Respiratory assessment

Question 1

higher pitched, often heard throughout the inspiratory and expiratory phase of respiration or due to the narrowing of the small diameter lower Airways especially in patient’s with asthma

Answer 1

sibilant rhonchi

Question 2

color usually from decreased hemoglobin, blood volume

Answer 2

pallor

Question 3

Respiratory excursion is what

Answer 3

Respiratory excursion is what? check for equality of movement bilaterally

Question 4

Bronchial or bronchovesicular sounds heard where you would normally hear vesicular sounds indicate

Answer 4

atelectasis and pneumonia

Question 5

Defined as significant decrease or absence of airflow for 10 seconds or longer

(when you ain’t awake)

Answer 5

sleep apnea

Question 6

deep breaths > 20 a minute

Answer 6

hyperpnea

Question 7

Name the expiratory accessory muscles

3

Answer 7

rectus abdominis

transverse abdominis

external internal obliques

Question 8

In normal lungs spoken words should be ________ and _________?

Answer 8

In normal lungs spoken words should be muffled and indistinct

Question 9

platypnea

Answer 9

SOB sitting up

Question 10

Fine vs course

may be caused by small Airways popping bottles in the club, open during inspiration or from air bubbles moving through secretions partially closed Airways

discontinuous sounds

Answer 10

crackles/rales

Question 11

In normal lungs spoken ee should be heard as ____?

If lobar pneumonia is indicated, ____ will sound like_____.

Answer 11

Normal lungs ee sounds like ee

pneumonia ee sounds like ay

Question 12

_______ apnea occurs when the initial respiratory effort is absent (central) but it is then followed by an increasing effort to draw an air against an occluded airway

Answer 12

Mixed apnea occurs when the initial respiratory effort is absent (central) but it is then followed by an increasing effort to draw an air against an occluded airway

Question 13

_____ apnea is defined as an apneic event characterized by cessation in oral nasal airflow which coincides with a lack of effort detected and muscles of inspiration

Answer 13

Central apnea is defined as an apneic event characterized by cessation in oral nasal airflow which coincides with a lack of effort detected and muscles of inspiration

no cns drive

Question 14

Name the accessory inspiratory muscles

5

Answer 14

SCM, scalene, trapezius, pectoralis major, (supraclavicular in retractions)

Question 15

_______apnea occurs in respiratory flow is absent or significantly reduced despite the act that activity in muscles of inspiration is detected

Answer 15

Obstructive apnea occurs in respiratory flow is absent or significantly reduced despite the act that activity in muscles of inspiration is detected

Question 16

Low pitched, rumbling, heard primarily during expiration and are suggestive of secretions in the larger upper airway

they may clear with coughing

Answer 16

sonorous rhonchi

Question 17

Clubbing is caused by

Answer 17

chronic tissue hypoxia

Question 18

irregularly irregular (the a fibrillation of respiratory patterns

Answer 18

biots/ataxic

Question 19

The distinguishing feature of rhonchi vs wheezes is that rhonchi refer to ?

Answer 19

sounds resulting from secretion in the airway

Question 20

egophony is defined as

Answer 20

pneumonia ee sounds like ay

Question 21

Nasal flaring in adults would indicate

Answer 21

chemical or smoke inhalation, severe pneumonia

Question 22

Narrowing of the Airways due to Airways smooth muscle constriction, edema, secretions, collapse because of poorly supported walls

Answer 22

Continuous sounds wheezes and rhonchi

Question 23

chronic cough is how long

Answer 23

> 8 weeks

Question 24

A Cobb angle of what would be a concern

Answer 24

50 degrees or greater

Question 25

Usually heard during expiration but maybe heard both during expiration and inspiration

Answer 25

wheezes

Question 26

defined as spoken words louder and clearer indicating lobar pneumonia

Answer 26

bronchophony

Question 27

Inspiration sounds last longer than expiratory ones Soft relatively low pitch heard over both lungs

Answer 27

vesicular

Question 28

Female awake respirations are

Answer 28

Female awake respirations thoracic costal

Question 29

tip of tongue like projection of the upper lobe of the left lung it doesn't show up unless have pneumonia in that lobe

Answer 29

lingula

Question 30

Central cyanosis indicates

Answer 30

Central cyanosis indicates prolonged hypoxia

Question 31

normally predominately vesicular would be heard, but lobar pneumonia would be indicated with what sounds heard?

