Chest And Lung - Assessment

Front 1

The absence of fremitus can mean

Back 1

emphysema
pleural effusion
pulmonary edema

Front 2

Increased fremitus can mean

Back 2

effusion
a mass
consolidation

Front 3

You palpate crepitus upon physical examination. You suspect:

Back 3

rupture in respiratory system or infection by a gas producing organism

Front 4

Subjective history collection includes

Back 4

history of present illness
personal past medical
family medical
personal/employment/social

Front 5

Breath sounds which are low pitched, low intensity, and
heard over healthy lung tissue:

Back 5

vesicular lung sounds

Front 6

Lung sounds with the highest pitch and intensity.
They are normal over trachea and
abnormal over peripheral lung tissue.

Back 6

bronchovesicular lung sounds

Front 7

Until what ages are the alveoli rapidly increasing:

Back 7

age 2; alveolar development slows considerable after the age of 8

Front 8

Chest pain is generally not heart related when

Back 8

you have constant achiness lasting all day
your pain does not radiate
you could describe your pain as a fleeting needlelike jab
your pain is situated between shoulder blades (I take exception to this particular one, but it is in our notes so here it is)

Front 9

The sequence of a chest exam is:

Back 9

inspection
palpation
percussion
auscultation

Front 10

Severe, acute chest pain in an adolescent or young adult:

Back 10

ask about cocaine or other drug use

Front 11

Respirations are known to increase with the following

Back 11

acidosis
CNS lesions
anxiety
aspirin poisoning
hypoxemia
pain

Front 12

Respirations decrease with

Back 12

alkalosis
CNS lesions
myasthenia gravis
extreme obesity

Front 13

Listen to CHF patients' lungs first at the bases because

Back 13

crackles may disappear with continued exaggerated respiration

Front 14

Normal RR for newborns:

Back 14

30-80 bpm

Front 15

Patient experiences sudden onset chest pain with inspiration; pt feels "rubbing" sensation with or without referred shoulder pain. His breathing patterns is regular, but shallow, with diminished bs. You auscultate a pleural rub. You suspect:

Back 15

pleurisy

Front 16

Patient is febrile, has a hacking, non-productive cough and is experiencing chest pain. His breath sounds are slightly diminished and you may hear an occasional wheeze or bs may sound wet. You should suspect:

Back 16

bronchitis

Front 17

cough, dyspnea, pleuritic chest pain, dullness to percussion, diminished bs

Back 17

pleural effusion

Front 18

The patient is febrile, tachypneic, has a cough with chest pain and appears ill. His bs are distant or absent in an isolated area, percussion dull in the same area, fremitus is absent. You should suspect:

Back 18

empyema

Front 19

The patients chief complaints are malaise, fever, sob. She appears very ill. Upon exam you find: percussion dull, bs distant or absent. You auscultate a pleural rub. You notice patient has a productive cough with purulent sputum. You suspect:

Back 19

PNA or lung abcess

Front 20

Patient presents with chills, fever, rigors, n/v, rapid onset cough, peuritic chest pain. They are tachypneic and tachycardic. Upon auscultation you hear crackles and rhonchi. You suspect:

Back 20

PNA

Front 21

latent phase of this disease =asymptomatic, lymph node involvement
active phase of this disease =fever, cough, weight loss, night sweats, hx of travel, consolidation, cough, blood streaked sputum

Back 21

TB

Front 22

Patient presents with sudden onset dyspnea and chest pain. Afebrile, denies other symptoms such as productive cough or recent illnesses. You should suspect:

Back 22

pneumothorax

Front 23

Your patient presents with sudden onset dyspnea, chest pain and symptoms of hypovolemia. You would inquire as to any recent trauma/accidents in which the patient may have been involved. You suspect:

Back 23

hemothorax

Front 24

Patient is complaining of dyspnea, fatigue, lightheadedness with potential syncope. He exhibits symptoms of R sided heart failure such as JVD and LE edema. You should suspect:

Back 24

cor pulmonale

Front 25

Your patient is complaining of pleuritic chest pain with occasional dyspnea. He as a low grade temp isolated tachycardia. You suspect:

Back 25

PE

Front 26

A 4 year old child presents to your clinic with a productive cough. The parent reports he coughs on and off for the last several months. He appears small for his age, his parents report he has had trouble with nutrition and gaining weight. You notice upon exam that his fingernails and toenails are starting to club. You suspect:

Back 26

cystic fibrosis

Front 27

You are examining an infant whose parent reports the little guy is having trouble breathing. You notice that is work of breathing is more difficult with expiration. He is anxious and tachypneic. One possible diagnosis is:

Back 27

bronchiolitis

Front 28

noisy, wheezing, inspiratory stridor

Back 28

tracheomalacia

Front 29

begins suddenly, progresses rapidly with or without cough, leads to airway obstruction most often occurs between ages of 3 and 7, child sitting straight up with neck extended, unable to swallow, beefy red epiglottis

Back 29

epiglotittis

Front 30

often begins just after child falls asleep at night, awakens suddenly, harsh barklike cough, labored retracted breathing, not always febrile

Back 30

croup