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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
Q

Trachea should be at the (left, midline, right)?

A

midline

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26
Q

Percussion tone is done more on (Right/Left) side? from ___to base

A

right, apex

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27
Q

Percussion ton: over ___ = dull or flat; over ____ = resonant due to filled w air

A

bones & muscles; lung parenchyma

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28
Q

5 types of Tone in percussing of the chest

A

resonant, flat, dull, tympanic, hyperresonant

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29
Q

Percussion INTENSITY of resonant

A

loud

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30
Q

Percussion INTENSITY of hyperresonant

A

very loud

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31
Q

Percussion INTENSITY of dull

A

medium

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32
Q

Percussion INTENSITY of flat

A

soft

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33
Q

Percussion INTENSITY of tympanic

A

loud

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34
Q

Percussion PITCH of resonant

A

low

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35
Q

Percussion PITCH of flat

A

high

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36
Q

Percussion PITCH of dull

A

medium to high

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37
Q

Percussion PITCH of tympanic

A

high

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38
Q

Percussion PITCH of hyperresonant

A

very low

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39
Q

Percussion DURATION of resonant

A

long

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40
Q

Percussion DURATION of flat

A

short

41
Q

Percussion DURATION of dull

A

medium

42
Q

Percussion DURATION of tympanic

A

medium

43
Q

Percussion DURATION of hyperresonant

A

longer

44
Q

Percussion QUALITY of tympanic

A

drum like

45
Q

Percussion QUALITY of hyperresonant

A

booming

46
Q

Percussion QUALITY of resonant

A

hollow

47
Q

Percussion QUALITY of dull

A

dull thud

48
Q

Percussion QUALITY of flat

A

very dull

49
Q

4 usual tests to look in common diagnostic modalities

A

1) structure, 2) function, 3) metabolic function, 4) pathogens

50
Q

Diagnostic modality: Xray shows (4) structures

A

bones, BVs, lung, cardiac outline

51
Q

Diagnostic modality: air appears as (black/white); tissues & fluid appear as (black/white) depending on density

A

black, white

52
Q

Diagnostic modality: sound waves; Can be used to detect water in lungs, visualizing the heart

A

Ultrasound

53
Q

Diagnostic modality: 3D image of a one-dimensional shot with ionizing radiation

A

Computed tomography

54
Q

Diagnostic modality: uses magnetic field & radio waves

A

Magnetic resonance imaging

55
Q

Diagnostic modality: Radioactive tracers, used to trace cancer spread

A

Positron emission tomography

56
Q

Diagnostic modality: uses contrast dye to visualize the pulmonary tree; to check whether there is an embolic ohenomenon / thrombus / embolus

A

Pulmonary angiogram

57
Q

What determines 1) FEV1, 2) FVC, 3) FEV1/FVC, 4) Forced expiratory flow 25-75%

A

Spirometry

58
Q

Pulmonary Function Test is (invasive/non-invasive)?

A

non-invasive

59
Q

Pulmonary Function Testmeasures what? (5)

A

lung capacities, lung volume, airflow, rates of flow, gas exchange

60
Q

Diagnostic test: simple, office based used to detect disease & evaluate measure extent and monitor course of disease

A

Spirometry

61
Q

Diagnostic test: Done in a highly controlled manner that takes place in a closed room where pressure is controlled

A

Pulmonary Function Test

62
Q

Diagnostic test: used to measure effects of exposures and assess risk for surgical procedures

A

Spirometry

63
Q

Diagnostic test: measures flow, volumes, volume vs time

A

Spirometry

64
Q

Diagnostic test: Contains a mouthpiece where patient inhales or blows off air which is connected to a computer that measures lung volumes and capacities

A

Pulmonary Function Test

65
Q

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.

A

Pulmonary Function Test

66
Q

Diagnostic test: Spirometry can determine (4)?

A

1) FEV1, 2) FVC, 3) FEV1/FVC, 4) Forced expiratory flow 25-75%

67
Q

Spirometry (Obstructive/Restrictive): dec lung volume

A

restrictive

68
Q

Spirometry (Obstructive/Restrictive): FEC1 & FEV1/FVC always low

A

obstructive

69
Q

Spirometry (Obstructive/Restrictive): FEC1 & FEV1/FVC usually normal

A

restrictive

70
Q

Spirometry (Obstructive/Restrictive): dec airflow

A

obstructive

71
Q

Spirometry (Obstructive/Restrictive): FVC usually normal

A

obstructive

72
Q

Spirometry (Obstructive/Restrictive): FVC always low

A

restrictive

73
Q

Spirometry (Obstructive/Restrictive): FVC dec

A

both

74
Q

Spirometry (Obstructive/Restrictive): FEV1 dec

A

both

75
Q

Spirometry (Obstructive/Restrictive): FEV 25-75% inc

A

none

76
Q

Spirometry (Obstructive/Restrictive): FVC normal

A

Obstructive

77
Q

Spirometry (Obstructive/Restrictive): TLC dec

A

both

78
Q

Spirometry (Obstructive/Restrictive): TLC normal

A

obstructive

79
Q

Spirometry (Obstructive/Restrictive): FEV 25-75% normal

A

restrictive

80
Q

Spirometry (Obstructive/Restrictive): FEV 25-75% dec

A

both

81
Q

Spirometry (Obstructive/Restrictive): TLC inc

A

none

82
Q

Spirometry (Obstructive/Restrictive): FEV1/FVC dec

A

obstructive

83
Q

Spirometry (Obstructive/Restrictive): FEV1/FVC inc

A

restrictive

84
Q

Spirometry (Obstructive/Restrictive): normal

A

none

85
Q

what measures peak expiratory flow rate

A

peak flow meter

86
Q

what measures O2 and CO2 levels

A

arterial blood gas

87
Q

what measures O2 levels by detecting changes light absorption in the hemoglobin

A

pulse oximetry

88
Q

what measures NaHCO3 renal function

A

arterial blood gas

89
Q

what measures volatile organic compounds in exhaled breath

A

chemical breath analysis

90
Q

what measures vasodilation/constriction, BP and blood flow

A

pulse oximetry

91
Q

what measures pH of blood

A

arterial blood gas

92
Q

what measures cardiac and pulmonary performance during exercise and rest

A

cardiopulmonary exercise test

93
Q

what measures biomarkers for lung cancers, asthma, COPD, diabetes, bacterial growth, aclcohol ingestion

A

chemical breath analysis

94
Q

what measures HR, BP, ECG, O2 consumption

A

cardiopulmonary exercise test

95
Q

what is the normal pH blood level

A

7.35-7.45

96
Q

pulse oximetry detects changes in light absorption in the ___?

A

hemoglobin

97
Q

give at least 3 consitions where chemical breath analysis can be used

A

asthma, COPD, lung cancer, diabetes, alcohol consumption

98
Q

cardiopulmonary exercise test gives info on (4)?

A

BP, HR, O2, ECG

CPR (3 decks)

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