Question 1

Which of the following terms best describes a louder version of a vesicular sound that can be heard over lung consolidation?

Accepted Answer

A)  Tubular 
B)  Tracheal 
C)  Crepitation 
D)  Harsh or bronchial 
A)  Tubular 
B)  Tracheal 
C)  Crepitation 
D)  Harsh or bronchial D

Question 2

A review of the patient's history of present illness prior to a physical examination is helpful in that it:

Accepted Answer

A)  gives insight into the expected findings during the examination. 
B)  suggests compliance with current medications. 
C)  helps determine if the patient will be friendly. 
D)  allows for a quick diagnosis. 
A)  gives insight into the expected findings during the examination. 
B)  suggests compliance with current medications. 
C)  helps determine if the patient will be friendly. 
D)  allows for a quick diagnosis. A

Question 3

At what point on the posterior chest wall can the inferior border of the lung normally be found?

Accepted Answer

A)  Between T2 and T4 
B)  Between T4 and T6 
C)  Between T6 and T8 
D)  Between T9 and T12 
A)  Between T2 and T4 
B)  Between T4 and T6 
C)  Between T6 and T8 
D)  Between T9 and T12 D

Question 4

What is the normal distance that the liver spans in the right upper quadrant of the abdomen?

Accepted Answer

A)  6 cm 
B)  8 cm 
C)  10 cm 
D)  14 cm 
A)  6 cm 
B)  8 cm 
C)  10 cm 
D)  14 cm

Question 5

What problem is associated with nasal flaring?

Accepted Answer

A)  Hypoxemia 
B)  Increased lung compliance 
C)  Increased work of breathing 
D)  Increased dead space ventilation 
A)  Hypoxemia 
B)  Increased lung compliance 
C)  Increased work of breathing 
D)  Increased dead space ventilation

Question 6

What problem is associated with cyanosis of the oral mucosa?

Accepted Answer

A)  Low cardiac output 
B)  Reduced arterial oxygenation 
C)  Hyperventilation 
D)  Hypoventilation 
A)  Low cardiac output 
B)  Reduced arterial oxygenation 
C)  Hyperventilation 
D)  Hypoventilation

Question 7

Which of the following is most likely to cause tracheal deviation?

Accepted Answer

A)  Left upper lobe pneumonia 
B)  Right upper lobe pneumothorax 
C)  Left lower lobe pleural effusion 
D)  Right lower lobe pleural effusion 
A)  Left upper lobe pneumonia 
B)  Right upper lobe pneumothorax 
C)  Left lower lobe pleural effusion 
D)  Right lower lobe pleural effusion

Question 8

Which of the following statements is false about vesicular or normal breath sounds?

Accepted Answer

A)  They have a minimal expiratory sound. 
B)  They are produced somewhat regionally. 
C)  They are produced when air enters the alveoli. 
D)  They are used to help confirm proper placement of an endotracheal tube. 
A)  They have a minimal expiratory sound. 
B)  They are produced somewhat regionally. 
C)  They are produced when air enters the alveoli. 
D)  They are used to help confirm proper placement of an endotracheal tube.

Question 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?

Accepted Answer

A)  Bronchitis 
B)  Pneumonia 
C)  Lung tumor 
D)  Emphysema 
A)  Bronchitis 
B)  Pneumonia 
C)  Lung tumor 
D)  Emphysema

Question 10

What disease is most likely to cause a prolonged expiratory time?

Accepted Answer

A)  Asthma 
B)  Pneumonia 
C)  Pneumothorax 
D)  Pulmonary fibrosis 
A)  Asthma 
B)  Pneumonia 
C)  Pneumothorax 
D)  Pulmonary fibrosis

Question 11

Which of the following terms best describes continuous types of adventitious lung sounds?

Accepted Answer

A)  Rhonchi 
B)  Stridor 
C)  Wheezes 
D)  Sibilant rales 
A)  Rhonchi 
B)  Stridor 
C)  Wheezes 
D)  Sibilant rales

Question 12

Which of the following adventitious lung sounds is related most closely to a life-threatening problem?

Accepted Answer

A)  Stridor 
B)  Rhonchi 
C)  Crackles 
D)  Wheezing 
A)  Stridor 
B)  Rhonchi 
C)  Crackles 
D)  Wheezing

Question 13

Which of the following terms describes an abnormal lateral curvature of the spine?

Accepted Answer

A)  Kyphosis 
B)  Scoliosis 
C)  Anhidrosis 
D)  Myelosis 
A)  Kyphosis 
B)  Scoliosis 
C)  Anhidrosis 
D)  Myelosis

Question 14

Which of the following terms is used to describe a continuous type of adventitious lung sound heard loudest over the neck of a patient with upper airway obstruction?

