Study guid ch.5 (1-35)

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

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

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

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

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

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

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

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

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

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. lymphoma
B. respiratory infection
C. HIV
D. lung cancer

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

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

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

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

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

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

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

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

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

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

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

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

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

What clinical disorder will cause a unilateral decrease in thoracic expansion?
A. Lobar pneumonia
B. Neuromuscular disease
C. COPD
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. COPD
B. Right lower lobe pneumonia
C. Left lower lower pneumonia
D. Severe asthma

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. Pneumothorax
C. Asthma
D. COPD

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

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. low-pitched heart sounds
B. most lung sounds
C. pleural friction rubs
D. heart murmurs

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

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