Test 2-Cher-Labeling parts Flashcards
Label the parts on the patient’s right from top to bottom:
- Clavicle
- 2nd intercostal space
- Costal Cartilage
- Dome of the diaphragm
- 7th intercostal space
Label the parts on the patient’s left:
- suprasternal notch
- Manubrium
- Sternal Angle: Angle of Louis
- Body of Sternum
- Costachondral junction
- Xiphoid Process
- Costal Angle
- Costal Margin
Label the parts on the patient’s left:
- Clavicle
- Scapula
- Inferior Angle of Scapula
Label the parts with the arrows on the right:
- Vertibrae C7
- Spinous process of T3
1 Patients top right =
Label all three parts:
- Anterior Axillary Line
- Midclavicular line
- Midsternal Line
1. Patient’s left =
Label the lines:
- scapular line
- vertebral line
Label the lines from patients anterior to posterior:
- Anterior axillary line
- Midaxillary line
- Posterior Axillary Line
What should anteroposterior to transverse diameter of the thorax be?
1:2
What are these 2 conditions called?
1: left - chest sinking in
2. right - chest pointing out
- pectus excavatum
- pectus carinatum
Label the pic from left to right:
- normal
- barrel chest
- kyphosis
- pectus excavatum
- pectus carinatum
What is this called:
Scoliosis
In what type of human is a round thorax normal?
Infant
Newborns:
Obligate nose breather until _________.
_______ _______ with each respiration.
Breath sounds are _______ and _______.
3 months
abdominal bulge
loud and harsh
The aging adult:
______ _______ calcification.
_________ elasticity of lungs.
_________ vital capacity and ________ residual volume.
Less ventilation of the ________ of the lungs.
Costal cartilage
decreased
decreased, increased
bases
Respiratory Distress:
B
R
E
A
T
H
S
Breathing fast (tachypnea)
Retractions
Excess noises (grunting)
Accessory muscles
Tripod position
Head bobbing / Holes of nose (nasal flaring)
See-saw respirations
As the patient attempts to breathe, the diaphragm descends, causing the abdomen to lift and the chest to sink. What is this called?
See Saw respirations
Nme the types of respirations from top to bottom:
1.
2.
3.
4
- Suprasternal retractions
- Intercostal retractions
- Substernal retractions
- Subcostal retractions
Name the type of respirations from left to right:
- Apnea
- Biots
- Cheyne Stokes
- Kussmaul’s
Difficulty breathing when supine:
Orthopnea
Awakening from sleep with shortness of breath and needing to be upright to achieve comfort:
Paroxymal Nocturnal Dyspnea
What would we be looking for when we palpate the neck?
Tracheal deviation
What are 2 examples of discontinuous sounds?
- Crackles
- Pleural rub
What are 3 examples of continuous sounds?
Wheeze
Rhonchi
Stridor
Label the parts:
- Patients Right:
- Patient’s 3rd right intercostal space:
- Patients top right
- pericordium
- base of heart
- apex of heart
Label the heart sounds:
- Yellow dot =
- Turquoise dot =
- Orange dot =
- Purple dot =
- Reddot =
- Aortic
- Pulmonic
- Erb’s point
- Tricuspid
- Mitral
Cardiac Cycle:
S1 =
S2 =
Closure of AV valves
Closure of semilunar valves
Which sound can best be heard at the base of the heart?
Which sound can best be heard at the apex of the heart
S2
S1
What kind of lighting is needed to see the apical impulse?
Where is it?
In what population is it the easiest to see?
- Tangential
- 4th or 5th intercostal space
- Children
When do heaves/lifts occur?
If a heave is caused by right ventricular hypertrophy where is it seen?
If a heave is caused by left ventricular hypertrophy where is it seen?
Ventricular hypertrophy
Sternal Border
Apex
When palpating the carotid arteries:
Avoid excessive _______.
How many should you palpate at a time? __
Note the ________ and the ________.
Both sides should be ________.
Pressure
1
contour, amplitude
equal
When palpating the apical impulse:
Use 1 _____ _____
Ask the client to _____ ____ ______.
You may need to roll the client to their _______.
finger pad
exhale and hold
left
What would be noted in apical impulse findings:
1.
2.
3.
4.
- location
- amplitude
- size
- duration
When palpating the pericordium:
Use _____ aspect of _____ fingers
Gently palpate:
1.
2.
3.
palmar, four
- Apex
- Left sternal border
- base
Auscultating the carotid artery:
Keep the neck in ______ position
Lightly apply bell of stethoscope over:
1.
2.
3.
neutral
- angle of jaw
- midcervical area
- base of neck
