Clinical Assessment of Respiratory Conditions

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Questions and Answers

What is the best investigation for diagnosing a patient with nighttime dyspnea and coughing?

  • Chest X-ray
  • CT scan of the chest
  • Complete blood count
  • Spirography (correct)

Which lymph node groups are often palpated normally during an examination?

  • Cervical lymph nodes (correct)
  • Inguinal lymph nodes
  • Pelvic lymph nodes
  • Axillary lymph nodes

What percussion sound is typically considered normal when assessing lung function?

  • Flat sound
  • Dull sound
  • Tympanic sound (correct)
  • Hyperresonant sound

What does spirography primarily evaluate in a patient with suspected respiratory pathology?

<p>Lung volume and capacity (A)</p> Signup and view all the answers

What vital sign is most useful in assessing the dynamics of the respiratory system for a patient with respiratory disease?

<p>Respiratory rate (A)</p> Signup and view all the answers

What shape of the chest would likely be observed in a patient with increased anteroposterior size and wide intercostal spaces?

<p>Barrel-shaped chest (D)</p> Signup and view all the answers

What kind of breathing sound is expected on auscultation when lung tissue is thickened?

<p>Coarse crackles (D)</p> Signup and view all the answers

In which position should a patient be when taking measurements of blood pressure?

<p>Sitting with the back supported (C)</p> Signup and view all the answers

Which of the following characterizes a hypersthenic constitution?

<p>Thick neck and broad shoulders (D)</p> Signup and view all the answers

Which method is used to define 'tactile vocal fremitus' during a physical examination?

<p>Palpation over the thorax while the patient speaks (D)</p> Signup and view all the answers

During a physical examination, what does a breathing rate of 22 breaths per minute indicate?

<p>Tachypnea (B)</p> Signup and view all the answers

Which of the following is an instrumental investigation that is required for examining the pleural cavity?

<p>Computed tomography (CT) (B)</p> Signup and view all the answers

What is considered a normal percussion sound over the lung?

<p>Resonance (B)</p> Signup and view all the answers

Which type of palpation is most associated with feeling for the sizes of organs?

<p>Deep palpation (A)</p> Signup and view all the answers

What is the characteristic of a first-degree obesity based on body mass index (BMI)?

<p>BMI of 25 to 29.9 (D)</p> Signup and view all the answers

Which term describes the normal breather sound heard between the scapulae at the level of TH3-4?

<p>Bronchovesicular breath sounds (C)</p> Signup and view all the answers

What is assessed by superficial palpation of the abdomen?

<p>Tenderness or soreness (C)</p> Signup and view all the answers

Which of the following methods is used to diagnose diseases of the hematopoietic organs?

<p>Blood tests (A)</p> Signup and view all the answers

Which type of percussion is used to define the borders of organs?

<p>Indirect percussion (C)</p> Signup and view all the answers

What kidney function does the Zimnitsky test reflect?

<p>Concentration ability (A)</p> Signup and view all the answers

Which property of a lymph node can be determined only by palpation?

<p>Consistency (A)</p> Signup and view all the answers

Which organ is evaluated during liver auscultation?

<p>Liver (C)</p> Signup and view all the answers

Which of the following is impossible to determine by palpation of the thyroid gland?

<p>Thyroid hormone levels (A)</p> Signup and view all the answers

What sound is considered normal during percussion over the chest?

<p>Resonant sound (C)</p> Signup and view all the answers

Which type of auscultation sound is characterized by high-pitched expiration that is longer than inspiration with a gap sound?

<p>Stridor (C)</p> Signup and view all the answers

What degree of thyroid gland enlargement is indicated if it is neither visible nor palpable?

<p>Grade 0 (D)</p> Signup and view all the answers

Which of the following aspects can be assessed by auscultation of the thyroid gland?

<p>Blood flow within the gland (A)</p> Signup and view all the answers

Which groups of lymph nodes are typically examined during a physical examination of the head and neck?

<p>Cervical and supraclavicular (C)</p> Signup and view all the answers

Which term describes the heart rhythms and sequence disorders?

<p>Arrhythmia (D)</p> Signup and view all the answers

What is the normal value of blood pressure for an adult individual?

<p>120/80 mmHg (A)</p> Signup and view all the answers

Which method of measuring blood pressure utilizes a cuff and stethoscope?

<p>Auscultatory method (B)</p> Signup and view all the answers

Which component contributes to the formation of S1 heart sound?

