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CPR > S1_L2_CPR_PhysicalDx - 72-104 > Flashcards

S1_L2_CPR_PhysicalDx - 72-104 Flashcards

1
Q

Palpation: a crackly or crinkly sensation, a gentle
and bubbly feeling

A

Crepitus

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2
Q

Palpation: palpable vibration of the chest wall that
results from speech or other verbalizations

A

Tactile Fremitus

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3
Q

Palpation: palpable, coarse, grating vibration

A

Pleural Friction Rub

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4
Q

Palpation: Indicates air in the subcutaneous tissue from a rupture somewhere in the respiratory system by infection from a gas-producing organism

A

Crepitus

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5
Q

Palpation: Pleural friction rub is usually on (inspiration/expiration)

A

inspiration

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6
Q

Palpation: Crepitus is localized not generalized (T/F)

A

F, both localized and generalized

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7
Q

Palpation: feel of leather rubbing on leather

A

Pleural Friction Rub

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8
Q

Palpation: best felt parasternally at the 2nd ICS at the level of the bifurcation of bronch

A

Tactile Fremitus

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9
Q

Palpation: Bubble wrap sound that could develop in LE

A

Crepitus

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10
Q

Palpation: 99, tres-tres, Mickey Mouse (resonant with R,M,T)

A

Tactile Fremitus

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11
Q

Palpation: Can be felt when doing thoracic expansion with a
vibrating sensation → (+) pleural inflammation; Same pathology or mechanism with auscultatory findings in friction rub

A

Pleural Friction Rub

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12
Q

Palpation: Crinkly sensation; May be d/t an infection from organism that produces
air; can also be from an injury such as trauma or poor intubation causing tracheal perforation

