Exam 2 Chap 13 And 15

69 Questions

Settings
Please wait...
Ratio Quizzes & Trivia

Exam 2


Questions and Answers
  • 1. 
    Juguar veins empty into the superior vena cava, which reflects the right side of the heart. the level at which the jugular vein pulse is visible gives an indication of what 
  • 2. 
    The resonance of the lung fields can also be used to measure the distance that the diaphragm travels while drawing air into the lungs (diaphragmatic excursion). Under normal circumstances, the measured difference in an adult is usually 3 to 5 cm.
    • A. 

      True

    • B. 

      False

  • 3. 
  • 4. 
  • 5. 
    To inspect the chest, you should observe
    • A. 

      After the patient begins to cough.

    • B. 

      While the patient breathes normally

    • C. 

      While the patient holds his or her breath

    • D. 

      With your palm on the patient’s chest.

  • 6. 
    The feel of “leather rubbing on leather” describes the sensation that may be palpable with
    • A. 

      Crepitus.

    • B. 

      Vocal fremitus.

    • C. 

      Pleural friction rub.

    • D. 

      Tactile fremitus.

  • 7. 
    Mrs. Bowers is a 57-year-old patient who presents to your office with complaints of shortness of breath. Breath sounds normally auscultated over most of the lung fields are called
    • A. 

      Vesicular

    • B. 

      Bronchovesicular

    • C. 

      Bronchial

    • D. 

      Tubular

  • 8. 
    Breath sounds normally heard over the trachea are called:
    • A. 

      Bronchovesicular

    • B. 

      Amphoric

    • C. 

      Bronchial.

    • D. 

      vesicular.

  • 9. 
    Yellow, green, or rust-colored sputum usually indicates the presence of
    • A. 

      Carcinoma.

    • B. 

      Infarction

    • C. 

      Bacterial infection

    • D. 

      Viral infection

  • 10. 
    The patient tells the examiner, “I have been coughing up a lot of yellowish-green phlegm.” The examiner should suspect:
    • A. 

      Viral infection

    • B. 

      Tuberculosis.

    • C. 

      Pulmonary edema.

    • D. 

      Bacterial pneumonia.

  • 11. 
    You have been assessing Ms. Tanner for suspected valvular problems. What finding would indicate that she is experiencing severe tricuspid regurgitation?
    • A. 

      Significantly high blood pressure

    • B. 

      A systolic murmur in the tricuspid region

    • C. 

      holosystolic murmur in the tricuspid region

    • D. 

      No peripheral edema

  • 12. 
    Mrs. Jones is a 55-year-old patient who returns to your office today for a follow-up examination. You suspect that she has an arterial aneurysm. Which of the following techniques would best detect an arterial aneurysm?
  • 13. 
    A condition that results in progressive ischemia caused by insufficient perfusion is referred to as:
  • 14. 
    Mr. Black is a 62-year-old patient who presents to your office for routine examination. You note a prominent jugular vein with significant pulsations. Which of the following are consistent with this finding?
  • 15. 
    A pulse that decreases in amplitude during inspiration is described by which of the following?
  • 16. 
    Mrs. Amons is a 52-year-old patient who presents to your office with a complaint of fever, fatigue, muscle aches, mild loss of vision, and a severe throbbing headache. On examination you note a red swollen temporal artery. Which of the following best describes these clinical signs and symptoms?
  • 17. 
    • A. 

      True

    • B. 

      False

  • 18. 
    Comparision of the jugular vein and carotid                                      jugular                                                                                               carotid quality and character   3 positve waves in nsr                                                                       one wave effect on respiration     decrease with inhale and decrease with exhale                                no effect venous compression    easily eliminates pulse wave                                                             no effect abdominal pressure      may cause increased prominence with rt side hf                             no effect
    • A. 

      True

    • B. 

      False

  • 19. 
     Ausculatate over an artery for bruit , the sounds are low pitched and is best heard with the bell of the stethscope directly over the artery. sites to ausculatate for bruit is
    1. temporal
    2. carotid
    3.  subclavian
    4. abdominal aorta
    5.  renal
    6. iliac
    7. femoral
    • A. 

      True

    • B. 

      False

  • 20. 
    You are listening to venous hum in the neck . you should listen for
    1.  heard at the medial end of the clavicle and anterior border of the sterncleidomastoid muscle
    2. no clinicla significance
    3. confused with carid bruit, patent ductus arteriosous and aortic reguritation
    4. in adults, may aoccur with anemia, pregnancy, thyrotoxicosis, intracranial av malformation
    • A. 

      True

    • B. 

      False

  • 21. 
    Temporal arteritis ( giant cell arteritis) is an inflammatory disease that branches of the aortic arch which includes the temporal arteries
    • A. 

      True

    • B. 

