Respiratory-NP MED EXAM WITH ANSWERS [100% PASS]

Respiratory-NP MED EXAM WITH ANSWERS [100% PASS] What lab for allergies? *Ans* IgE Where are vesicular breath sounds found? *Ans* Lower lobes (soft and low) Where are bronchial breath sounds heard? *Ans* upper lobes (louder) Egophony: what's normal *Ans* a clear "eee" What is Tactile Fremitus? *Ans* The pt says, "99" or "one two, three." feel the vibrations Normal Tactile Fremitus? *Ans* vibrations are palpable in the upper lobes and softer in the lower lobes. Whispered Pectoriloquy *Ans* Normal: the whispered 99 is heard in the upper lobes but muffled in the lower lobes. Lung Percussion: resonance *Ans* Normal lung sounds Lung percussion sound: Tympany or hyperresonance *Ans* COPD, emphysema (over inflation). If empty the stomach may be tympanic Lung percussion sounds: Dull tone *Ans* bacterial PNU with lobar consolidation, pleural effusion (fluid or tumor). A solid organ like a liver sounds dull. Pulmonary Function Test *Ans* measures severity or obstructive or restrictive pulmonary dysfuncion Asthma *Ans* reversible airway obstruction caused by chronic inflammation What type of muscle does asthma act on in the lungs? *Ans* Smooth muscle What percentage of Fev1 is uncontrolled? *Ans* 80% Viral induced asthma attacks release what lab? *Ans* IL-10 / Interleukin-10 (there are meds that can block Il-10 What percentage of asthma attacks are viral induced? *Ans* 80% Diagnosis of Asthma *Ans* 1.Sx; 2. SABA & FEV1 increases by 12% or reversible reaction; symptoms at nighT