A

Crepitus

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13
Q

Palpation: in tactile fremitus, strart from (top/bottom) then sides

A

top

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14
Q

Palpation: where is tactile fremitus best felt

A

parasternally at the 2nd ICS at the level of
the bifurcation of bronchi

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15
Q

TACTILE FREMITUS (dec or inc): Excess air in lungs

A

dec

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16
Q

TACTILE FREMITUS (dec or inc): Lung compressions

A

inc

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17
Q

TACTILE FREMITUS (dec or inc): heavy bronchial secretions

A

inc

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18
Q

TACTILE FREMITUS (dec or inc): massive pulmonary edema

A

dec

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19
Q

TACTILE FREMITUS (dec or inc): presence of fluid in the lungs

A

inc

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20
Q

TACTILE FREMITUS (dec or inc): bronchial obstruction

A

dec

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21
Q

TACTILE FREMITUS (dec or inc): tumors

A

inc

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22
Q

TACTILE FREMITUS (dec or inc): pleural thickening / effusion

A

dec

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23
Q

TACTILE FREMITUS (dec or inc): emphysema

A

dec

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24
Q

TACTILE FREMITUS (dec or inc): lung consolidations

A

inc

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25
Trachea should be at the (left, midline, right)?
midline
26
Percussion tone is done more on (Right/Left) side? from ___to base
right, apex
27
Percussion ton: over ___ = dull or flat; over ____ = resonant due to filled w air
bones & muscles; lung parenchyma
28
5 types of Tone in percussing of the chest
resonant, flat, dull, tympanic, hyperresonant
29
Percussion INTENSITY of resonant
loud
30
Percussion INTENSITY of hyperresonant
very loud
31
Percussion INTENSITY of dull
medium
32
Percussion INTENSITY of flat
soft
33
Percussion INTENSITY of tympanic
loud
34
Percussion PITCH of resonant
low
35
Percussion PITCH of flat
high
36
Percussion PITCH of dull
medium to high
37
Percussion PITCH of tympanic
high
38
Percussion PITCH of hyperresonant
very low
39
Percussion DURATION of resonant
long
40
Percussion DURATION of flat
short
41
Percussion DURATION of dull
medium
42
Percussion DURATION of tympanic
medium
43
Percussion DURATION of hyperresonant
longer
44
Percussion QUALITY of tympanic
drum like
45
Percussion QUALITY of hyperresonant
booming
46
Percussion QUALITY of resonant
hollow
47
Percussion QUALITY of dull
dull thud
48
Percussion QUALITY of flat
very dull
49
4 usual tests to look in common diagnostic modalities
1) structure, 2) function, 3) metabolic function, 4) pathogens
50
Diagnostic modality: Xray shows (4) structures
bones, BVs, lung, cardiac outline
51
Diagnostic modality: air appears as (black/white); tissues & fluid appear as (black/white) depending on density
black, white
52
Diagnostic modality: sound waves; Can be used to detect water in lungs, visualizing the heart
Ultrasound
53
Diagnostic modality: 3D image of a one-dimensional shot with ionizing radiation
Computed tomography
54
Diagnostic modality: uses magnetic field & radio waves
Magnetic resonance imaging
55
Diagnostic modality: Radioactive tracers, used to trace cancer spread
Positron emission tomography
56
Diagnostic modality: uses contrast dye to visualize the pulmonary tree; to check whether there is an embolic ohenomenon / thrombus / embolus
Pulmonary angiogram
57
What determines 1) FEV1, 2) FVC, 3) FEV1/FVC, 4) Forced expiratory flow 25-75%
Spirometry
58
Pulmonary Function Test is (invasive/non-invasive)?
non-invasive
59
Pulmonary Function Testmeasures what? (5)
lung capacities, lung volume, airflow, rates of flow, gas exchange
60
Diagnostic test: simple, office based used to detect disease & evaluate measure extent and monitor course of disease
Spirometry
61
Diagnostic test: Done in a highly controlled manner that takes place in a closed room where pressure is controlled
Pulmonary Function Test
62
Diagnostic test: used to measure effects of exposures and assess risk for surgical procedures
Spirometry
63
Diagnostic test: measures flow, volumes, volume vs time
Spirometry
64
Diagnostic test: Contains a mouthpiece where patient inhales or blows off air which is connected to a computer that measures lung volumes and capacities
Pulmonary Function Test
65
Diagnostic test: Output would be presented into graphs which will be computed according to the body surface area, body size, and if the patient’s results are normal or not.
Pulmonary Function Test
66
Diagnostic test: Spirometry can determine (4)?
1) FEV1, 2) FVC, 3) FEV1/FVC, 4) Forced expiratory flow 25-75%
67
Spirometry (Obstructive/Restrictive): dec lung volume
restrictive
68
Spirometry (Obstructive/Restrictive): FEC1 & FEV1/FVC always low
obstructive
69
Spirometry (Obstructive/Restrictive): FEC1 & FEV1/FVC usually normal
restrictive
70
Spirometry (Obstructive/Restrictive): dec airflow
obstructive
71
Spirometry (Obstructive/Restrictive): FVC usually normal
obstructive
72
Spirometry (Obstructive/Restrictive): FVC always low
restrictive
73
Spirometry (Obstructive/Restrictive): FVC dec
both
74
Spirometry (Obstructive/Restrictive): FEV1 dec
both
75
Spirometry (Obstructive/Restrictive): FEV 25-75% inc
none
76
Spirometry (Obstructive/Restrictive): FVC normal
Obstructive
77
Spirometry (Obstructive/Restrictive): TLC dec
both
78
Spirometry (Obstructive/Restrictive): TLC normal
obstructive
79
Spirometry (Obstructive/Restrictive): FEV 25-75% normal
restrictive
80
Spirometry (Obstructive/Restrictive): FEV 25-75% dec
both
81
Spirometry (Obstructive/Restrictive): TLC inc
none
82
Spirometry (Obstructive/Restrictive): FEV1/FVC dec
obstructive
83
Spirometry (Obstructive/Restrictive): FEV1/FVC inc
restrictive
84
Spirometry (Obstructive/Restrictive): normal
none
85
what measures peak expiratory flow rate
peak flow meter
86
what measures O2 and CO2 levels
arterial blood gas
87
what measures O2 levels by detecting changes light absorption in the hemoglobin
pulse oximetry
88
what measures NaHCO3 renal function
arterial blood gas
89
what measures volatile organic compounds in exhaled breath
chemical breath analysis
90
what measures vasodilation/constriction, BP and blood flow
pulse oximetry
91
what measures pH of blood
arterial blood gas
92
what measures cardiac and pulmonary performance during exercise and rest
cardiopulmonary exercise test
93
what measures biomarkers for lung cancers, asthma, COPD, diabetes, bacterial growth, aclcohol ingestion
chemical breath analysis
94
what measures HR, BP, ECG, O2 consumption
cardiopulmonary exercise test
95
what is the normal pH blood level
7.35-7.45
96
pulse oximetry detects changes in light absorption in the ___?
hemoglobin
97
give at least 3 consitions where chemical breath analysis can be used
asthma, COPD, lung cancer, diabetes, alcohol consumption
98
cardiopulmonary exercise test gives info on (4)?
BP, HR, O2, ECG

CPR (3 decks)

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