Week 10

Question 1

What are the three proposed mechanisms for clearing sputum

Answer 1

1. Increasing expiratory flow
2. Oscillation of airflow
3. increasing lung volumes

Question 2

Which phase of ACBT is thought to promote collateral ventilation

Answer 2

TEE

Question 3

Three phases of Autogenic Drainage

Answer 3

1. Unstick
2. collect
3. Evacuate

Question 4

Autogenic drainage may be particularly useful for which condition

Answer 4

CF

Question 5

List 6 Contraindications to manual therapy clearance techniques

Answer 5

1. Haemoptysis
2. Lung contusion
3. Rib/strenum fractures
4. Osteoporosis
5. confirmed or suspected TB
6. Pulmonary oedema

Question 6

Describe PEP

Answer 6

An application of resistance to expiratory gas flow in order to produce positive airway pressure

Question 7

What does a PEP device aim to do (3) ?

Answer 7

1. Splint open airways during expiration
2. Promote gas flow through collateral channels
3. movement of retained secretions towards central airways

Question 8

What is the difference between an Acapella and a Flutter

Answer 8

An Acapella is gravity independent

A flutter needs to be used in an upright position

Question 9

What is Incentive Spirometry desinged to do ?

Answer 9

increase lung volumes (vital capacity)

Question 10

Incentive spirometry may be useful in what type of patient ?

Answer 10

pain related to breathing (post-surgery) and patients that are nervous or anxious about breathing