Question 1

What change in the heart sounds is associated with cor pulmonale?

Accepted Answer

A)  Loud A2 
B)  Loud M1 
C)  Loud T2 
D)  Loud P2

Question 2

Which of the following diseases is most likely to cause a prolonged inspiratory time?

Accepted Answer

A)  Chronic obstructive pulmonary disease (COP
D)  
B)  Asthma 
C)  Epiglottitis 
D)  Acute bronchitis

Question 3

Digital clubbing is associated with:
1) COPD
2) Cystic fibrosis
3) Bronchogenic carcinoma
4) Pneumonia

Accepted Answer

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

Question 4

What is believed to be responsible for production of the first heart sound?

Accepted Answer

A)  Closure of the atrioventricular (AV) valves 
B)  Opening of the AV valves 
C)  Closure of the semilunar valves 
D)  Opening of the semilunar valves

Question 5

The bell portion of the stethoscope is best designed to listen to _____-pitched _____ sounds.

Accepted Answer

A)  low; lung 
B)  low; heart 
C)  high; lung 
D)  high; heart

Question 6

Which of the following clinical conditions may cause diminished heart sounds?

Accepted Answer

A)  Bronchitis 
B)  Pneumonia 
C)  Emphysema 
D)  Pulmonary embolism

Question 7

Which of the following terms is used to describe the normal breath sounds heard around the sternum on the anterior chest and between the scapulae on the posterior chest?

Accepted Answer

A)  Tubular 
B)  Vesicular 
C)  Bronchial 
D)  Bronchovesicular

Question 8

What may cause the point of maximal impulse to shift to the anterior axillary region on the left?

Accepted Answer

A)  A tension pneumothorax on the right 
B)  Right ventricular hypertrophy 
C)  Cor pulmonale 
D)  Pericarditis

Question 9

Which of the following types of wheezing is likely to be heard over the chest of a patient with a tumor that is partially obstructing a single airway?

Accepted Answer

A)  Sibilant wheezing 
B)  Sonorous wheezing 
C)  Polyphonic wheezing 
D)  Monophonic wheezing

Question 10

Where is the best anatomic place to begin auscultation in most patients?

Accepted Answer

A)  Over the trachea 
B)  Over the upper lobes 
C)  In the axillary regions 
D)  In the dependent regions

Question 11

A therapist examining a patient encounters an area of skin along the right midaxillary line, which, when palpated, produces a crackling sound and sensation. This is an indication of ______________ in this patient.

Accepted Answer

A)  previous scarring due to a burn injury 
B)  a collection of fluid under the skin 
C)  lymphadenopathy 
D)  subcutaneous emphysema

Question 12

Which of the following clinical disorders is characterized by the point of maximal impulse being felt in the epigastric area?

Accepted Answer

A)  Atelectasis 
B)  Emphysema 
C)  Pneumothorax 
D)  Chronic bronchitis

Question 13

The length of normal capillary refill is less than _____ s.

Accepted Answer

A)  1 
B)  3 
C)  5 
D)  10

Question 14

A respiratory therapist (RT) examining a patient notes that on assessment of chest expansion with palpation, the right lower chest is found to lag behind the left lower chest. With which of the following problems is this finding consistent?

Accepted Answer

A)  COPD 
B)  Right lower lobe pneumonia 
C)  Left lower lobe pneumonia 
D)  Severe asthma

Question 15

Which of the following will cause a decrease in vocal fremitus upon palpation?

Accepted Answer

A)  Atelectasis 
B)  Pneumonia 
C)  Lung tumor 
D)  Pneumothorax

Question 16

What clinical disorder will cause a unilateral decrease in thoracic expansion?

Accepted Answer

A)  COPD 
B)  Lobar pneumonia 
C)  Acute asthma attack 
D)  Neuromuscular disease

Question 17

Which of the following abnormalities would be associated with an increase in vocal resonance?

Accepted Answer

A)  Pneumonia 
B)  Emphysema 
C)  Pneumothorax 
D)  Large pleural effusion

Question 18

Which of the following types of murmurs is associated with mitral valve stenosis?
1) Systolic
2) Diastolic
3) Pansystolic
4) Semisystolic

Accepted Answer

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

Question 19

The diaphragm portion of the stethoscope is used to listen for:

Accepted Answer

A)  heart murmurs. 
B)  pleural friction rubs. 
C)  low-pitched heart sounds. 
D)  most lung sounds.

Question 20

Which of the following terms is used to describe an abnormal collection of fluid in the peritoneal cavity?

Accepted Answer

A)  Ascites 
B)  Pericarditis 
C)  Pancreatitis 
D)  Hepatomegaly

Exam 5: Fundamentals of Physical Examination