Thorax & Lungs

Question 1

Respiration pattern characterized by groups of quick, shallow inspirations followed by irregular periods of apnea

Answer 1

Biot’s breathing

Question 2

Respiration pattern characterized by alternating periods of apnea and hyperpnea; Respiratory acidosis.

Answer 2

Cheyne Stokes Respiration

Question 3

Increased breathing when required to meet metabolic demands of the body

Answer 3

Hyperpnea

Question 4

A condition that occurs when the lungs cannot remove all the CO2.

Answer 4

Respiratory acidosis

Question 5

Respiration pattern where breathing is first rapid and shallow but as metabolic acidosis worsens, breathing gradually becomes deep, slow, labored, and gasping. “Air Hunger Breathing”

Answer 5

Kussmaul’s

Question 6

A skin infection that occurs around nail fold near the cuticle

Answer 6

Paronychia

Question 7

Transverse ridging of the nails associated with acute severe disease

Answer 7

Beau’s Lines

Question 8

Transverse white lines across the nail bed which are due to metabolic stress.

Answer 8

Muehrcke’s Nails (Me-york’s)

Question 9

Nail base angle > 180 deg. May be due to COPD or hypoxia

Answer 9

Clubbed Nails

Question 10

Nails that are associated with iron deficient anemia

Answer 10

Koilonychia (iron spoon nails)

Question 11

Cause of increased fremitus

Answer 11

Fluid in lungs (pneumonia)

Question 12

Cause of decreased fremitus

Answer 12

Air in lungs (emphysema, pneumothorax)

Question 13

What happens to fremitus if there is atelectasis?

Answer 13

Decreased (creates a barrier)

Question 14

What happens to fremitus when there is a pleurisy?

Answer 14

decreased (creates a barrier)

Question 15

Inflammation of the pleura causes fremitus to _____

Answer 15

decrease (creates a barrier)

Question 16

The normal percussed lung sound is _____

Answer 16

Resonance

Question 17

What happens to percussion when there is air in the chest?

Answer 17

hyper-resonance

Question 18

Pneumonia or atelectasis cause chest percussion to become _______

Answer 18

`dull

Question 19

Breath sounds that are small, clicking, bubbling or rattling sounds are said to be called ______

Answer 19

Rales

Question 20

Lung sounds that resemble snoring are said to be _______ sounds

Answer 20

Rhonchi

Question 21

High pitched lung sounds are said to be _____ sounds.

Answer 21

Wheezing

Question 22

A wheeze-like sound heard upon inspiration is called _______.

Answer 22

Stridor

Question 23

Bronchitis may produce what kind of breath sounds?

Answer 23

Rales

Question 24

The sound of the patient’s voice becomes less distinct as the auscultation moves peripherally. This is ________

Answer 24

normal

Question 25

During auscultation the patient’s voice becomes loud over certain areas of the periphery.

Answer 25

Bronchophony. Abnormal due to an area of consolidation.

Question 26

When auscultating the lungs, the patient is asked to say “e” and you hear “a”

Answer 26

Egophony. Abnormal due to an area of consolidation.

Question 27

When auscultating the lungs, the patient is asked to whisper “99”. You hear a much louder “99”.

Answer 27

Whispered Pectoriloquy. Abnormal due to an area of consolidation.