S1_L5_Obj - 9-10

Question 1

DIAPHRAGMATIC EXCURSION/CHEST EXPANSION also can be
documented under:

Answer 1

anthropometric measurements

Question 2

DIAPHRAGMATIC EXCURSION/CHEST EXPANSION. measured at the
ff levels (frownfelter):

Answer 2

axilla
xiphoid

Question 3

DIAPHRAGMATIC EXCURSION/CHEST EXPANSION. measured at the
ff levels (hillegass):

Answer 3

axilla
xiphoid
subcostal

Question 4

DIAPHRAGMATIC EXCURSION/CHEST EXPANSION. measured at the
ff levels (others):

Answer 4

Supramammary
Mammary
Inframammmary

Question 5

Instructions for diaphragmatic excursion:

Answer 5

Maximal Inspiration to Maximal Expiration

Question 6

what will we follow in diaphragmatic excursion

Answer 6

hillegass in CM

Question 7

hillegass measurement:

Answer 7

2-3 inches

Question 8

others measurement:

Answer 8

3-5 cm

Question 9

frownfelter measurement:

Answer 9

3-5 cm

Question 10

1 inches is equal to _

Answer 10

2.54 cm

Question 11

palpation and cardiopulmo ax:

Answer 11

mediastinal shift
mediate percussion
vocal/tactile fremitus

Question 12

IPSI mediastinal shift

Answer 12

atelectasis, lobectomy, pneumonectomy

Question 13

CONTRA mediastinal shift

Answer 13

pleural effusion, abdominal organ herniation

Question 14

There was an increase causing the shift in what mediastinal shift

Answer 14

contralateral mediastinal shift

Question 15

There was a decrease causing the shift in what mediastinal shift

Answer 15

Ipsilateral mediastinal shift

Question 16

Done on the middle phalanx or the fingernails tapping and
make sure you are listening for it

Answer 16

MEDIATE PERCUSSION

Question 17

mediate percussion done on the _ or the _ tapping

Answer 17

middle phalanx, fingernails

Question 18

Resonant mediate percussion:

Answer 18

low pitched and hollow (normal)

Question 19

Hyperresonant / Tympanic mediate percussion:

Answer 19

too much air

Question 20

Hyporesonant / Dull mediate percussion:

Answer 20

liquid or solid (normally heard over liver
& other dense tissues); “thud-like”

Question 21

too much air

Answer 21

Hyperresonant / Tympanic

Question 22

liquid or solid (normally heard over liver
& other dense tissues); “thud-like”

Answer 22

Hyporesonant / Dull

Question 23

low pitched and hollow (normal)

Answer 23

resonant

Question 24

VOCAL / TACTILE FREMITUS: what part of hand to use

Answer 24

Use ulnar border of the hand or the palm

Question 25

Ask the patient to say _ or _ in vocal or tactile fremitus

Answer 25

Ask the patient to say “ninety-nine” or “tres-tres”

Question 26

● Check if vibration is symmetrical or asymmetrical in the fremitus t or f

Answer 26

t

Question 27

Increased vibration for fremitus means

Answer 27

lung consolidation

Question 28

Decreased vibration for fremitus means

Answer 28

pleural effusion, pneumothorax, atelectasis

Question 29

Check strength of diaphragm, and secondary muscles of respiration t or f

Answer 29

t

Question 30

Observe precautionary measures for post-chest surgeries or CTTs t or f

Answer 30

t

Question 31

secondary muscles of respi:

Answer 31

scalene, scm

Question 32

Always start with an _ because it will show their level of difficulties as well as show you the main problems that you will need to check

Answer 32

OMT

Question 33

Check the following for OMT:

Answer 33

Level of Independence Speed / Timing Quality of Movement / Compensatory Movements Balance CV Endurance Tolerance in Upright Position

Question 34

New York Heart Association (NYHA) Functional Classification: Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (SOB).

Answer 34

Class II

Question 35

New York Heart Association (NYHA) Functional Classification: No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (SOB)

Answer 35

Class I

Question 36

New York Heart Association (NYHA) Functional Classification: Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases.

Answer 36

Class IV

Question 37

New York Heart Association (NYHA) Functional Classification: Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.

Answer 37

Class III

Question 38

OBJECTIVE ASSESSMENT (FOR HEART FAILURE): No objective evidence of CVD. No symptoms and no limitation in ordinary physical activity.

Answer 38

Class A

Question 39

OBJECTIVE ASSESSMENT (FOR HEART FAILURE): Objective evidence of moderately severe CVD. Marked limitation in activity due to symptoms, even during less-than-ordinary activity. Comfortable only at rest.

Answer 39

Class C

Question 40

OBJECTIVE ASSESSMENT (FOR HEART FAILURE): Objective evidence of severe CVD. Severe limitations. Experiences symptoms even while at rest.

Answer 40

Class D

Question 41

OBJECTIVE ASSESSMENT (FOR HEART FAILURE): Objective evidence of minimal CVD. Mild symptoms and slight limitation during ordinary activity. Comfortable at rest

Answer 41

Class B

Question 42

New York Heart Association (NYHA) Therapeutic Classification: Physical activity need not be restricted in any way

Answer 42

Class A

Question 43

New York Heart Association (NYHA) Therapeutic Classification: Should be at complete rest, confined to bed or chair

Answer 43

Class E

Question 44

New York Heart Association (NYHA) Therapeutic Classification: Ordinary activity should be moderately restricted and whose more strenuous efforts should be discontinued

Answer 44

Class C

Question 45

New York Heart Association (NYHA) Therapeutic Classification: Ordinary activity should be markedly restricted

Answer 45

Class D

Question 46

New York Heart Association (NYHA) Therapeutic Classification: Ordinary physical activity need not be restricted but who should be advised against severe or competitive sports

Answer 46

Class B

Question 47

General Wellbeing Scales, Questionnaires

Answer 47

● Short Form 36 (SF 36) ● Sickness Impact Scale (SIP) ● Quality of Well-being Scale ● Quality of Life Systemic Inventory ● Nottingham Health Profile ● Dartmouth Primary Care Cooperative Information ● Multidimentional Health Locus of Control Inventory ● Symptoms Questionnaire

Question 48

Heart Disease Questionnaire

Answer 48

MacNew Heart Disease Quality of Life Questionnaire (MacNew)

Question 49

Cardiac-specific Scales & Questionnaires

Answer 49

● Minnesota Living with Heart Failure Questionnaire ● Outcomes Institute Angina Type Specification ● Quality of Life after Myocardial Infarction

Question 50

Pulmonary- specific scales & Questionnaires

Answer 50

● Chronic Respiratory Disease Questionnaire ● St. George’s Respiratory Questionnaire ● Pulmonary Functional Status Scale and Dyspnea Questionnaire ● Living with Asthma Questionnaire

Question 51

Cardiac Rehabilitation Questionnaire

Answer 51

● EuroQol Questionnaire