Ipapburke Pe Test 2- Thorax And Lungs

Front 1

A CLENCHED FIST OVER THE STERNUM SUGGESTS WHAT?

Back 1

ANGINA PECTORIS

Front 2

A FINGER POINTING TO A TENDER AREA ON THE CHEST WALL SUGGESTS WHAT?

Back 2

MUSCULOSKELETAL PAIN

Front 3

A HAND MOVING FROM NECK TO EPIGASTRUM SUGGESTS WHAT?

Back 3

HEARTBURN

Front 4

WHAT IS HYPERVENTILATION?

Back 4

RAPID, SHALLOW BREATHING

Front 5

WHAT ARE SOME OF THE RESPIRATORY SYMPTOMS THAT ANXIOUS PATIENTS MAY HAVE?

Back 5

EPISODIC DYSPNEA DURING BOTH REST AND EXERCISE, HYPERVENTILATION, OR RAPID AND SHALLOW BREATHING; MAY ALSO SIGh FREQUENTLY

Front 6

WHAT DOES WHEEZING SUGGEST?

Back 6

PARTIAL AIRWAY OBSTRUCTION FROM SECRETIONS, TISSUE INFLAMMATION, OR A FOREIGN BODY

Front 7

WHAT CAN BE A SYMPTOM OF LEFT SIDED HEART FAILURE?

Back 7

COUGH

Front 8

WHAT ARE THE MOST COMMON CAUSE OF ACUTE COUGH?

Back 8

VIRAL UPPER RESPIRATORY INFECTIONS

Front 9

WITH COUGH, WHAT MUST BE CONSIDERED?

Back 9

VIRAL URI'S, AS WELL AS ACUTE BRONCHITIS, PNEUMONIA, LEFT VENTRICULAR HEART FAILURE, ASTHMA, AND FOREIGN BODY

Front 10

CAUSES OS SUBACUTE COUGH

Back 10

POSTINFECTIOUS COUGH, BACTERIAL SINUSITIS, AND ASTHMA

Front 11

IN CHRONIC COUGH, WHAT ARE THE MOST COMMON CAUSES?

Back 11

PND, ASTHMA, GERD, CHRONIC BRONCHITIS, AND BRONCHIECTASIS

Front 12

WHAT COLOR IS MUCOID SPUTUM?

Back 12

TRANSLUCENT, WHITE, OR GRAY

Front 13

WHAT COLOR IS PURULENT SPUTUM?

Back 13

YELLOWISH OR GREEN

Front 14

DESCRIBE THE SPUTUM IN ANAEROBIC LUNG ABSCESS

Back 14

FOUL SMELLING

Front 15

THERE ARE LARGE AMOUNTS OF PURULENT SPUTUM IN THESE TWO CONDITIONS

Back 15

BRONCHIECTASIS AND LUNG ABSCESS

Front 16

WHAT ARE DIAGNOSTICALLY HELPFUL SYMPTOMS IN RELATION TO COUGH?

Back 16

FEVER, CHEST PAIN, DYSPNEA, ORTHOPNEA, WHEEZING

Front 17

IN WHAT PATIENTS IS HEMOPTYSIS MOST OFTEN SEEN?

Back 17

CYSTIC FIBROSIS PATIENTS

Front 18

BLOOD ORIGINATING FROM THE STOMACH IS USUALLY ________ THAN BLOOD FROM THE RESPIRATORY TRACT AND MAY HAVE __________ PARTICLES.

Back 18

DARKER; FOOD

Front 19

WHAT ARE CAUSES OF UNILATERAL DECREASE OR DELAY IN CHEST EXPANSION?

Back 19

CHRONIC FIBROSIS OF THE UNDERLYING LUNG OR PLEURA, PLEURAL EFFUSION, LOBAR PNEUMONIA, PLEURAL PAIN WITH ASSOCIATED SPLINTING, AND UNILATERAL BRONCHIAL OBSTRUCTION

Front 20

WHEN IS FREMITUS DECREASED?

Back 20

WHEN THE VOICE IS SOFT OR WHEN THE TRANSMISSION OF VIBRATIONS FROM THE LARYNX TO THE SURFACE OF THE CHEST IS IMPEDED.