      False

  • 22. 
    A  patient who presents toyour office with temporal arteritis. will have s/s of
    1.  usually affect patient over 50
    2. flu- like systoms( low grade fever, malise, anorexia, may accompany by polymalgia of shoulder and hips
    3. headache int he temporal region either on one or both sidesbut a head ache can accompany in any region
    4. ocular systom including loss of vision is common
    5. ischemia can also cause tongue pain and jaw claudication
    • A. 

      True

    • B. 

      False

  • 23. 
    Your patient who comes into the office with temporal arteritis , during you assessment you will find
    1.  temporal artery can become red, swollen, tender, and nodular
    2.  temporal pulse may be variously strong , weak or absent
    • A. 

      True

    • B. 

      False

  • 24. 
     Peripheral arterial disease (PAD) is stenosis of the blood supply to the extremities by athersclerotic plaque
    • A. 

      True

    • B. 

      False

  • 25. 
    Your patient comes in the office with dx PAD, what symptoms they would report
    1. intermittent claudication produces pain, ache, or cramp int he excercised muscle that is receiving an in adequate blood supply
    2. the amount of excercise that is causing the discomfort is preditable
    • A. 

      True

    • B. 

      False

  • 26. 
    You are assessing your patient with PAD, what would you see
    1.  limbs appears healthy but the pulses are weak or absent
    2. progressive stenosis which results in severe ischemia, which the foot or the leg is and is cold and numb and have skin changes drya nd scaling with poor hair growth
    3. seldomly you wlill find edema that accompanies this disorder but you will see ulcerationin severe casess and the muscle may atrophy
    • A. 

      True

    • B. 

      False

  • 27. 
    Venous ulcers results from chronic venous insufficency in which lack of venous flow to lower extremities venous hypertension
    • A. 

      True

    • B. 

      False

  • 28. 
    Your patient has known history of venous ulcer. hat symtoms wpuld the patient complains off ( subjective data)
    1. frequently asymptomatic in the early stages
    2. pt will complains of leg heaviness and discomfort progressing to edema and ulceration
    • A. 

      True

    • B. 

      False

  • 29. 
    You are assessing your patient who has venous ulcers, what do you expect to see
    1. ulcers are generally seen on the medial and lateral axpects of the lower limbs
    2. induration, edema, and hyperpigmentation are common findings
    • A. 

      True

    • B. 

      False

  • 30. 
  • 31. 
  • 32. 
     Crepitus is a crackly or crinkly sensation, and both be palpated and heard, gentle bubly feeling. this indicate subq air, from rupture inthe respiatory system or by infection with gas producing organism. crepitus  always require attention
    • A. 

      True

    • B. 

      False

  • 33. 
     a palpable coarse grating vibration, usually on inspiration is indicative of
  • 34. 
    To evaluate thoraic expansion. stand behind the pt and place your thumbs along the spinal process at the level of the tenth rib. with your palms lighlty in contact  with posterior lateral surface
    • A. 

      True

    • B. 

      False

  • 35. 
    Tactile fremitus is a palpbale vibration of the chest wall that results from speech or other verbalizations
    • A. 

      True

    • B. 

      False

  • 36. 
     Fremitus is best felt at  parasternally at the 2nd intercostal space at the level of bifiurcation of the bronchi
    • A. 

      True

    • B. 

      False

  • 37. 
    There are 2 ways to assess tactile fremitus
    1. ulnar aspect of the hand
    2. Palmer surface of the fingers
    • A. 

      True

    • B. 

      False

  • 38. 
     Decreased or absent fremitus may be caused by excess air in the lungs or may indicate emphysema, pleural thickening  or effusion or massive pulmonary edema or bronchial obstruction
    • A. 

      True

    • B. 

      False

  • 39. 
    Following sequence when doing lung percussion
    1. have the pt in a sitting position with the head bent forward and arms folded in front because itmoves the scapulae lateraly exposing more of the lung
    2. ask the pt to raise his arms over head while you percuss lateral and anterior chest
    3. for all postions youare going to percuss 4 to 5 cm intervals over the intercostal spaces moving, moving systemically superior to inferiorly, medial to lateral
    4. Resonance is an expected sound, should be heard in all areas
    5. Hyperresonance this associated with hyperinflamation may indicate emphysema, pneumothorax or asthma
    6. Dullness or flatness means pt has pneumonia, atelectasis, pleural effusion, pneumothorax or asthma
    7. typany it is over the abdomen
    • A. 

      True

    • B. 

      False

  • 40. 
    Sequence for systemic percussion and auscultation
    1. posterior thorax
    2. right lateral thorax
    3. left lateral thorax
    4. anterior thorax
    • A. 

      True

    • B. 

