Author:
lungsucker
ID:
44908
Filename:
Study guide chapter 5 36 through 70
Updated:
2010-10-25 21:06:52
Tags:
Autry
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Description:
Mr. Grantz study guide
Show Answers:

  1. Which of the following descriptions does NOT apply to normal vesicular breath sounds?
    A.Heard primarily over lung parenchyma
    B. Minimal expiratory component
    C.Soft with low intensity
    D. High pitched as compared with tracheal breath sounds.
    .D. High pitched as compared with tracheal breath sounds.
    (this multiple choice question has been scrambled)
  2. What term best describes a louder version of a vesicular sound that can be heard over lung consolidation.
    A. Crepitation
    B. Tracheal
    C. Tubular
    D. Harsh or bronchial
    D. Harsh or bronchial
    (this multiple choice question has been scrambled)
  3. What term has had a confusing history with regard to its use and has been replaced with the term crackles?
    A. Rhonci
    B. Wheezes
    C. Rales
    D. Crepitations
    C. Rales
    (this multiple choice question has been scrambled)
  4. What term best describes continuous types of adventitious lung sounds?
    A. Wheeze
    B. Stridor
    C. Rhonci
    D. Sibilant rales
    A. Wheeze
    (this multiple choice question has been scrambled)
  5. What term is used to describe a continuous type of adventitous lung sound heard loudest over the neck of the patient with upper airway obstruction?
    A. Rhonci
    B. Stridor
    C. Wheeze
    D. Sonorous rales
    B. Wheeze
    (this multiple choice question has been scrambled)
  6. Who is the most intelligent of the group?
    A. Sonya
    B. Chad
    C. Pete
    A. Sonya
    (this multiple choice question has been scrambled)
  7. What mechanism is believed to be responsible for the normal vesicular breath sound?
    A. Rubbing together of the two layers of the plurae
    B. Contraction of the inspiratory muscles
    C. Air entering the alveoli
    D. Filtration of turbulent flow sounds in the larger airways
    D. Filtration of turbulent flow sounds in the larger airways
    (this multiple choice question has been scrambled)
  8. Which of the following statements is NOT true about vesicular or normal breath sounds?
    A. They are produced when air enters the alveoli
    B. They are produced somewhat regionally
    C. They have a minimal expiratory soud
    D. They are used to help confirm proper placement of the ET tube
    A. They are produced when air enters the alveoli
    (this multiple choice question has been scrambled)
  9. Which of the following lung conditions is associated with diminished breath sounds because of airflow limitation and poor transmission of sound through the lung?
    A. Lung tumor
    B. Pneumonia
    C. Bronchitis
    D.Emphysema
    D. Emphysema
    (this multiple choice question has been scrambled)
  10. Which of the following factors most closely relates to the pitch of a wheeze?
    A. The length of the involved airway
    B. The patients respiratory rate
    C. The patients I:E ratio
    D. The degree of airway compression
    D. the degree of airway compression
    (this multiple choice question has been scrambled)
  11. Which of the following characteristics of wheezing is LEAST reliable for predicting the degree of airway obstruction?
    A. Intensity
    B. Duration
    C. Pitch
    D. Sound frequency
    A. Intensity
    (this multiple choice question has been scrambled)
  12. What type of wheezing is likely to be heard over the chest of a patient with a tumor that is partially obstructing a single airway?
    A. Polyphonic wheezing
    B. Sonorous wheezing
    C. Sibilant wheezing
    D. Monophonic wheezing
    D. Monophonic wheezing
    (this multiple choice question has been scrambled)
  13. Which of the following adventitious lung sounds is related most closely to a life-threatenig problem?
    A. Crackles
    B. Rhonci
    C. Stridor
    D. Wheezing
    C. Stridor
    (this multiple choice question has been scrambled)
  14. Which of the following adventitous lung sounds is associated most closely with restrictive types of lung diseases?
    A. Late-inspiratory crackles
    B. Monophonic wheezing
    C. Polyphonic wheezing
    D. Early-inspiratory crackes
    A. Late-inspiratory crackles
    (this multiple choice question has been scrambled)
  15. What adventitous lung sound is most likely to be heard in the patient with croup?
    A.Polyphonic wheeze
    B. Rhonci
    C. Stridor
    D. Late-inspiratory crackle
    C. Stridor
    (this multiple choice question has been scrambled)
  16. What term applies to an abnormal increase in vocal resonance?
    A. Bronchophony
    B. Egophony
    C. Fremitus
    d. None of the above
    A. Bronchophony
    (this multiple choice question has been scrambled)
  17. Which of the following abnormalities would be associated with an increase in vocal resonance?
    A. Pneumothorax
    B. Emphysema
    C. Pneumonia
    D. Large plural effusion
    C. Pneumonia
    (this multiple choice question has been scrambled)