Answer 31

Bronchial or bronchovesicular over involved over involved area indicate pneumonia

Question 32

Inspiratory and expiratory sounds are about equal intermediate intensity intermediate pitch often heard in the first and second interspace anteriorly in between the scapula

Answer 32

bronchovesicular

Question 33

Hypertrophy accessory muscles would indicate \_\_\_\_

Answer 33

COPD

Question 34

Deep fast sighing breaths without pause

Answer 34

kussmauls

Question 35

The apnea hypopnea index is the number of apneas or hypopneas in one hour of sleep AHI ____ \_\_\_\_ mild \_\_\_\_ _____ moderate greater than _____ severe

Answer 35

The apnea hypopnea index is the number of apneas or hypopneas in one hour of sleep AHI 5 to 15 mild 15 to 30 moderate greater than 30 severe

Question 36

Inspiratory and expiratory sounds are equal very loud intensity relatively high pitch heard over the trachea in the neck

Answer 36

tracheal

Question 37

pattern with increasing and decreasing depth with intermittent periods of apnea, has a pause at the end of expiration

Answer 37

Cheyenne Stokes

Question 38

-characterized by a depression in the lower portion of the sternum. Compression of the heart and great vessels may cause murmur

Answer 38

**_pectus excavatum /funnel ches_**t -characterized by a depression in the lower portion of the sternum. Compression of the heart and great vessels may cause murmur

Question 39

subacute cough is how long

Answer 39

3-8 weeks

Question 40

the sternum is displaced anteriorly, increasing the anteroposterior diameter. The coastal cartilages adjacent to the protruding sternum or depressed

Answer 40

Pigeons chest pectus carinatum

Question 41

Whispered words should be faint and indistinct, if heard at all, indicates?

Answer 41

normal lungs, whispered pectoriloquy

Question 42

Shorter, crowing sound which is often evident during inspiration and expiration, but it's louder and longer during inspiration heard over upper airway due to constriction of trachea and larynx

Answer 42

stridor

Question 43

Paroxysmal nocturnal dyspnea would indicate what

Answer 43

CHF

Question 44

A previous spirometer change of __________ would predispose the patient to post op pulmonary complications

Answer 44

FEV1 \< 1 liter

Question 45

Partial decrease(50 to 75% of the baseline value) lasting for 10 seconds

Answer 45

sleep hypopnea

Question 46

Male awake respirations are

Answer 46

Male awake respirations are abdominals diaphragmatic

Question 47

Peripheral cyanosis indicates

Answer 47

Peripheral cyanosis indicates vasoconstriction, vascular occlusion, decreased cardiac output

Question 48

pattern with a pause at the end of a full inspiration what medication can lead to this?

Answer 48

Apneustic ketamine

Question 49

Normal respiration rate according to this lecture (eupnea)

Answer 49

14-20

Question 50

whispered pectoriloquy increased means what?

Answer 50

whispered words are louder, clearer, increased in volume whispered pectoriloquy increased indicates pneumonia

Question 51

Pursed lips are most likely to be seen in a patient with\_\_\_\_\_\_\_\_. what does breathing through pursed lips do

Answer 51

COPD Increases lung capacity by preventing alveolar and small airway collapse decreases respiratory rate and energy expenditure

Question 52

acute cough is how long

Answer 52

\< 3 weeks

Question 53

Why are we doing this?

Answer 53

Cause we are living in a material world And I am a material girl

Question 54

Central cyanosis indicates

Answer 54

Central cyanosis indicates prolonged hypoxia

Question 55

Expiratory sounds that lasts longer than inspiratory ones Loud intensity relatively high pitch heard over the manubrium if heard at all

Answer 55

bronchial

Question 56

\< 12 breaths a minute

Answer 56

bradypnea

Question 57

barrel chest indicates?

Answer 57

COPD normal with infancy often accompanies normal aging or you are swoll. 😂

Question 58

often seen with emphysema due to polycythemia Vera (likely to see increased hematocrit on labs

Answer 58

flushing