(Test 2: 2.) Lower Respiratory System Exam

Question 1

Where is a needle thoracentesis performed?

Answer 1

In the second intercostal space – mid clavicular line

Question 2

Where is a chest tube inserted?

Answer 2

Fourth and fifth intercostal space, just anterior to the mid axillary line.

OR

Fifth intercostal space – just inferior to the nipple in a male, or the infra-mammary fold in a female

Question 3

Where does the neurovascular bundle run?

Answer 3

Along the inferior margin of each rib

Question 4

What is the typical presentation for chronic bronchitis?

Answer 4

Overweight, cyanotic, peripheral edema, bronchi and wheezing

Question 5

What is the typical presentation for emphysema?

Answer 5

Older and thin, severe dyspnea, quiet chest sounds, hyperinflated lungs with flattened diaphragms.

Question 6

What is “flail chest?”

Answer 6

Paradoxical movements of the ribs due to injury

Question 7

What is an adventitious sound?

Answer 7

An “extra” sound, heard during auscultation of breath sounds

Question 8

What are the ABCs of chest x-ray interpretation?

Answer 8

Adequacy, Airway, Bones, Cardiac Size, Diaphragms, Effusions, Fields, Foreign Body, Great Vessels, Gastric Bubble, Hilar Masses, Impression