Study guid ch.5 (1-35)

What problem is associated with cyanosis of the oral mucosa?
A. Low cardiac output
B. Hyperventilation
C. Reduced arterial oxygenation
D. Hypoventilation

What problem is associated with nasel flaring?
A. Increased dead space ventilation
B. Increased lung compliance
C. Increased work of breathing
D. Hypoxemia

Which of the following is not associated with dilated and unresponsive pupils?
A. Atropine
B. Catecholamines
C. Brain death
D. Opiates

What term is used to describe constriction of the pupils of the eye?
A. Lytosis
B. Mydriasis
C. Nystagmus
D. Miosis

What term is used to describe drooping of the eyelids?
A. Miosis
B. Diplopia
C. Ptosis
D. Chondrosis

Which of the following physical examination findings is associated with myasthenia gravis?
A. Ptosis
B. Mydrasis
C. Hepatomegaly
D. Miosis

What term is used to describe double vision?
A. Miosis
B. Diplopia
C. Nystagmus
D. None of the above

Which of the following is most likely to cause tracheal deviation?
A. right lower lobe pleural effusion
B. Left lower lobe pleural effusion
C. Left upper lobe pneumonia
D. Right upper lobe pneumothorax

Which of the following is the most common cause of jugular venous distention?
A. Pneumothorax
B. Auto-positive end-exiratory pressure (PEEP)
C. Pneumonia
D. Right heart failure

At what angle should the head of the bed be elevated to assess jugular vein pressure (JVP)?
a. 15^o
b. 30^o
c. 45^o
d. 90^o

In the patient's chart the physician documented finding lymphadenopathy in the neck region that is tender to the touch. this is consistent with:
A. lung cancer
B. lymphoma
C. respiratory infection
D. HIV

The horizontal fissure that seperates the right upper lobe from the right middle lobe begins at what rib in the midsternal line?
A. Rib 8
B. Rib 2
C. Rib 6
D. Rib 4

At what point on the posterior chest wall can the inferior border of the lung normally be found?
A. Between T4 and T6
B. Between T6 and T8
C. Between T9 and T12
D. None of the above

What term describes an abnormal lateral curvature of the spine?
A. Kyphosis
B. Scoliosis
C. Myelosis
D. Anhidrosis

What disorder is associated with a barrel chest?
A. Pneumonia
B. Emphysema
C. Chest trauma
D. Chronic bronchitis

What pattern of breathing is associated with a loss in lung volume?
A. Rapid and deep
B. rapid and shallow
C. Slow and shallow
D. Slow and deep

What disease is most likely to cause a prolonged expiratory time?
A. Asthma
B. Pneumothorax
C. Pneumonia
D. Pulmonary fibrosis

What disease is most likely to inspiratory time?
A. Asthma
B. Acute bronchitis
C. Epiglottitis
D. COPD

What term describes the sinking inward of the skin overlying the rib cage with each inspiratory effort?
A. Bulging
B. Ataxia
C. Retractions
D. Mydriasis

Which of the following is a sign of more severe chronic obstructed pulmonary disease?
A. Decrease in anteroposterior (AP) diameter of the chest
B. Prolonged inspiratory time
C. Small retrosternal airspace on the lateral chest film
D. Significant use of accessory muscle at rest

What breathing pattern is associated with fatigue of the diaphragm?
A. Biot's breathing
B. Bradypnea
C. Abdominal paradox
D. Deep and fast breathing

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?
A. Respiratory alternans
B. Hoover's sign
C. Biot's breathing
D. Abdominal paradox

What clinical condition is associated with central cyanosis?
A. Respiratory failure
B. Poor circulation
C. Hypercaria
D. Renal failure

Which of the following will cause an increase in vocal fremitus upon palpation?
A. Obesity
B. COPD
C. Pneumonia
D. Pneumothorax

Which of the following will cause a decrease in vocal fremitus upon palpation?
A. Lung tumor
B. Pneumonia
C. Pneumothorax
D. Atelectasis

What clinical disorder will cause a unilateral decrease in thoracic expansion?
A. Lobar pneumonia
B. COPD
C. Neuromuscular disease
D. Acute asthma attack

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?
A. Severe asthma
B. Left lower lower pneumonia
C. Right lower lobe pneumonia
D. COPD

What clinical disorder will cause resonance to percussion?
A. Pneumonia
B. Atelectasis
C. Pneumothorax
D. Pleural effusion

What clinical disorder will cause decreased resonance to percussion?
A. Pneumonia
B. Asthma
C. Pneumothorax
D. COPD

The bell portion of the stethoscope is best designed to listen to ________-pitched _______sounds.
A. low; lung
B. high; lung
C. high; heart
D. low; heart

What technique is most useful for application of the bell portion of the stethoscope?
A. Press it firmlly aginst the chest wall
B. Hold it about 1cm from the chest wall
C. Press it lightly against the chest wall
D. Slide it gently in a circular motion on the chest wall

The diaphragm portion of the stethoscope is used to listen for:
A. most lung sounds
B. pleural friction rubs
C. heart murmurs
D. low-pitched heart sounds

Where is the best anatomical place to begin auscultation in most patients?
A. Over the trachea
B. In the axillary regions
C. In the dependent regions
D. Over the upper lobes

Which of the following characteristics does not apply to normal tracheal breath sounds?
A. Loud
B. High pitched
C. Fairly equal inspiratory and expiratory components
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?
A. Tubular
B. Bronchial
C. Vesicular
D. Bronchovesicular