Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Respiratory System > Respiratory examination > Flashcards

Respiratory examination Flashcards

1
Q

What does a bounding pulse on the internal jugular vein signify?

A

hypercapnia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some respiratory causes of raised JVP? (4)

A

Right ventricular failure

Tension pneumothorax

Severe acute asthma

Pulmonary embolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

On percussion, what does a stony dull sound mean?

A

pleural effusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the definition of a raised JVP?

A

> 3cm in vertical height above the sternal angle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What can cause a deviated trachea?

A

tension pneumothorax

large pleural effusion

collapsed lung

pneumonectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If percusion note is dull with both consolidation and effusion, how can you tell the difference with auscultation?

A

Consolidation gives increased breathing sounds,

effusion there are no breathing sounds.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What can cause finger clubbing? (6)

A

Interstitial lung disease

Emphysema

TB

Bronchiectasis

Cystic fibrosis

Lung malignancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where is the apex heart beat?

A

5th intercostal space, mid-clavicular line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

On percussion, what does hyper-resonance signify?

A

pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a sign of Pancoast’s tumour in the apex of the lung

A

muscle wasting of dorsal interossi and thenar eminance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When checking lung expansion, how much should the extension be?

A

>5cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If the cricosternal distance is less than three fingers, what can this indicate?

A

hyperinflated lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

On percussion, what does a dull sound signify? (4)

A

consolidation

lung collapse

pneumonectomy

cryptogenic fibrosing alveolitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What’s the golden rule with fever, cough and pleuritic chest pain?

A

It’s pneumonia until proven otherwise.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what may cause a deviation of the apex heart beat?

A

a deviation of the mediastinum following a pneumothorax

17
Q

What’s the difference between fine and course crackles?

A

Course: fluid (oedema) or infection in small airways

fine: heard in chronic lung diseases

18
Q

Name five signs of respiratory distress

A

Tachypnoea

Tripod position

Use of accessary muscles

Pursed lips

Flared nostrils

19
Q

what is a normal respiratory rate?

A

12-16 breaths per minute

20
Q

What’s the sputum like with pulmonary oedema?

A

Pink, frothy.

21
Q

What things to look for at initial general inspection of patient?

A

Alertness

Wellness

Body habitus

Signs of resp distress

Breathing pattern

Breath sounds

Cough

22
Q

What can cause a wheeze?

A

bronchospasm (asthma)

collapse due to loss of lung elasticity (COPD)

mucus obstruction

fluid in terminal bronchiole (oedema)

if just one side; malignancy, foreign body

23
Q

What are coarse crackles associated with?

A
  • consolidation
  • COPD
24
Q

What is the pleural rub associated with?

A

Usually associated with pleuritic pain (inflammed pleura)

  • pneumonia
  • pulmonary embolism
  • pleurisy
25
Q

What is a monophonic wheeze associated with?

A

Large-airway obstruction

26
Q

What is a polyphonic wheeze associated with?

A

small-airway obstruction

  • asthma
27
Q

What are fine crackles associated with?

A

Early inspiration

  • pulmonary oedema

Late inspiration

  • Fibrosis
28
Q

What could increase vocal resonance (99) ?

A

consolidation

29
Q

Vesicular breathing

A

Vesicular breath sounds can be heard over most areas of lungs.

Sound intensity can be higher when the stethoscope is positioned nearer to the bases and the periphery of the lung.

30
Q

Rhonchi Definition

A

Continuous low pitched, rattling lung sounds that often resemble snoring.

Obstruction or secretions in larger airways are frequent causes of rhonchi.

They can be heard in patients with chronic obstructive pulmonary disease (COPD), bronchiectasis, pneumonia, chronic bronchitis, or cystic fibrosis. Rhonchi usually clear after coughing.

31
Q

What can be detected in left lateral decubitus position?

A

Mitral stenosis

  • use bell, lightly on apical impulse.
33
Q

What is bronchial breathing?

A

Bronchial breath sounds are tubular, hollow sounds which are heard when auscultating over the large airways (e.g. second and third intercostal spaces). They will be louder and higher-pitched than vesicular breath sounds.

34
Q

What does a pleural friction rub sound like?

A

creaking sound similar to treading in fresh snow.

35
Q

Which part of breathing to you hear a pleural rub?

A

deep breathing at the end of inspiration and beginning of expiration.

Respiratory System (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions