

A

Become less elastic causing fatigue and dyspena on exertion

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13
Q

What is the colour range of sputum

A

Clear, thin (normal) to Orange/rust and thick

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14
Q

Why would a patient use a CPAP machiene

A

They have Sleep apneia

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15
Q

What condition puts a patient at a higher risk of developing a pulmonary embolism

A

Diabetes

Pregnancy

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16
Q

What is the common cause of respiratory distress in premature infants

A

Lack of pulmonary surfactant

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17
Q

How does a pregnancy affect a woman’s ability to breath

A

The uterus displaces the diaphragm (big baby)

Too much amniotic fluid in uterus makes it too big (polyhydramnios)

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18
Q

What is the order to exam the lungs

A

Inspection
Palpation
Percussion
Auscaltation

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19
Q

What should you look for when inspecting the chest

A
Shape + symmetry
Movement of chest wall
Rib prominence
Sternal protrusion
Spinal deviaiton
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20
Q

What peripheral clues may suggest pulmonary or cardiac difficulties

A
Fingers: clubbing
Breath: bad odor
Skin, nails: cyanosis + pallor
Lips: Pursing
Nostrils: Flaring
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21
Q

What is the normal rate of respiration

A

12-20 breaths/min

22
Q

What is Kussmaul breathing

A

Deep labored breathing, often associated with severe metabolic acidosis

23
Q

What is Cheyne-Stokes breathing

A

Progressively deeper and sometimes faster breathing followed by a gradual decrease

24
Q

What is Biot respiration

A

Quick shallow breaths followed by periods of apnea

25
Q

What is paradoxic breathing

A

Lower thorax is drawn in on inspiration and dawn out on expiration

26
Q

What is Crepitus

A

Crackling that can be palpated and herd

Indicates air in subcutaneous tissue

27
Q

What is Friction rub

A

Palpable, coarse, grating vibration on inspiration

28
Q

What is the vibration of the chest wall that results from speech

A

Tactile fremitus

29
Q

What is the noise herd when percussing the chest

A

Resonance

30
Q

What does hyper-resonance indicate when percussing the chest wall

A

Hyperinflation

31
Q

What does dullness indicate when percussing the chest wall

A

Diminished air exchange

Consolidation

32
Q

What are the low-pitched, low-intensity sounds heard from healthy lungs

A

Vesicular

33
Q

What are moderate pitch, moderate intensity heard over the major bronchi

A

Bronchovesicular

34
Q

What are high pitched, high intensity sounds heard over the trachea

A

Bronchial

35
Q

What sound is often heard with a large stiff walled pulmonary cavity or tension pneumothorax

A

Amorphic

36
Q

What sound is often heard over a pulmonary cavity in which the wall is rigid

A

Cavernous

37
Q

What sound is continuous, high pitched and is heard when air is forced through a small ariway

A

WHeezes

38
Q

What sound is caused by the passage of air through an airway obstructed by thick secretions

A

Rhonchi

39
Q

What sound occurs outside the respiratory tree, low-pitched, grating sound

A

Friction rub

40
Q

What causes an increase in Tactile frematus side to side

A

Consolidation

41
Q

On the side of consolidation what is to be expected when examining the lungs

A
Tactile frematus = Increase vibration
Percussion = Dull
Auscaltation = Louder more intense
Vocal Resonance = Easy to hear
Egophany (patient says E, but sounds like A)
42
Q

Condition where puss is outsidde of the lungs

A

Epmyema

43
Q

Differences between atalactais and pneumothorax

A
Atalactasis = segmental collapse, no change in shape
Pneumothorax = Air presses/collapses the lung becuacse its in the pleural space
44
Q

What type of pneumothorax is likely to walk into your office

A

Spontaneous pneumothorax

45
Q

what body shape is commonly associated with spontaneous penumothorax

A

Tall and skinny

Marfan syndrome

46
Q

Tumor in the apex of the lung

A

Pancost tumor (broncogenic carcinoma)

47
Q

Two common types of Bronchitis

A

Influenza

Viral pneumoia

48
Q

What is the difference between Mucus produced in TB and a bacterial infxn that causes bleeding

A

TB = Red/ blood streaked

Bacterial with bleeding = Orange/rusty

49
Q

what is the procedure to remove mucus from a cystic fibrosis patient

A

Tapotment

50
Q

What are physical signs of epigloittis

A

Tripod position

Drooling