What problem is associated with cyanosis of the oral mucosa?
C. Reduced arterial oxygenation
What problem is associated with nasel flaring?
C. Increased work of breathing
Which of the following is not associated with dilated and unresponsive pupils?
D. Opiates
What term is used to describe constriction of the pupils of the eye?
D. Miosis
What term is used to describe drooping of the eyelids?
C. Ptsosi
Which of the following physical examination findings is associated with myasthenia gravis?
A. Ptosis
What term is used to describe double vision?
B. Diplopia
Which of the following is most likely to cause tracheal deviation?
D. Right upper lobe pneuothorax
Which of the following is the most common cause of jugular venous distention?
D. Right heart failure
At what angle should the head of the bed be elevated to assess jugular vein pressure (JVP)?
a. 15o b. 30o c. 45o d. 90o
c. 45o
In the patient's chart the physician documented finding lymphadenopathy in the neck region that is tender to the touch. this is consistent with:
C. respiratory infection
The horizontal fissure that seperates the right upper lobe from the right middle lobe begins at what rib in the midsternal line?
D. Rib 4
At what point on the posterior chest wall can the inferior border of the lung normally be found?
C. Between T9 and T12
What term describes an abnormal lateral curvature of the spine?
B. Scoliosis
What disorder is associated with a barrel chest?
B. Emphysema
What pattern of breathing is associated with a loss in lung volume?
B. rapid and shallow
What disease is most likely to cause a prolonged expiratory time?
A. Asthma
What disease is most likely to inspiratory time?
C. Epiglottitis
What term describes the sinking inward of the skin overlying the rib cage with each inspiratory effort?
C. Retractions
Which of the following is a sign of more severe chronic obstructed pulmonary disease?
D. Significant use of accessory muscle at rest
What breathing pattern is associated with fatigue of the diaphragm?
C. Abdominal paradox
In patients with sever COPD and hyperinflation, the low, flat diaphragm causes inward movement of the lateral chest walls with inspiration. What is this called?
B. Hoover's sign
What clinical condition is associated with central cyanosis?
A. Respiratory failure
Which of the following will cause an increase in vocal fremitus upon palpation?
C. Pneumonia
Which of the following will cause a decrease in vocal fremitus upon palpation?
C. Pneumothorax
What clinical disorder will cause a unilateral decrease in thoracic expansion?
A. Lobar pneumonia
On assessment of chest expansion with palpation, the right lower chest is found to lag behind the left. With what problem is this finding constent?
C. Right lower lobe pneumonia
What clinical disorder will cause resonance to percussion?
C. Pneumothorax
What clinical disorder will cause decreased resonance to percussion?
A. Pneumonia
The bell portion of the stethoscope is best designed to listen to ________-pitched _______sounds.
D. low; heart
What technique is most useful for application of the bell portion of the stethoscope?
C. Press it lightly against the chest wall
The diaphragm portion of the stethoscope is used to listen for:
A. most lung sounds
Where is the best anatomical place to begin auscultation in most patients?
C. In the dependent regions
Which of the following characteristics does not apply to normal tracheal breath sounds?
D. Low pitched
What term is used to describe the normal breath sounds heard around the sternum on the anterior chest and between the scapulae on the posterior chest?