Study guide chapter 5 36 through 70

Which of the following descriptions does NOT apply to normal vesicular breath sounds?
a.Soft with low intensity
b. Minimal expiratory component
c.Heard primarily over lung parenchyma
d. High pitched as compared with tracheal breath sounds.

What term best describes a louder version of a vesicular sound that can be heard over lung consolidation.
A. Tubular
B. Crepitation
C. Tracheal
D. Harsh or bronchial

What term has had a confusing history with regard to its use and has been replaced with the term crackles?
A. Crepitations
B. Wheezes
C. Rhonci
D. Rales

What term best describes continuous types of adventitious lung sounds?
A. Stridor
B. Sibilant rales
C. Wheeze
D. Rhonci

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. Wheeze
B. Rhonci
C. Sonorous rales
D. Stridor

Who is the most intelligent of the group?
A. Chad
B. Sonya
C. Pete

What mechanism is believed to be responsible for the normal vesicular breath sound?
A. Air entering the alveoli
B. Contraction of the inspiratory muscles
C. Filtration of turbulent flow sounds in the larger airways
D. Rubbing together of the two layers of the plurae

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 are used to help confirm proper placement of the ET tube
D. They have a minimal expiratory soud

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. Emphysema
B. Bronchitis
C. Pneumonia
D. Lung tumor

Which of the following factors most closely relates to the pitch of a wheeze?
A. The length of the involved airway
B. The degree of airway compression
C. The patients I:E ratio
D. The patients respiratory rate

Which of the following characteristics of wheezing is LEAST reliable for predicting the degree of airway obstruction?
A. Intensity
B. Pitch
C. Duration
D. Sound frequency

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. Sonorous wheezing
B. Polyphonic wheezing
C. Sibilant wheezing
D. Monophonic wheezing

Which of the following adventitious lung sounds is related most closely to a life-threatenig problem?
A. Crackles
B. Rhonci
C. Wheezing
D. Stridor

Which of the following adventitous lung sounds is associated most closely with restrictive types of lung diseases?
A. Polyphonic wheezing
B. Late-inspiratory crackles
C. Monophonic wheezing
D. Early-inspiratory crackes

What adventitous lung sound is most likely to be heard in the patient with croup?
A. Rhonci
B. Stridor
C. Late-inspiratory crackle
D. Polyphonic wheeze

What term applies to an abnormal increase in vocal resonance?
A. Fremitus
B. Egophony
C. Bronchophony
D. None of the above

Which of the following abnormalities would be associated with an increase in vocal resonance?
A. Pneumonia
B. Pneumothorax
C. Emphysema
D. Large plural effusion

What term describes the area of the chest wall that overlies the heart?
A. Periosteum
B. Precordium
C. Pericardium
D. None of the above

The point of maximal impulse normally is felt where during palpation of the chest wall?
A. Midclavicular line at the fifth intercostal space
B. Just left of the sternum at the third intercostal space
C. Midaxillary line at the fifth intercostal space
D. Just right of the sternum at the fourth intercostal space

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

What clinical disorder is characterized by the point of maximal impulse being felt in the epigastric area?
A. Chronic bronchitis
B. Emphysema
C. Atelectasis
D. Pneumothorax

At what site on the chest wall is the pulmonic valve best ascultated?
A. Second left intercostal space near the sternal border
B. Fifth intercostal space on the right at the midclavicular line
C. Sixth intercostal space on the left at the midaxillary line
D. Fifth intercostal space on the left near the sternal border

What is believed to be responsible for production of the first heart sound?
A. Excitement caused by penile megaly
B. Opening of the semilunar valves
C. Opening of the AV valves
D. Closure of the atrioventricular AV valves
E. Closure of the semilunar valves

What mechanism is responsible for production of an abnormal third heart sound?
A. Forceful closure of the pulmonic valve
B. Forceful opening of the aortic valve
C. Rapid filling of the atrium during ventricular systole
D. Rapid filling of the ventricles immediately after systole

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

What clinical condition may cause diminished heart sounds?
A. Emphysema
B. Pneumonia
C. Pulmonary embolism
D. Bronchitis

What change in the heart sounds is associated with cor pulmonale?
A. Loud M1
B. Loud A2
C. Loud P2
D. Loud T2

What type of murmur is associated with mitral valve stenosis?
A. Systolic
B. Diastolic
C. Pansystolic
D. None of the above

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

What is the common cause of hepatomegaly?
A. Acute asthma attack
B. Pleural effusion
C. Pneumothorax
D. Chronic right heart failure

What is the normal distance that the liver spans in the right upper quadrant of the abdomen?
A. 8 cm
B. 6 cm
C. 10 cm
D. 14 cm

What term is used to describe an abnormal collection of fluid in the peritoneal cavity?
A. Pancreatitis
B. Pericarditis
C. Hepatomegaly
D. Ascites

Digital clubbing is associated with?
A. COPD
B. Cystic fibrosis
C. Bronchogenic carcinoma
D. all of the above

Which of the following findings is consistent with reduced perfusion?
A. Peripheral cyanosis
B. Loud P2 sound
C. Jugular vein didtention JVD
D. Hepatomegaly

What clinical condition is associated with the onset of pedal edema?
A. Right heart failure
B. Status asthmaticus
C. Liver failure
D. Tension pneumothorax

Normal capillary refill is less than ______ seconds
A. 10
B. 3
C. 1
D. 5

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