Thorax and Lungs

Question 0

Select the correct description of the left lung:

a. narrower than the right lung with three lobes
b. narrower than the right lung with two lobes
c. wider than the right lung with two lobes
d. shorter than the right lung with three lobes

Answer 0

narrower than the right lung with two lobes

Question 1

The manubriosternal angle is:

Answer 1

the articulation of the manubrium and the body of the sternum.

Question 2

Some conditions have a cough with characteristic timing. The cough associated with chronic bronchitis is best described as:

Answer 2

occurring in the early morning

Question 3

Symmetrical chest expansion is best confirmed by:

Answer 3

placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10, then sliding the hands up to pinch a small fold of skin between the thumbs

Question 4

The assessment of the lateral chest wall is

Answer 4

referred to as the forgotten lobe

Question 5

Auscultation of breath sounds is an important component of respiratory assessment. What is an accurate description of this part of the examination?

Answer 5

Hold the diaphragm of the stethoscope against the chest wall; listen to one full respiration in each location, being sure to do side-to-side comparisons

Question 6

Description of bronchovesicular breath sounds

Answer 6

Moderate pitch, inspiration equal to expiration

Question 7

After examining a patient, you make the following notation: increased respiratory rate, chest expansion decreased on left side, dull to percussion over the left lower lobe, breath sounds louder with find crackles over left lower lobe. These findings would be consistent with a diagnosis of:

Answer 7

Lobar pneumonia

Question 8

Upon examining a patient’s anterior chest, you note cutaneous angiomas on the upper chest wall. These findings are consistent with:

Answer 8

Liver disease or portal hypertension

Question 9

Upon examination of a patient, you note a coarse, low-pitched sound during both inspiration and expiration. This patient complains of pain with breathing. These findings are consistent with:

Answer 9

Pleural friction rub

Question 10

In order to use the technique of egophony, ask the patient to:

Answer 10

say “eeeeee” each time the stethoscope is moved

Question 11

When examining for tactile fremitus, it is important to:

Answer 11

palpate the chest symmetrically.

Question 12

The pulse oximeter measures

Answer 12

arterial oxygen saturation

Question 13

Where is the apex of the lungs?

Answer 13

3 to 4 cm above the inner third of the clavicles

Question 14

Where is the base of the lungs?

Answer 14

Rests on the diaphragm

Question 15

Where is the lateral left lung border?

Answer 15

Sixth rib, midclavicular line

Question 16

Where is the lateral right lung border?

Answer 16

Fifth intercostal space

Question 17

Where is the posterior apex of the lungs?

Answer 17

C7 vertebrae

Question 18

Elliptical shape with an anteroposterior to transverse diameter in the ratio of 1:2 indicates what?

Answer 18

Normal chest

Question 19

Anteriorposterior diameter equal to transverse diameter indicates?

Answer 19

Barrel chest

Question 20

Sunken sternum and adjacent cartilages indicates?

Answer 20

Pectus excavatum

Question 21

Forward protrusion of the sternum with ribs sloping back at either side indicates?

Answer 21

Pectus carinatum

Question 22

Lateral, S-shaped curvature of the thoracic and lumbar spine indicates?

Answer 22

Scoliosis

Question 23

Exaggerated posterior curvature of the thoracic spine indicates?

Answer 23

Kyphosis