Front 21

CAUSES OF DECREASED FREMITUS (SPECIFIC CONDITIONS)

Back 21

VERY THICK CHEST WALL; AN OBSTRUCTED BRONCHUS; COPD; PLURAL EFFUSION; FIBROSIS; PNEUMOTHORAX; OR AN INFILTRATING TUMOR

Front 22

SEPARATION OF THE PLEURAL SURFACES BY FLUID

Back 22

PLEURAL EFFUSION

Front 23

WHEN WILL YOU POSSIBLY SEE ASYMMETRIC DECREASED FREMITUS

Back 23

IN UNILATERAL PLEURAL EFFUSION, PNEUMOTHORAX, NEOPLASM FROM DECREASED TRANSMISSION OF LOW FREQUENCY SOUNDS

Front 24

WHEN WILL YOU POSSIBLY SEE ASYMMETRIC INCREASED FREMITUS

Back 24

IN UNILATERAL PNEUMONIA FROM INCREASED TRANSMISSION

Front 25

WHEN DOES DULLNESS REPLACE RESONANCE IN LUNG PERCUSSION

Back 25

WHEN FLUID OR SOLID TISSUE REPLACES AIR CONTAINING LUNG OR OCCUPIES THE PLEURAL SPACE BENEATH YOUR PERCUSSING FINGERS

Front 26

LOBAR PNEUMONIA

Back 26

PNEUMONIA IN WHICH THE ALVEOLI ARE FILLED WITH FLUID AND BLOOD CELLS

Front 27

CONDITIONS WHERE PERCUSSION WILL BE DULL

Back 27

LOBAR PNEUMONIA, PLEURAL EFFUSION, HEMOTHORAX, EMPYEMA,AND WITH TUMORS OR FIBROSIS

Front 28

WHEN MAY GENERALIZED HYPERRESONANCE BE HEARD

Back 28

MAY BE HEART OVER THE HYPERINFLATED LUNGS OF COPD OR ASTHMA (BUT NOT RELIABLE)

Front 29

IN WHAT POSITION ARE WHEEZES HEARD BEST

Back 29

IN THE SUPINE POSITION

Front 30

NORMAL RESPIRATION RATE OF RESTING HEALTHY ADULT

Back 30

14 TO 20 BREATHS PER MINUTE

Front 31

WITH WHAT CONDITIONS MIGHT YOU SEE FINGERNAIL CLUBBING?

Back 31

LUNG ABSCESSES, MALIGNANCY, CONGENITAL HEART DISEASE

Front 32

THIS IS AN OMINOUS SIGN OF AIRWAY OBSTRUCTION IN THE LARYNX OR TRACHEA

Back 32

AUDIBLE STRIDOR, OR HIGH PITCHED WHEEZING

Front 33

WHAT DOES SEVERE INSPIRATORY CONTRACTION OF THE STERNOCLEIDOMASTOID AND SCALENES AT REST SIGNAL?

Back 33

SEVERE DIFFICULTY IN BREATHING

Front 34

LATERAL DISPLACEMENT OF THE TRACHEA MAY BE SEEN IN WHAT CONDITIONS?

Back 34

PNEUMOTHORAX, PLEURAL EFFUSION, ATELECTASIS

Front 35

WHEN DOES THE AP DIAMETER INCREASE?

Back 35

WITH AGE BUT ALSO WITH COPD

Front 36

WHERE IS RETRACTION MOST APPARENT?

Back 36

IN THE LOWER INTERSPACES

Front 37

YOU WILL SEE RETRACTION WITH THESE CONDITIONS

Back 37

SEVERE ASTHMA, COPD, OR UPPER AIRWAY OBSTRUCTION

Front 38

UNILATERAL IMPAIRMENT OR LAGGING OF RESPIRATORY MOVEMENT SUGGESTS WHAT?

Back 38

DISEASE OF THE UNDERLYING LUNG OR PLEURA

Front 39

YOU MAY SEE BRUISES ON THE CHEST DUE TO WHAT?

Back 39

BROKEN RIBS

Front 40

WHAT DO SINUS TRACTS INDICATE?

Back 40

INFECTION OF THE UNDERLYING PLEURA AND LUNGS (MAY BE SEEN IN TB OR ACTINOMYCOSIS)

Front 41

BLIND, INFLAMMATORY TUBELIKE STRUCTURES OPENING ONTO SKIN

Back 41

SINUS TRACTS

Front 42

WHAT ARE SOME CAUSES OF UNILATERAL DECREASE OR DELAY IN CHEST EXPANSION?

Back 42

CHRONIC FIBROSIS OF THE UNDERLYING LUNG OR PLEURA, PLEURAL EFFUSION, LOBAR PNEUMONIA, PLEURAL PAIN WITH ASSOCIATED SPLINTING, AND UNILATERAL BRONCHIAL OBSTRUCTION

Front 43

FREMITUS IS DECREASED OR ABSENT WHEN?