Accepted Answer

A)  Wheezes 
B)  Stridor 
C)  Rhonchi 
D)  Sonorous rales 
A)  Wheezes 
B)  Stridor 
C)  Rhonchi 
D)  Sonorous rales

Question 15

Which of the following physical examination findings is associated with myasthenia gravis?

Accepted Answer

A)  Ptosis 
B)  Miosis 
C)  Mydriasis 
D)  Hepatomegaly 
A)  Ptosis 
B)  Miosis 
C)  Mydriasis 
D)  Hepatomegaly

Question 16

Which of the following adventitious lung sounds is most likely to be heard in a patient with croup?

Accepted Answer

A)  Stridor 
B)  Rhonchi 
C)  Polyphonic wheezes 
D)  Late-inspiratory crackles 
A)  Stridor 
B)  Rhonchi 
C)  Polyphonic wheezes 
D)  Late-inspiratory crackles

Question 17

The horizontal fissure that separates the right upper lobe from the right middle lobe begins at what rib in the midsternal line?

Accepted Answer

A)  Rib 2 
B)  Rib 4 
C)  Rib 6 
D)  Rib 8 
A)  Rib 2 
B)  Rib 4 
C)  Rib 6 
D)  Rib 8

Question 18

What is a common cause of hepatomegaly?

Accepted Answer

A)  Chronic right heart failure 
B)  Pneumothorax 
C)  Pleural effusion 
D)  Acute asthma attack 
A)  Chronic right heart failure 
B)  Pneumothorax 
C)  Pleural effusion 
D)  Acute asthma attack

Question 19

Which of the following patterns of breathing is associated with a loss in lung volume?

Accepted Answer

A)  Slow and deep 
B)  Rapid and deep 
C)  Slow and shallow 
D)  Rapid and shallow 
A)  Slow and deep 
B)  Rapid and deep 
C)  Slow and shallow 
D)  Rapid and shallow

Question 20

Which of the following descriptions applies to normal vesicular breath sounds?
1) The sounds should be soft and muffled
2) Heard primarily during inhalation
3) Heard primarily over the lung parenchyma
4) High pitched as compared with tracheal breath sounds

Accepted Answer

A) 1 and 2 
B) 3 and 4 
C) 1, 2, and 3 
D) 2, 3, and 4 
A) 1 and 2 
B) 3 and 4 
C) 1, 2, and 3 
D) 2, 3, and 4

Exam 5: Fundamentals of Physical Examination

Which of the following terms best describes a louder version of a vesicular sound that can be heard over lung consolidation?

A review of the patient's history of present illness prior to a physical examination is helpful in that it:

At what point on the posterior chest wall can the inferior border of the lung normally be found?

What is the normal distance that the liver spans in the right upper quadrant of the abdomen?

What problem is associated with nasal flaring?

What problem is associated with cyanosis of the oral mucosa?

Which of the following is most likely to cause tracheal deviation?

Which of the following statements is false about vesicular or normal breath sounds?

Which of the following lung conditions is associated with diminished breath sounds because of airflow limitation and poor transmission of sound through the lung?

What disease is most likely to cause a prolonged expiratory time?

Which of the following terms best describes continuous types of adventitious lung sounds?

Which of the following adventitious lung sounds is related most closely to a life-threatening problem?

Which of the following terms describes an abnormal lateral curvature of the spine?

Which of the following terms is used to describe a continuous type of adventitious lung sound heard loudest over the neck of a patient with upper airway obstruction?

Which of the following physical examination findings is associated with myasthenia gravis?

Which of the following adventitious lung sounds is most likely to be heard in a patient with croup?

The horizontal fissure that separates the right upper lobe from the right middle lobe begins at what rib in the midsternal line?

What is a common cause of hepatomegaly?

Which of the following patterns of breathing is associated with a loss in lung volume?

Which of the following descriptions applies to normal vesicular breath sounds? 1) The sounds should be soft and muffled 2) Heard primarily during inhalation 3) Heard primarily over the lung parenchyma 4) High pitched as compared with tracheal breath sounds

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Neurologic Assessment of the Respiratory Care Patient

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Clinical Application of the Chest Radiograph

Interpretation of the Electrocardiogram

Assessment of the Neonatal and Pediatric Patient

Assessment of the Older Patient

Respiratory Monitoring in the Intensive Care Unit

Assessment of Cardiac Output

Assessment of Hemodynamic Pressures

Flexible Fiber-Optic Bronchoscopy

Nutritional Assessment of Patients With Respiratory Disease

Assessment of Sleep and Breathing

Assessment of the Home Care Patient

Documentation of the Patient Assessment

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