CMN 568 Exam Study Guide with
Complete Solutions
components of physical respiratory exam - Answer-IPPA: inspection, palpation, percussion,
auscultation
ratio of time spent in inspiration/expiration - Answer-ratio of 2:3
what should you palpate on a respiratory exam? - Answer-- trachea at supra...
- if obstruction is evident, repeat test 10-20min after inhaled bronchodilator to help assess if dx is
reversible
- asthma would improve after bronchodilator, copd would not
examples of restrictive chest dysfuction - Answer✔✔-- ankylosing spondylitis
- scoliosis
- drugs like amiodarone or methotrexate
- interstitial lung disease such as asbestos, pneumonia, pulmonary fibrosis
- neurmuscular disease
is adult CAP caused from bacteria or virus? - Answer✔✔-most commonly bacteria S. pneumoniae
3 widely available point of care tests used to identify causative organism in adult CAP - Answer✔✔--
sputum gram stain
- urinary antigen tests
- rapid antigen tests
Why should you obtain a rapid flu test when diagnosing CAP? - Answer✔✔-Because positive flu test
reduce unnecessary antibiotic use
What imaging is required to establish a diagnosis of CAP? - Answer✔✔-A chest x-ray with pulmonary
opacity; clearing of opacities can take six weeks or longer
What do you do if a patient's chest x-ray shows significant pleural fluid collection's? - Answer✔✔-Refer
them; this may require a thoracentesis
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