Thorax & Lungs - Week 6 Flashcards
You note a unilateral decrease on lung excursion. You suspect: (Bates, p. 319)
a. Bronchitis
b. RSV
c. Pneumonia
d. Severe asthma
(*extra: what do you see with all the other dx?)
C
You note unilateral decreased fremitus. You suspect: (Bates, p. 320)
a. Pneumonia
b. Pneumothorax
c. Foreign body inhalation
d. Phrenic nerve damage
(*extra: What would you suspect w/ increased fremitus? How do perform this technique)
B
Percussion is a technique used to help identify deep-seated lesions such as a neoplasm. (Bates, p. 320).
a. True b. False
B
Your patient has advanced COPD. With percussion, you will likely hear this percussion note: (Bates, p. 322)
a. Flatness
b. Hyperresonance
c. Resonance
d. Dullness
(*extra: what would you find with each example?)
B
Flat = large pleural effusion
dull = lobar pneumonia
resonant = simple chronic bronchitis
hyper resonant = COPD, pneumothorax
You are assessing a newborn. The caregiver tells you she has witnessed the infant stop breathing for 5-10 seconds at time & then breath rapidly after. You know this is: (Bates, p. 829)
a. Periodic respirations & normal
b. Apnea & high risk for SIDS
c. Potentially abnormal & should be referred to pulmonologist
d. Neurologic defect of respiratory center & referred to neurology
A
All of the below are signs of increased work of breathing in an infant except: (Bates, p. 830)
a. Nasal flaring
b. Retractions
c. Weak or thready pulse
d. Stridor
C
You note inward movement of the chest & outward movement of the abdomen (thoracoabdominal paradox) of the newborn you are assessing. You know this is a potential sign of pneumonia. (Bates, p. 831)
a. True b. False
B
You place your hands bilaterally on the posterior thorax at the 10th ribs. You slide your hands medially to raise a loose skin fold between your thumbs & the spine. You ask the pt to inhale deeply. This technique is called (Bates, p. 319)
a. Percussion
b. Tactile Fremitus
c. Diaphragmic Excursion
d. Thoracic/Chest Expansion
(*extra: Describe how to perform each technique. What do any abnormalities signify?)
D
Your adult patient has +bronchophony & egophony on exam. You suspect: (Bates, p. 327)
a. Generalized abnormal lung tissue (i.e. pulmonary fibrosis)
b. Severe asthma exacerbation
c. Lobar consolidation (i.e. pneumonia)
d. COPD exacerbation
C Lobar consolidation (i.e. pneumonia)
It is appropriate to assess the infant with tactile fremitus. (Bates, p. 831)
a. True b. False
A
You are assessing a 7-year-old with what you suspect is a viral upper respiratory infection. You would expect to find the same symptoms as you would of an adult. (Bates, p. 876)
a. True b. False
A
Your pediatric patient presents with stridor. You’ve ruled out an acute etiology & are suspecting subacute cause. You know that this is responsible for 90% of subacute cause of stridor: (6.4 DDx lecture)
a. Bacterial pneumonia
b. Croup
c. Viral pneumonia
d. Foreign Body
B
Chronic stridor in an infant can be caused by all of the below except: (6.4 DDx lecture)
a. Subglottic stenosis
b. Vocal cord injury
c. Laryngomalacia
d. “
D
You know infants are obligate nasal breathers until approximately ____ months old (6.2 Thorax & Lungs, Pearls & Pitfalls)
a. 2
b. 4
c. 6
d. 8
B
You see a depression of the chest cavity of the newborn infant. You know this is likely (6.2 Thorax & Lungs, Pearls & Pitfalls)
a. Pectus carinatum
b. Pectus thoraxicum
c. Pectomalacia
d. Pectus excavatum
D