Back 43

WHEN THE TRANSMISSION OF VIBRATION FROM THE LARYNX TO THE SURFACE OF THE CHEST IS IMPAIRED OR THE VOICE IS SOFT

Front 44

CAUSES OF DECREASED FREMITUS

Back 44

VERY THICK CHEST WALL, AN OBSTRUCTED BRONCHUS, COPD, PLEURAL EFFUSION, FIBROSIS OR THICKENING OF THE PLEURA, PNEUMOTHORAX, OR AN INFILTRATING TUMOR

Front 45

WHERE IS FREMITUS TYPICALLY MORE PROMINENT?

Back 45

MORE PROMINENT IN THE INTERSCAPULAR AREA THAN IN THE LOWER LUNG FIELDS; MORE PROMINENT ON THE RIGHT SIDE THAN ON THE LEFT SIDE;IT DISAPPEARS BELOW THE DIAPHRAGM

Front 46

WHAT IS THE PURPOSE OF PERCUSSION?

Back 46

SETS THE CHEST WALLL AND UNDERLYING TISSUES IN MOTION PRODUCING AUDIBLE SOUND AND PALPABLE VIBRATIONS; HELPS ESTABLISH WHETHER THE UNDERLYING TISSUES ARE AIR FILLED, FLUID FILLED, OR SOLID

Front 47

WHY CAN YOU NOT USE PERCUSSION TO FIND DEEP SEATED LESIONS?

Back 47

IT ONLY PENETRATES 5 TO 7 INCHES

Front 48

WHAT IS THE PLEXIMETER FINGER?

Back 48

THE MIDDLE FINGER

Front 49

WHAT IS THE MOST EFFECTIVE WAY TO PRODUCE A LOUDER NOTE WHEN YOU PERCUSS?

Back 49

APPLY MORE PRESSURE WITH THE PLEXIMETER FINGER RATHER THAN TAPPING LOUDER WITH THE PLEXOR FINGER

Front 50

HEALTHY LUNGS ARE _________.

Back 50

RESONANT

Front 51

WHY DO WE NOT PERCUSS THE AREAS OVER THE SCAPULA?

Back 51

THE THICKNESS OF THE MUSCLE AND BONE ALTERS THE PERCUSSION NOTES OVER THE LUNGS

Front 52

WHEN DOES DULLNESS REPLACE RESONANCE?

Back 52

WHEN FLUID OR SOLID TISSUE REPLACES AIR CONTAINING LUNG OR OCCUPIES THE PLEURAL SPACE BENEATH THE PERCUSSING FINGER

Front 53

WHAT IS LOBAR PNEUMONIA?

Back 53

THE ALVEOLI ARE FILLED WITH FLUID AND BLOOD CELLS

Front 54

WHEN MIGHT YOU HEAR GENERALIZED HYPERRESONANCE (ALTHOUGH IT IS NOT THE MOST RELIABLE SIGN)?

Back 54

OVER THE HYPERINFLATED LUNGS OF COPD OR ASTHMA

Front 55

WHAT DOES UNILATERAL HYPERRESONANCE SUGGEST?

Back 55

A LARGE PNEUMOTHORAX OR POSSIBLY A LARGE AIR-FILLED BULLA IN THE LUNG

Front 56

AN ABNORMALLY HIGH LEVEL OF THE DIAPHRAGM INDICATES WHAT

Back 56

PLEURAL EFFUSION ATELECTASIS, OR DIAPHRAGMATIC PARALYSIS

Front 57

VESICULAR BREATH SOUNDS

Back 57

SOFT AND LOW PITCHED; HEARD THROUGH INSPIRATION, CONTINUE WITHOUT PAUSE THROUGH EXPIRATION, AND THEN FADE AWAY ABOUT ONE THIRD OF THE WAY THROUGH EXPIRATION

Front 58

BRONCHOVESICULAR BREATH SOUNDS

Back 58

WITH INSPIRATORY AND EXPIRATORY SOUNDS ABOUT EQUAL IN LENGTH, AT TIMES SEPARATED BY A SILENCE

Front 59

BRONCHIAL BREATH SOUNDS

Back 59

LOUDER AND HIGHER IN PITCH, WITH A SHORT SILENCE BETWEEN INSPIRATORY AND EXPIRATORY SOUNDS; EXPIRATORY ARE LONGER

Front 60

WHERE ARE BREATH SOUNDS USUALLY LOUDER?

