Physical Assessment: Thorax And Lungs

Front 1

The manubriosternal angle is:

Back 1

the articualtion of the manubrium and the body of the sternum

Front 2

Describe the left lung as compared to the right:

Back 2

Narrowere than the right with two lobes

Front 3

Some conditions have a cough with characteristic timing. The cough associatied with chronic bronchitis is best described as:

Back 3

productive cough for at least 3 months of the year for 2 years in a row

Front 4

Symmetric chest expansion is best confirmed by:

Back 4

placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10, then sliding the hands up to pinch up a small fold of skin between the thumbs

Front 5

Absence of diaphragmatic excursio noccurs with:

Back 5

pleural effusion or atelectasis of the lower lobes

Front 6

Auscultation of breath sounds is an important component of respiratory assessment. Describe the process:

Back 6

Hold the diaphragm of the stethoscope against the chest wall; listen to one full respiration in each location, being sure to do side-to-side comparisons.

Front 7

Describe bronchovesicular breath sounds.

Back 7

moderate pitch, inspiration equal to expiration

Front 8

You note a patient has: increased respiration rate, chest expansion is decreased on the left side, dull to percussion over left lowerlobe, breathsounds louder with fine crackles over left lower lobe. This are signs and symptoms of:

Back 8

lobar pneumonia

Front 9

Upon examining a patient's nails, you note that the angle of the nail base is > 160* and that the nail base feels spongy to palpation. These findings are consistent with:

Back 9

chronic, congenital heart disease and COPD

Front 10

Upon examination of a patient, you note a coarse, low-pitched sound during both inspriation and expiration. This patient complains of pain wit hbreathing. These findings are onsistent with:

Back 10

pleural friction rub

Front 11

In order to use the technique of egophony, ask the patient to:

Back 11

say "ee" each time the stethoscope is moved

Front 12

When examining for tactile fremitus, it is important to:

Back 12

palpate the chest symmetrically

Front 13

The pulse oximeter measures:

Back 13

arterial oxygenation saturation

Front 14

The lung borders of the apex

Back 14

are 3 to 4 cm above the inner third of the clavicles

Front 15

The lung borders of the base

Back 15

rests on the diaphragm

Front 16

The lung borders of the lateral left

Back 16

are the sixth rib, and midclavicular line

Front 17

The lung borders of the lateral right

Back 17

are the fifth intercostal space

Front 18

The lung borders of the posterior apex

Back 18

C7

Front 19

Configurations of the thorax: ellipticalshape with an anteroposterior: transverse diameter in the ratio of 1:2

Back 19

normal chest

Front 20

Configurations of the thorax: anteroposterior = transverse diameter

Back 20

barrel chest

Front 21

Configurations of the thorax: sunken sternum and adjacent cartilages

Back 21

pectus excavatum

Front 22

Configurations of the thorax: forward protrusion of the sernum with ribs slopin back at either side

Back 22

pectus carnatum

Front 23

Configurations of the thorax: lateral, S-shaped curvature of the thoracic and lumbar spine

Back 23

scoliosis

Front 24

Configurations of the thorax: exaggerated posterior curvature of thoracic spine

Back 24

kyphosis