Question 1

At what angle should the head of the bed be elevated to assess jugular vein pressure (JVP)?

Accepted Answer

A)  15 degrees 
B)  30 degrees 
C)  45 degrees 
D)  90 degrees 
A)  15 degrees 
B)  30 degrees 
C)  45 degrees 
D)  90 degrees

Question 2

Which of the following can be responsible for the production of murmurs?
1) Stenotic AV valves
2) Incompetent AV valves
3) Incompetent semilunar valves
4) Dextrocardia

Accepted Answer

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

Question 3

Which of the following terms is used to describe drooping of the eyelids?

Accepted Answer

A)  Ptosis 
B)  Miosis 
C)  Diplopia 
D)  Chondrosis 
A)  Ptosis 
B)  Miosis 
C)  Diplopia 
D)  Chondrosis

Question 4

Which of the following clinical disorders will cause decreased resonance to percussion?

Accepted Answer

A)  COPD 
B)  Asthma 
C)  Pneumonia 
D)  Pneumothorax 
A)  COPD 
B)  Asthma 
C)  Pneumonia 
D)  Pneumothorax

Question 5

Which of the following will cause an increase in vocal fremitus upon palpation?

Accepted Answer

A)  COPD 
B)  Obesity 
C)  Pneumonia 
D)  Pneumothorax 
A)  COPD 
B)  Obesity 
C)  Pneumonia 
D)  Pneumothorax

Question 6

At which of the following sites on the chest wall is the pulmonic valve best auscultated?

Accepted Answer

A)  Second left intercostal space near the sternal border 
B)  Fifth intercostal space on the left near the sternal border 
C)  Sixth intercostal space on the left at the midaxillary line 
D)  First intercostal space on the right at the midclavicular line 
A)  Second left intercostal space near the sternal border 
B)  Fifth intercostal space on the left near the sternal border 
C)  Sixth intercostal space on the left at the midaxillary line 
D)  First intercostal space on the right at the midclavicular line

Question 7

A respiratory therapist is examining a patient in respiratory distress. She observes that the patient has a barrel chest, is using his accessory muscles of inspiration even when sitting at rest, and has a prolonged expiratory phase with pursed-lip breathing. This finding is most consistent with:

Accepted Answer

A)  an upper respiratory infection. 
B)  an acute exacerbation of asthma. 
C)  severe COPD. 
D)  a myocardial infarction. 
A)  an upper respiratory infection. 
B)  an acute exacerbation of asthma. 
C)  severe COPD. 
D)  a myocardial infarction.

Question 8

Which of the following terms is used to describe constriction of the pupil of the eye?

Accepted Answer

A)  Lytosis 
B)  Miosis 
C)  Mydriasis 
D)  Nystagmus 
A)  Lytosis 
B)  Miosis 
C)  Mydriasis 
D)  Nystagmus

Question 9

Which of the following findings is consistent with reduced perfusion?

Accepted Answer

A)  Peripheral cyanosis 
B)  Hepatomegaly 
C)  Loud P2 sound 
D)  Jugular vein distention (JV
D)  
A)  Peripheral cyanosis 
B)  Hepatomegaly 
C)  Loud P2 sound 
D)  Jugular vein distention (JV
D)

Question 10

Which of the following terms describes the area of the chest wall that overlies the heart?

Accepted Answer

A)  Periosteum 
B)  Precordium 
C)  Pericardium 
D)  Overcardium 
A)  Periosteum 
B)  Precordium 
C)  Pericardium 
D)  Overcardium

Question 11

Which of the following terms describes the sinking inward of the skin overlying the rib cage with each inspiratory effort?

Accepted Answer

A)  Ataxia 
B)  Bulging 
C)  Retractions 
D)  Mydriasis 
A)  Ataxia 
B)  Bulging 
C)  Retractions 
D)  Mydriasis

Question 12

Which of the following mechanisms is responsible for production of an abnormal third heart sound?

Accepted Answer

A)  Forceful opening of the aortic valve 
B)  Forceful closure of the pulmonic valve 
C)  Rapid filling of the atrium during ventricular systole 
D)  Rapid filling of the ventricles immediately after systole 
A)  Forceful opening of the aortic valve 
B)  Forceful closure of the pulmonic valve 
C)  Rapid filling of the atrium during ventricular systole 
D)  Rapid filling of the ventricles immediately after systole

Question 13

Which of the following breathing patterns is most typically associated with fatigue of the diaphragm?

