Question:
Which technique best determines whether the tissues in the chest are air-filled, fluid-filled, or solid?
Auscultation
Palpation
Inspection
Percussion Correct
Explanation:
Percussion of the chest produces audible sounds and palpable vibrations, thus, assisting in determining if
the underlying tissues are filled with air or fluid or if they are solid. However, percussion will not help
detect deep seated lesions. Auscultation assesses the flow of air through the tracheobronchial tree.
Palpation focuses on tenderness and abnormalities in the overlying skin , respiratory expansion, and
fremitus. Inspection notes the shape of the chest and they way it moves with inspiration and expiration.
Question:
The midaxillary line:
extends from the anterior axillary fold where the pectoralis major muscle inserts.
continues from the posterior axillary fold where the latissimus dorsi muscle inserts.
runs down from the apex of the axilla and lies between and parallel to the anterior and posterior
lines. Correct
extends through the inferior angle of the scapula when the arms are at the sides of the body.
Explanation:
The anterior axillary line extends from the anterior axillary fold where the pectoralis major muscle inserts.
The posterior axillary line continues from the posterior axillary fold where the latissimus dorsi muscle
inserts. The midaxillary line runs from the apex of the axilla and lies between and parallel to the other two.
The scapular line extends through the inferior angle of the scapula when the arms are at the sides of the
body.
Question:
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient. Correct
having the patient lie supine on the examining table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand.
Explanation:
When percussing the lower posterior chest, stand on the side rather than directly behind the patient. This
position allows the ability to place the pleximeter finger more firmly on the chest and the plexor is more
effective in making a better percussion note. If the patient is lying supine, the posterior chest will not be
able to be percussed. Palpating painful areas is not percussion, so is not correct. Using the bony part of the
palm at the base of the fingers or the ulnar surface is a technique used to detect tactile fremitus.
, Question:
A 65-year-old obese man with a past medical history of hypertension complains of increased fatigue during
the day. The practitioner orders a polysomnogram to test for:
congestive heart failure (CHF).
gastroesophageal reflux disease (GERD).
obstructive sleep apnea (OSA). Correct
chronic obstructive pulmonary disease (COPD).
Explanation:
A polysomnography is a standard diagnostic test for the diagnosis of obstructive sleep apnea (OSH)
through sleep evaluation. OSH is also referred to as obstructive sleep apnea-hypopnea. This disorder
involves cessation or a significant decrease in airflow in the presence of breathing effort and is
characterized by recurrent episodes of upper airway collapse during sleep. It is also associated with
excessive daytime sleepiness.
Question:
Pain from pleurisy may be referred to the:
right shoulder.
retrosternal area.
epigastric area. Correct
back.
Explanation:
Referred pain is defined as pain that is felt in more distal sites than the initial pain site. Pain from pleurisy
or inferior wall myocardial infarction may be referred to the epigastric area. Referred pain from the biliary
tree may be perceived in the right shoulder or the right posterior chest. Referred pain of duodenal or
pancreatic origin may be referred to the back. Heartburn may be associated with retrosternal burning pain.
Question:
An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggestive of:
tracheobronchitis. Correct
chronic bronchitis.
bronchiectasis.
laryngitis.
Explanation:
An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is
tracheobronchitis. An acute, mild illness associated with viral nasopharyngitis and hoarseness is laryngitis.
The initial cough is dry and nonproductive but may become productive over time. A chronic bronchitis
cough is characteristically productive with mucoid to purulent sputum and may be blood tinged.
Bronchiectasis produces a chronic cough with sputum that is copious and foul-smelling. It may be blood
tinged or bloody.
Question:
When examining a patient for chest expansion, begin by:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller 33kris. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.49. You're not tied to anything after your purchase.
