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cardiopulm final > respiratory labs > Flashcards

respiratory labs Flashcards

1
Q

if someone has pleural effusion what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

A

tracheal deviation- contralateral
fremitus- decreased
percussion- dull
pectoriloquy- decreased
breath sounds - decreased

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2
Q

if someone has consolidation what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

A

tracheal deviation- none
fremitus- increased
percussion- dull
pectoriloquy- increased
breath sounds- decreased

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3
Q

if someone has emphysema what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

A

tracheal deviation- none
fremitus- decreased
percussion- hyper resonant
pectoriloquy- decreased
breath sounds- crackles

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4
Q

if someone has tension pneumothorax what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

A

tracheal deviation- contra
fremitus- decreased
percussion- hyper resonant
pectoriloquy- decreased
breath sounds- decreased

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5
Q

if someone has mucous plug (with collapse) what examination finding will they have ..
tracheal deviation
fremitus
percussion
pectoriloquy
breath sounds

A

tracheal deviation- ipsilateral
fremitus- decreased
percussion- dull
pectoriloquy- decreased
breath sounds- decreased

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6
Q

if there is decreased breath sounds and then u assess tactile fremitus if it is increased it is ___ and if it is decreased it can be what 3 things

A

increased consolidation (pneumonia)
decreased is pneumothorax , pleural effusion and pulmonary edema

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7
Q

what breath sound is like crowing sound during inspiration , suggesting an upper airway obstruction or laryngospasm

A

stridor

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8
Q

what is pleural friction rub caused by

A

rubbing of inflamed pleural surfaces against lung tissue

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9
Q

when is pleural friction rub

A

both inspiration and expiration

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10
Q

asthma casues narrowing of the airways due to what 2 things

A

bronchocontriction
secretions

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11
Q

what are continuous , high-pitched, musical tones that can be heard during either inspiration and expiration or both.

A

wheezes

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12
Q

what could wheezes be a result of

A

collapsed airway lumen gradually opens during inspiraiotn or gradually closes during expiration or extensive secretions in expiration

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13
Q

what are fluid secretions in large airways, lower pitch

A

rhonchi

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14
Q

what are 4types of adventitious breath sounds

A

wheezes or rhonchi
crackles or rales
stridor
pleural rub

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15
Q

rhonchi are suggestive of what

A

secretions in large airways

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16
Q

wheezes are suggestion of

A

asthma

17
Q

crackles are ____ sounds

A

discontinuous

18
Q

crackles are due to what

A

interstitial lung disease or fluid build up from CHF or pulmonary fibrosis

19
Q

coarse crackles are ____ , ___ pitch and ____

A

louder
lower
longer

20
Q

coarse crackle are due to what

A

large airway obstruction (rales)

21
Q

what diseases (4) can you hear coarse breath sounds in

A

pneumonia
COPD
pulmonary edema
aspiration

22
Q

crackles are heard more commonly during what

A

inspiration

23
Q

id crackles are heard during early inspiration it may be due to what 2 things

A

choleric bronchitis or early emphysema in lagrange airways

24
Q

if crackles are heard later in inspiration it may originate from what

A

from smaller peripheral airways

25
Q

restrictive lung diseases: interstitial fibrosis, sarcoidosis, asbestosis, pneumonia, scleroderma,
pulmonary edema can all lead to crackles being heard in …

A

late inspiration phase

26
Q

what are the 3 abnormal sounds

A

bronchial
decreased
absent

27
Q

if the chest goes up but the tummy goes in then its is ___ paradox breathing

A

abdominal

28
Q

what is a clinical diagnosis of daily productive cough for 3 months or more in at least 2 consecutive years

A

chronic bronchitis

29
Q

someone with chronic bronchitis will have ___ hemoglobin , ___ edema and what kind of adventitious breath sounds

A

elevated
peripheral
rhonchi and cheering

30
Q

what is pathologic diagnosis of permanent enlargement and destruction of airspace’s distal to the terminal bronchiole

A

emphysema

31
Q

the x-ray for emphysema patients will show what

A

hyperinflation with flatten diaphragm

32
Q

if the sputum is purulent what does that mean

A

lung infection

33
Q

if the sputum is rusty colored what does that mean

A

damage to lung tissue

34
Q

is the sputum is foamy white or frothy pink what does that mean

A

cardiac problem can casues pulmonary edema

cardiopulm final (8 decks)

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