Shared Flashcard Set

Details

OCPM PD Thorax and Chest
Questions
50
Medical
Professional
04/27/2009

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Cards

Term
"When fluid or solid tissue replaces air-containing lung or occupies pleural space, you go from ______________ percussion sound to ______________percussion sound"
Definition
Resonance to Dullness
Term
What type of percussion sound will be produced in a patient with COPD?
Definition
Hyperresonance
Term
What would dullness of the right middle lobe of the liver typically indicate?
Definition
Pneumonia
Term
What condition would cause the upper border of the liver to be found more inferiorly than normal and a lower level of diaphragmaitc dullness posteriorly?
Definition
COPD
Term
What type of breathsounds will be heard over the large airways?
Definition
Bronchovesicular
Term
Would forced expiratory time be increased or decreased in a patient with an obstructive pulmonary disease?
Definition
Decreased of course
Term
What condition would be associated with a forced expiration time of 6 seconds or more?
Definition
Obstructive Pulmonary Disease
Term
An increase in local pain as a result of squeezing the chest by putting one hand on the sternum and the other on the thoracic spine can help you to distinguish what from what?
Definition
Soft- tissue injury of the thorax from a fractured rib
Term
"Increased AP Diameter of the chest, Decreased expansion, Hyperressonant lungs, Delayed expiratory phase, Wheezes, Decreased Fremitus are all symptoms that would suggest to you that the patient is suffereing from what condition?"
Definition
Chronic Obstructive Lung Disease
Term
Should the normal thorax of an adult be wider than it is deep or deeper than it is wide?
Definition
Wider than it is deep
Term
What is another term for Funnel Chest?
Definition
Pectus Excavatum
Term
What deformity of the thorax is manifested as a depression in the lower portion of the sternum?
Definition
Funnel Chest
Term
True or False: Compression of the heart and great vessels is sometimes associated with Pectus Excavatum and can cause murmurs?
Definition
TRUE
Term
What thoracic deformity is manifested as an abnormal spinal curvature and vertebral rotation deformity of the chest?
Definition
Thoracic Kyphoscoliosis
Term
What to thorax deformities increase the AP diameter of the chest?
Definition
Barrel Chest and Pigeon Chest
Term
Is barrel chest normal during infancy?
Definition
Yes
Term
Could COPD be a contributing factor to Barrel Chest?
Definition
Yes Sir
Term
What thoracic deformity is also known as Pectus Carinatum?
Definition
Pigeon Chest
Term
What thoracic deformity causes the Sternum to be deplaced anteriorly?
Definition
Pectus Carinatum
Term
"Multiple rib fractures may result in paradoxical movements of the thorax, this woluld be associated with what thoracic abnormality?"
Definition
Traumatic Flail Chest
Term
"What thoracic abnormality causes the descent of the diaphragm to decrease intrathoracic pressure, on insipration the injured area caves inward, and on expiration the injured area moves outward?"
Definition
Traumatic Flail Chest
Term
What deformity of the Thorax (Becuase of it is associated with distortion of the underlying lungs) can cause lung findings to be lost or very difficult to interperate?
Definition
Thoracic Kyphoscoliosis
Term
"What process is characterized by alveoli filling with fluid, red cells, and white cells many times associated with Lobar Pneumonia?"
Definition
Consilidation
Term
What are the predominate breath sounds in a normal air filled lung?
Definition
Vesicular
Term
What are the breath sounds found in an airless lung sucha as lobar pneumonia?
Definition
Bronchial or Bronchovesicular
Term
What is is called when you auscultate a patient and have them say E but it is heard as A?
Definition
Egophony
Term
What is Broncophony?
Definition
When spoken words are heard louder and clearer than normal
Term
What is it called when whispered sounds are heard louder and clearer?
Definition
Whispered Pectoriloquy
Term
Is tactile fremitus in a lung with lobar pneumonia decreased or increased?
Definition
Increased
Term
What two conditions are associated with Late Inspiratory Crackles of the lungs?
Definition
Intersstitial Lung Disease & Early Congestive Heart Failure
Term
Would you normally hear early or late inspiratory crackles associated with Chronic Bronchitis and Asthma?
Definition
Early
Term
What is explained as air flowing rapidly through bronchi that are narrowed?
Definition
Wheezes
Term
"True or False: All of the following are symptoms of wheezes, Asthma, Chronic Bronchitis, COPD, Congestive Heart Failure, & Lobar Pneumonia?"
Definition
False: Lobar Pneumonia is not usually associated with Wheezing
Term
"What condition is associated with Bronchophony, Egophony, and Pectgoriloquy?"
Definition
Lobar Pneumonia
Term
What are Rhonchi assoicated wtih?
Definition
Secretions in larger airways
Term
What does a persistent localized wheeze suggest?
Definition
Partial Obsrucction of a bronchus as by tumor or foreign body
Term
What is a wheeze that is entirely or predominately inspiratory?
Definition
Stridor
Term
True or False: Pleural rubs are caused by two pleural surfaces grating against each other as they are momentarily delayed by decreased friction?
Definition
False: Decreased by increased friction (Not fair I know but then again it is PD)
Term
What is another name for a mediastinal crunch?
Definition
Hamman's Sign
Term
What is classified as a sereies of precordial crackles synchronous with the heart beat?
Definition
Mediastinal Crunch
Term
What is usually caused by Pneumomedistinum or mediastinal empysema?
Definition
Hamman's Sign
Term
True or False: Abnormalities deep in the chest usually produce more signs than superficial ones?
Definition
False: May cause no signs at all compared to superficial abnormalities
Term
What type of percussion note is heard in Chronic Bronchitis and Left sided heart failure?
Definition
Resonant
Term
What type of percussion note is heard with Pleural Effusion?
Definition
Dull
Term
What type of percussion note is heard in Pneumothorax and Asthma?
Definition
Hyperressonant
Term
In what condition would you hear coarse crackles in early inspiration?
Definition
Chronic Bronchitis
Term
In what condition would you hear coarse crackles in late inspiration?
Definition
Early Left sided heart failure
Term
What condition would cause tactile fremitus and transmitted voice sounds to be absent?
Definition
Atelectasis (Lobar Obstruction) or Pelural Effusion or possible Pneumothorax
Term
What chest disorder would cause the trachea to be shifted toward the involved side?
Definition
Atelectasis
Term
What two conditions would cause the trachea to be shifted toward the opposite side?
Definition
Pleural Effusion and Pneumothorax
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