      False

  • 41. 
    Diaphragmatic excursionis movement thorax diaphragm  when breathing
    • A. 

      True

    • B. 

      False

  • 42. 
    • A. 

      True

    • B. 

      False

  • 43. 
    Cough is the most common respiratory problem,
    1. usually precede by deep inspiration
    2. followed by closure of the glottis and contraction of the chest, abdomen and pelvic muscles
    3.  air and seretions are exhaled
    • A. 

      True

    • B. 

      False

  • 44. 
    Decribe a cough
    1. dry or moist- productive or non productive
    2. onset- acute onset with or without fever
    3. frequency- seldom or often present
    4. regularity- regular or paroxysmal
    5. pitch and loudness- loud or high pitch
    6. postural influences- reclined or assume an erect posiiton
    7. quality- dry cough sound brassy
    • A. 

      True

    • B. 

      False

  • 45. 
    Expected findings of the chest and lungs
    1. Inspection- symetrical movement on expansion, absence of retractions
    2. palpation- midline trachea without a tug, symmetric unaccentuated( make more noticable) tactile fremitus
    3. percussion- range 3 to 5 cm int he descentof the diaphragm, resonant and symetric percusion tones
    4. Auscultation- abscense of adventitious sounds, vesicular breath sounds except for bronchovesicular sounds beside the sternum and more prominent bronchial components in the area of the larger bronchi
    • A. 

      True

    • B. 

      False

  • 46. 
     Bronchitis is the inflammationof the large airways
    1. patho-  inflammation of the bronchial tubes, that leads to increase mucus secretions, acute bronchitis is due to an infection while chronic bronchitis is exposure to an irritant.
    2. subj- acute bronchitis- pt reports fever and hacking nonproductive  and cough and chest pain while in chronic bronchitis , cough may be productive.
    3. objective- minimal auscultation findings with no respiratory distress whle greater involvement may lead to wheezing or dampened ausculatation
    • A. 

      True

    • B. 

      False

  • 47. 
    Pleurisy is an inlammationprocess of visceral and parietal pleura that becomes edmatous and fibrinous.
    1. patho- often results form pulmonary infections such as bacterial and viral, often associated with neoplasm and asbestoosis
    2. subj- pt reports sudden onset of chest pain, when taking a deep breath, rubbing of pleural surfaces can be felt by the patient, pain can referto the ipslaterlal shoulder if the pleual inflammation is close to the diaphragm
    3. obj- you will see rapid shallow respiration with diminish breath sounds, pleural friction rub
    • A. 

      True

    • B. 

      False

  • 48. 
    Pneumonia in an inflammatory response to bronchioles and aveloli that is caused by an infected agent bacterial, fungal and viral  agent
    1. patho- acute infectionof lung parenchyma due to  variety of organism
    2. subj- rapid onset from (hours to days) of cough, pleuritic chest pain and dyspnea, sputum production is common with bacterial, chills fever and rigors, involvement of the right lower lobe can stimulate the 10th and 11th thoraic nerves to cause rlq pain and simulate an abdominal proess
    3. obj- you will see  febrile, tachypnea, tachycardia, crackles, rhonchi are common with diminish breath sounds, dullness when percussion over the area of consolidation
    • A. 

      True

    • B. 

      False

  • 49. 
    Difference between radiopaque and radiolucent Radiopaque                                                                                           Radiolucent fewer xrays able to go through                                                       more xrays able to go through shadow is white                                                                                shadow is dark
    • A. 

      True

    • B. 

      False

  • 50. 
     3 rules of AP/PA Chest Xray
    1. is there symmetry
    2. do the lung making go all the way out
    3. Bones are smooth when they are not broken
    • A. 

      True

    • B. 

      False

  • 51. 
    Costophrenic angles
    1. shpuld be able to see costophrenic angles, you do not ee them you should repeat the X-ray because this is indicative of fluid accumulation
    2. angles should be sharp and pointed, if do not see that this means again fluid accumulation
    • A. 

      True

    • B. 

      False

  • 52. 
    • A. 

      True

    • B. 

      False

  • 53. 
    • A. 

      True

    • B. 

      False

  • 54. 
    • A. 

      True

    • B. 

      False

  • 55. 
    Type question here
    • A. 

      Answer option 1

    • B. 

      Answer option 2

    • C. 

      Answer option 3

    • D. 

      Answer option 4

  • 56. 
    Type question here
    • A. 

      Answer option1

    • B. 

      Answer option2

    • C. 

      Answer option3

    • D. 

      Answer option4

  • 57. 
    Type question here
  • 58. 
    Type question here
    • A. 

      True

    • B. 

      False

  • 59. 
    Type question here
    • A. 

      Answer option1

    • B. 

      Answer option2

    • C. 

      Answer option3

    • D. 

      Answer option4