Accepted Answer

A)  Bradypnea 
B)  Deep and fast breathing 
C)  Biot breathing 
D)  Abdominal paradox 
A)  Bradypnea 
B)  Deep and fast breathing 
C)  Biot breathing 
D)  Abdominal paradox

Question 14

Which of the following adventitious lung sounds is associated most closely with restrictive types of lung diseases?

Accepted Answer

A)  Polyphonic wheezing 
B)  Monophonic wheezing 
C)  Late-inspiratory crackles 
D)  Early-inspiratory crackles 
A)  Polyphonic wheezing 
B)  Monophonic wheezing 
C)  Late-inspiratory crackles 
D)  Early-inspiratory crackles

Question 15

Which of the following terms applies to an abnormal increase in vocal resonance?

Accepted Answer

A)  Fremitus 
B)  Egophony 
C)  Bronchophony 
D)  Plural friction rub 
A)  Fremitus 
B)  Egophony 
C)  Bronchophony 
D)  Plural friction rub

Question 16

Which of the following mechanisms is believed to be responsible for the normal vesicular breath sound?

Accepted Answer

A)  Air entering the alveoli 
B)  Contraction of the inspiratory muscles 
C)  Rubbing together of the two layers of the pleurae 
D)  Filtration of turbulent flow sounds in the larger airways 
A)  Air entering the alveoli 
B)  Contraction of the inspiratory muscles 
C)  Rubbing together of the two layers of the pleurae 
D)  Filtration of turbulent flow sounds in the larger airways

At what angle should the head of the bed be elevated to assess jugular vein pressure (JVP)?

Which of the following can be responsible for the production of murmurs? 1) Stenotic AV valves 2) Incompetent AV valves 3) Incompetent semilunar valves 4) Dextrocardia

Which of the following terms is used to describe drooping of the eyelids?

Which of the following clinical disorders will cause decreased resonance to percussion?

Which of the following will cause an increase in vocal fremitus upon palpation?

At which of the following sites on the chest wall is the pulmonic valve best auscultated?

A respiratory therapist is examining a patient in respiratory distress. She observes that the patient has a barrel chest, is using his accessory muscles of inspiration even when sitting at rest, and has a prolonged expiratory phase with pursed-lip breathing. This finding is most consistent with:

Which of the following terms is used to describe constriction of the pupil of the eye?

Which of the following findings is consistent with reduced perfusion?

Which of the following terms describes the area of the chest wall that overlies the heart?

Which of the following terms describes the sinking inward of the skin overlying the rib cage with each inspiratory effort?

Which of the following mechanisms is responsible for production of an abnormal third heart sound?

Which of the following breathing patterns is most typically associated with fatigue of the diaphragm?

Which of the following adventitious lung sounds is associated most closely with restrictive types of lung diseases?

Which of the following terms applies to an abnormal increase in vocal resonance?

Which of the following mechanisms is believed to be responsible for the normal vesicular breath sound?

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

Filters

Exam 5: Fundamentals of Physical Examination

At what angle should the head of the bed be elevated to assess jugular vein pressure (JVP)?

Which of the following can be responsible for the production of murmurs? 1) Stenotic AV valves 2) Incompetent AV valves 3) Incompetent semilunar valves 4) Dextrocardia

Which of the following terms is used to describe drooping of the eyelids?

Which of the following clinical disorders will cause decreased resonance to percussion?

Which of the following will cause an increase in vocal fremitus upon palpation?

At which of the following sites on the chest wall is the pulmonic valve best auscultated?

A respiratory therapist is examining a patient in respiratory distress. She observes that the patient has a barrel chest, is using his accessory muscles of inspiration even when sitting at rest, and has a prolonged expiratory phase with pursed-lip breathing. This finding is most consistent with:

Which of the following terms is used to describe constriction of the pupil of the eye?

Which of the following findings is consistent with reduced perfusion?

Which of the following terms describes the area of the chest wall that overlies the heart?

Which of the following terms describes the sinking inward of the skin overlying the rib cage with each inspiratory effort?

Which of the following mechanisms is responsible for production of an abnormal third heart sound?

Which of the following breathing patterns is most typically associated with fatigue of the diaphragm?

Which of the following adventitious lung sounds is associated most closely with restrictive types of lung diseases?

Which of the following terms applies to an abnormal increase in vocal resonance?

Which of the following mechanisms is believed to be responsible for the normal vesicular breath sound?

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

Filters