  18. What term describes the area of the chest wall that overlies the heart?
    A. Pericardium
    B. Precordium
    C. Periosteum
    d. None of the above
    B. Precordium
    (this multiple choice question has been scrambled)
  19. The point of maximal impulse normally is felt where during palpation of the chest wall?
    A. Just left of the sternum at the third intercostal space
    B. Midclavicular line at the fifth intercostal space
    C. Midaxillary line at the fifth intercostal space
    D. Just right of the sternum at the fourth intercostal space
    B. Midclavicular line at the fifth intercostal space
    (this multiple choice question has been scrambled)
  20. What may cause the PMI to shift to the anterior axillary region on the left?
    A. Core pulmonale
    B. Right ventricular hypertrophy
    C. A tension pneumothorax on the right
    D. Pericarditis
    C. A tension pnemothorax on the right.
    (this multiple choice question has been scrambled)
  21. What clinical disorder is characterized by the point of maximal impulse being felt in the epigastric area?
    A. Pneumothorax
    B. Emphysema
    C. Atelectasis
    D. Chronic bronchitis
    B. Emphysema
    (this multiple choice question has been scrambled)
  22. At what site on the chest wall is the pulmonic valve best ascultated?
    A. Sixth intercostal space on the left at the midaxillary line
    B. Fifth intercostal space on the left near the sternal border
    C. Second left intercostal space near the sternal border
    D. Fifth intercostal space on the right at the midclavicular line
    C. Second left intercostal space near the sternal border
    (this multiple choice question has been scrambled)
  23. What is believed to be responsible for production of the first heart sound?
    A. Closure of the semilunar valves
    B. Opening of the AV valves
    C. Closure of the atrioventricular AV valves
    D.Opening of the semilunar valves
    E. Excitement caused by penile megaly
    C. Closure of the atrioventricular AV valves
    (this multiple choice question has been scrambled)
  24. What mechanism is responsible for production of an abnormal third heart sound?
    A. Rapid filling of the atrium during ventricular systole
    B. Forceful closure of the pulmonic valve
    C. Forceful opening of the aortic valve
    D. Rapid filling of the ventricles immediately after systole
    D. Rapid filling of the ventricles immediately after systole
    (this multiple choice question has been scrambled)
  25. What clinical problem is associated with a gallop rythym?
    a. Left-to-right shunt
    b. Post myocardial infarction
    c. Overdistention of the ventricles
    d. All of the above
    d. all of the above
  26. What clinical condition may cause diminished heart sounds?
    A. Emphysema
    B. Pneumonia
    C. Bronchitis
    D. Pulmonary embolism
    A. Emphysema
    (this multiple choice question has been scrambled)
  27. What change in the heart sounds is associated with cor pulmonale?
    A. Loud T2
    B. Loud M1
    C. Loud A2
    D. Loud P2
    D. Loud P2
    (this multiple choice question has been scrambled)
  28. What type of murmur is associated with mitral valve stenosis?
    A. Pansystolic
    B. Diastolic
    C. Systolic
    d. None of the above
    B. Diastolic
    (this multiple choice question has been scrambled)
  29. Which of the following is responsible for the production of murmurs?
    a. Stenotic AV valves
    b. Incompetent AV valves
    c. Incompetent semilunar valves
    d. all of the above
    d. all of the above
  30. What is the common cause of hepatomegaly?
    A. Pleural effusion
    B. Pneumothorax
    C. Chronic right heart failure
    D. Acute asthma attack
    C. Chronic right heart failure
    (this multiple choice question has been scrambled)
  31. What is the normal distance that the liver spans in the right upper quadrant of the abdomen?
    A. 10 cm
    B. 8 cm
    C. 6 cm
    D. 14 cm
    A. 10 cm
    (this multiple choice question has been scrambled)
  32. What term is used to describe an abnormal collection of fluid in the peritoneal cavity?
    A. Pancreatitis
    B. Pericarditis
    C. Ascites
    D. Hepatomegaly
    C. Ascites
    (this multiple choice question has been scrambled)
  33. Digital clubbing is associated with?
    a. COPD
    b. Cystic fibrosis
    c. Bronchogenic carcinoma
    d. all of the above
    d. All of the above
  34. Which of the following findings is consistent with reduced perfusion?
    A. Loud P2 sound
    B. Hepatomegaly
    C. Peripheral cyanosis
    D. Jugular vein didtention JVD
    C. Peripheral cyanosis
    (this multiple choice question has been scrambled)
  35. What clinical condition is associated with the onset of pedal edema?
    A. Status asthmaticus
    B. Right heart failure
    C. Liver failure
    D. Tension pneumothorax
    B. Right heart failure
    (this multiple choice question has been scrambled)
  36. Normal capillary refill is less than ______ seconds
    A. 5
    B. 3
    C. 1
    D. 10
    B. 3 seconds
    (this multiple choice question has been scrambled)
  37. What is the most common cause of penile megaly in RT students..
    a. Acute assisee
    b. Stroke volume
    c. Papillar stenosis
    d. Breastus maximus
    e. All of the above and below
    e. all of the above and below