Exam (elaborations)
NSG Respiratory – Q’s And A’s (Rated A+)
NSG Respiratory – Q’s And A’s (Rated A+)
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NSG6021 6020 Respiratory – Q’s And A’s (Rated A+)A mother brings her infant to you because of a "rattle" in his chest with
breathing. Which of the following would you hear if there were a problem
in the upper airway? Correct Ans - Inspiratory sounds
All of the following produce a chronic cough except:
Chronic Bronchitis
Allergic Rhinitis
Acute viral upper respiratory infection Correct Ans - Acute viral
upper respiratory infection
A 47-year-old receptionist comes to your office, complaining of fever,
shortness of breath, and a productive cough with golden sputum. She says
she had a cold last week and her symptoms have only gotten worse, despite
using over-the-counter cold remedies. She denies any weight gain, weight
loss, or cardiac or gastrointestinal symptoms. Her past medical history
includes type 2 diabetes for 5 years and high cholesterol. She takes an oral
medication for both diseases. She has had no surgeries. She denies tobacco,
alcohol, or drug use. Her mother has diabetes and high blood pressure. Her
father passed away from colon cancer. On examination you see a middle-
aged woman appearing her stated age. She looks ill and her temperature is
elevated, at 101. Her blood pressure and pulse are unremarkable. Her head,
eyes, ears, nose, and throat examinations are unremarkable except for
edema of the nasal turbinates. On auscultation she Correct Ans -
Pneumonia
Which of the following is consistent with good percussion technique?
Correct Ans - Strike the pleximeter over the distal interphalangeal joint.
Which of the following conditions would produce a hyperresonant
percussion note? Correct Ans - Large Pneumothorax
Which of the following is a normal physiological lung sound? Vesicular
Stridor
Wheezing
Rhonchi Correct Ans - Vesicular
, A patient complains of shortness of breath for the past few days. On
examination, you note late inspiratory crackles in the lower third of the
chest that were not present a week ago. What is the most likely explanation
for these? Correct Ans - Heart Failure
A 60-year-old baker presents to your clinic, complaining of increasing
shortness of breath and nonproductive cough over the last month. She feels
like she can't do as much activity as she used to do without becoming tired.
She even has to sleep upright in her recliner at night to be able to breathe
comfortably. She denies any chest pain, nausea, or sweating. Her past
medical history is significant for high blood pressure and coronary artery
disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She
is married and is retiring from the local bakery soon. She denies any
tobacco, alcohol, or drug use. Her mother died of a stroke and her father
died from prostate cancer. She denies any recent upper respiratory illness,
and she has had no other symptoms. On examination she is in no acute
distress. Her blood pressure is 160/100 and her pulse is 100. She is
afebrile and her respiratory rate is 16. With auscul Correct Ans -
Left-sided heart failure
A male patient states that he has difficulty breathing when he is lying down
but when he sits up, it improves. This is a classic description of:
Correct Ans - Orthopnea
A patient states that the only way he can sleep at night is to use several
pillows or to sleep upright in a recliner. This sleep pattern is most
consistent with: Correct Ans - obstructive lung disease
When crackles, wheezes, or rhonchi clear with a cough, which of the
following is a
likely etiology? Correct Ans - Bronchitis
Which of the following is characteristic of COPD?
Asymmetric chest expansion
Increased lateral diameter
Increased anterior-posterior diameter
Pectus excavatum Correct Ans - Increased anterior-posterior
diameter
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