Back 60

IN LOWER POSTERIOR LUNG FIELD

Front 61

WHAT DOES A SLIENT GAP BETWEEN INSPIRATORY AND EXPIRATORY SOUNDS SUGGEST?

Back 61

A GAP SUGGESTS BRONCHIAL BREATH SOUNDS

Front 62

WHAT ARE ADVENTITIOUS BREATH SOUNDS?

Back 62

ADDED BREATH SOUNDS, LIKE CRACKLES (RALES0, WHEEZES, AND RHONCHI

Front 63

WHAT DO FINE LATE INSPIRATORY CRACKLES THAT PERSIST FROM BREATH TO BREATH SUGGEST?

Back 63

ABNORMAL LUNG TISSUE

Front 64

LOCATION WHERE VESICULAR BREATH SOUNDS ARE MOST OFTEN HEARD

Back 64

OVER MOST OF BOTH LUNGS

Front 65

LOCATION WHERE BRONCHOVESICULAR SOUNDS ARE MOST OFTEN HEARD

Back 65

OFTEN IN THE 1ST AND 2ND INTERSPACES ANTERIORLY AND BETWEEN THE SCAPULA

Front 66

LOCATION WHERE BRONCHIAL SOUNDS ARE MOST OFTEN HEARD

Back 66

OVER THE MANUBRIUM, IF HEARD AT ALL

Front 67

WHAT CAN CAUSE CRACKLES?

Back 67

ABNORMALITIES OF THE LUNG (PNEUMONIA, FIBROSIS, EARLY CONGESTIVE HEART FAILURE) OR OF THE AIRWAYS (BRONCHITIS OR BRONCHIECTASIS)

Front 68

WHAT DO WHEEZES SUGGEST?

Back 68

NARROWED AIRWAYS, AS IN ASTHMA, COPD, AND BRONCHITIS

Front 69

WHAT DO RHONCHI SUGGEST?

Back 69

SUGGEST SECRETION IN LARGE AIRWAYS

Front 70

WHAT DOES CLEARING OF CRACKLES, WHEEZES, OR RHONCHI AFTER COUGHING OR POSITION CHANGE SUGGEST?

Back 70

INSPISSATED SECRETIONS LIKE IN BRONCHITIS

Front 71

THESE ARE CONTINUOUS, RELATIVELY LOW PITCHED WITH A SNORING QUALITY

Back 71

RHONCHI

Front 72

THESE ARE CONTINUOUS, RELATIVELY HIGH PITCHED WITH A HISSING OF SHRILL QUALITY

Back 72

WHEEZING

Front 73

WHAT IS REQUIRED TO DIAGNOSE COPD?

Back 73

PULMONARY FUNCTIONING TESTS; THE SYMPTOMS WILL INCLUDE WHEEZING, HISTORY OF SMOKING, AGE, AND DECREASED BREATH SOUNDS

Front 74

WHAT ARE LOUDER, CLEARER VOICE SOUNDS CALLED?

Back 74

BRONCHOPHONY

Front 75

WHAT CAUSES EGOPHONY, ORA CHANGE FROM "EE" TO "AY"?

Back 75

LOBAR CONSOLIDATION LIKE WITH PNEUMONIA

Front 76

WHAT ARE LOUDER, CLEARR WHISPERED SOUNDS CALLED?

Back 76

WHISPERED PECTORILOQUY

Front 77

WHAT CAN CAUSE CRACKLES?

Back 77

ABNORMALITIES OF THE LUNG (PNEUMONIA, FIBROSIS, EARLY CONGESTIVE HEART FAILURE) OR OF THE AIRWAYS (BRONCHITIS OR BRONCHIECTASIS)

Front 78

WHAT DO WHEEZES SUGGEST?

Back 78

NARROWED AIRWAYS, AS IN ASTHMA, COPD, AND BRONCHITIS

Front 79

WHAT DO RHONCHI SUGGEST?

Back 79

SUGGEST SECRETION IN LARGE AIRWAYS

Front 80

WHAT DOES CLEARING OF CRACKLES, WHEEZES, OR RHONCHI AFTER COUGHING OR POSITION CHANGE SUGGEST?

