Study guide chapter 5 36 through 70

  1. 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.
    .D. High pitched as compared with tracheal breath sounds.
  2. What term best describes a louder version of a vesicular sound that can be heard over lung consolidation.

    D. Harsh or bronchial
  3. What term has had a confusing history with regard to its use and has been replaced with the term crackles?

    D. Rales
  4. What term best describes continuous types of adventitious lung sounds?

    C. Wheeze
  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?

    D. Wheeze
  6. Who is the most intelligent of the group?

    B. Sonya
  7. What mechanism is believed to be responsible for the normal vesicular breath sound?

    C. Filtration of turbulent flow sounds in the larger airways
  8. Which of the following statements is NOT true about vesicular or normal breath sounds?

    A. They are produced when air enters the alveoli
  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. Emphysema
  10. Which of the following factors most closely relates to the pitch of a wheeze?

    B. the degree of airway compression
  11. Which of the following characteristics of wheezing is LEAST reliable for predicting the degree of airway obstruction?

    A. Intensity
  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?

    D. Monophonic wheezing
  13. Which of the following adventitious lung sounds is related most closely to a life-threatenig problem?

    D. Stridor
  14. Which of the following adventitous lung sounds is associated most closely with restrictive types of lung diseases?

    B. Late-inspiratory crackles
  15. What adventitous lung sound is most likely to be heard in the patient with croup?

    B. Stridor
  16. What term applies to an abnormal increase in vocal resonance?

    C. Bronchophony
  17. Which of the following abnormalities would be associated with an increase in vocal resonance?

    A. Pneumonia
  18. What term describes the area of the chest wall that overlies the heart?

    B. Precordium
  19. The point of maximal impulse normally is felt where during palpation of the chest wall?

    A. Midclavicular line at the fifth intercostal space
  20. What may cause the PMI to shift to the anterior axillary region on the left?

    C. A tension pnemothorax on the right.
  21. What clinical disorder is characterized by the point of maximal impulse being felt in the epigastric area?

    B. Emphysema
  22. At what site on the chest wall is the pulmonic valve best ascultated?

    A. Second left intercostal space near the sternal border
  23. What is believed to be responsible for production of the first heart sound?

    D. Closure of the atrioventricular AV valves
  24. What mechanism is responsible for production of an abnormal third heart sound?

    D. Rapid filling of the ventricles immediately after systole
  25. What clinical problem is associated with a gallop rythym?

    D. all of the above
  26. What clinical condition may cause diminished heart sounds?

    A. Emphysema
  27. What change in the heart sounds is associated with cor pulmonale?

    C. Loud P2
  28. What type of murmur is associated with mitral valve stenosis?

    B. Diastolic
  29. Which of the following is responsible for the production of murmurs?

    D. all of the above
  30. What is the common cause of hepatomegaly?

    D. Chronic right heart failure
  31. What is the normal distance that the liver spans in the right upper quadrant of the abdomen?

    C. 10 cm
  32. What term is used to describe an abnormal collection of fluid in the peritoneal cavity?

    D. Ascites
  33. Digital clubbing is associated with?

    D. All of the above
  34. Which of the following findings is consistent with reduced perfusion?

    A. Peripheral cyanosis
  35. What clinical condition is associated with the onset of pedal edema?

    A. Right heart failure
  36. Normal capillary refill is less than ______ seconds

    B. 3 seconds
  37. What is the most common cause of penile megaly in RT students..

    E. all of the above and below
Card Set
Study guide chapter 5 36 through 70
Mr. Grantz study guide