Back 80

INSPISSATED SECRETIONS LIKE IN BRONCHITIS

Front 81

THESE ARE CONTINUOUS, RELATIVELY LOW PITCHED WITH A SNORING QUALITY

Back 81

RHONCHI

Front 82

THESE ARE CONTINUOUS, RELATIVELY HIGH PITCHED WITH A HISSING OF SHRILL QUALITY

Back 82

WHEEZING

Front 83

WHAT IS REQUIRED TO DIAGNOSE COPD?

Back 83

PULMONARY FUNCTIONING TESTS; THE SYMPTOMS WILL INCLUDE WHEEZING, HISTORY OF SMOKING, AGE, AND DECREASED BREATH SOUNDS

Front 84

WHAT ARE LOUDER, CLEARER VOICE SOUNDS CALLED?

Back 84

BRONCHOPHONY

Front 85

WHAT CAUSES EGOPHONY, ORA CHANGE FROM "EE" TO "AY"?

Back 85

LOBAR CONSOLIDATION LIKE WITH PNEUMONIA

Front 86

WHAT ARE LOUDER, CLEARR WHISPERED SOUNDS CALLED?

Back 86

WHISPERED PECTORILOQUY

Front 87

WHAT DOES TENDER PECTORAL MUSCLES OR COSTAL CARTILAGES SUGGEST?

Back 87

MAY CORROBORATE, BUT DO NOT PROVE, THAT CHEST PAIN HAS A MUSCULOSKELETAL ORIGIN

Front 88

WHERE IS FREMITUS NORMALLY ABSENT OR DECREASED?

Back 88

OVER THE PRECORDIUM

Front 89

WHERE IS THE NORMAL AREA OF DULLNESS UPON PERCUSSION OF LUNGS?

Back 89

TO THE LEFT OF THE STERNUM FROM THE 3RD TO THE 5TH INTERSPACES

Front 90

WHERE DOES THE DULLNESS OF RIGHT MIDDLE LOBE PNEUMONIA TYPICALLY OCCUR?

Back 90

BEHIND THE RIGHT BREAST

Front 91

WHEN A LUNG IS AFFECTED BY COPD, WHAT HAPPENS TO THE LIVER?

Back 91

THE UPPER BORDER OF THE LIVER IS DISPLACED DOWNWARD

Front 92

WHERE ARE BREATH SOUNDS USUALLY LOUDER?

Back 92

IN THE UPPER ANTERIOR LUNG FIELDS

Front 93

WHAT PATIENTS OVER 60 ARE TWICE AS LIKELY TO HAVE COPD?

Back 93

THOSE OVER 60 WITH A FORCED EXPIRATORY TIME OF 6 TO 8 SECONDS

Front 94

AN INCREASE IN THE LOCAL PAIN (DISTANT FROM YOUR HAND) SUGGESTS WHAT?

Back 94

A RIB FRACTURE RATHER THAN SOFT TISSUE INJURY

Front 95

THORAX IN NORMAL ADULT

Back 95

WIDER THAN IT IS DEEP; LATERAL DIAMETER LARGER THAN AP DIAMETER

Front 96

FUNNEL CHEST OR PECTUS EXCAVATUM

Back 96

DEPRESSION IN THE LOWER PORTION OF THE STERNUM; COMPRESSION OF THE HEART AND GREAT VESSELS MAY CAUSE MURMURS

Front 97

BARREL CHEST

Back 97

INCREASE AP DIAMETER; NORMAL DURING INFANCY, AND OFTEN ACCOMPANIES AGING AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Front 98

BELL OR DIAPHRAGM FOR AUSCULTATING LUNGS

Back 98

DIAPHRAGM

Front 99

FOUR POTENTIAL USES FOR PALPATION IN INSPECTION OF ANTERIOR CHEST

Back 99

ID TENDER AREAS, ASSESSMENT OF OBSERVED ABNORMALITIES, FURTHER ASSESSMENT OF CHEST EXPANSION, ASSESSMENT OF TACTILE FREMITUS

Front 100

WALK TEST

Back 100

ASSESSES PULMONARY FUNCTION; ASK PATIENT TO WALK 8 FEET AT NORMAL PACE TWICE AND RECORD TIMES; NONDISABLED OLDER ADULTS TAKING 5.6 SEC OR LONG ARE MORE LIKELY TO BECOME DISABLED OVER TIME THAN THOSE TAKING LESS THAN 3.1 SECONDS

Front 101

SPOKEN WORDS ARE CLEARER AND LOUDER (TRANSMITTED VOICE SOUNDS) WHEN?

Back 101

THE LUNG IS AIRLESS LIKE IN LOBAR PNEUMONIA (CALLED BRONCHOPHONY)