<p>Closure of the mitral valve (D)</p> Signup and view all the answers

What category does a blood pressure of 180/120 mm Hg fall into?

<p>Hypertension Stage 2 (C)</p> Signup and view all the answers

Where can the carotid artery be palpated during a physical examination?

<p>Lateral to the trachea (C)</p> Signup and view all the answers

To which location is the apex beat displaced if it is found on 1 cm outwards from the left midclavicular line in the V intercostal space?

<p>Left shoulder area (C)</p> Signup and view all the answers

Which heart valve is typically auscultated in the II intercostal space along the left sternal line?

<p>Pulmonary valve (D)</p> Signup and view all the answers

What is the normal specific gravity of urine?

<p>1.020 (C)</p> Signup and view all the answers

Which method is used for evaluating the sizes and consistency of abdominal organs?

<p>Palpation (C)</p> Signup and view all the answers

What is the name for painful urination?

<p>Dysuria (C)</p> Signup and view all the answers

How many lines does a doctor check during percussion of the liver by Kurlov?

<p>Two (A)</p> Signup and view all the answers

Which method is primarily used for assessing abdominal pain through examining the area?

<p>Palpation (C)</p> Signup and view all the answers

Which of the following regions is determined when the lower border of the stomach is assessed?

<p>Epigastric region (B)</p> Signup and view all the answers

What is the most likely diagnosis technique used for assessing the stomach and its associated organs?

<p>Esophagogastroduodenoscopy (A)</p> Signup and view all the answers

Which part of the colon is typically checked during abdominal examinations related to stomach issues?

<p>Descending colon (D)</p> Signup and view all the answers

Which physical examination method helps assess the condition of organs in the abdominal area?

<p>Inspection-palpation-percussion-auscultation (A)</p> Signup and view all the answers

What characteristic of the diaphragm may influence abdominal pain diagnosis?

<p>Diaphragm is located high (C)</p> Signup and view all the answers

What term describes the relationship of the colon's position to adjacent abdominal organs during examination?

<p>Topographical anatomy (A)</p> Signup and view all the answers

Which condition can be assessed by determining the abdominal organ's consistency?

<p>Gastritis (D)</p> Signup and view all the answers

What could be an indication of peritoneal irritation during abdominal examination?

<p>Muscle tension on the anterior abdominal wall (C)</p> Signup and view all the answers

In evaluating gastrointestinal issues, which characteristic of pain is often assessed?

<p>Location (B)</p> Signup and view all the answers

What typical positioning is used for abdominal examinations to better assess the lower border of the stomach?

<p>Lying supine (B)</p> Signup and view all the answers

What anatomical feature is checked during the assessment of the spleen?

<p>Inferior margin (C)</p> Signup and view all the answers

Which term describes the examination methods used to evaluate the abdomen?

<p>Physical examination (D)</p> Signup and view all the answers

Flashcards

Palpation

The act of using your hands to feel the body to check for abnormalities.

Percussion

The sound produced when tapping on the chest with your fingers.

Auscultation

Listening to the sounds made by the body, usually with a stethoscope.

Pigeon Chest

A form of chest deformation where the sternum protrudes forward.

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Funnel Chest

A form of chest deformation where the sternum is sunken in, making the chest look like a funnel.

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Vesicular Breath Sounds

The normal breathing sound heard over most of the lung fields.

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Bronchial Breath Sounds

A breath sound characterized by a higher pitch and louder intensity, heard in the larger airways, like the trachea and main bronchi.

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Medical Anthropometry

The measurement of the body, such as height, weight, and chest circumference.

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What is the normal sound for lung percussion?

A type of sound, typically detected during percussion of the chest, indicating a healthy lung tissue.

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What type of breathing is revealed on auscultation when the lung tissue is thickened?

A type of breathing pattern in which the chest expands outward, this often indicates an increase in airway resistance.

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Which process in the heart determines the P-wave?

The process that takes place in the heart that is reflected in the P-wave on an electrocardiogram.

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What is the correct localization of the apex beat?

The location of the apex beat is a useful marker of the heart's size and position. It indicates the point where the left ventricle's apex makes the strongest contact with the chest wall.

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What position should the patient be in for taking blood pressure measurements?

The position of the patient is important for ensuring accurate blood pressure measurements.

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Where is the sphygmomanometer located for measurement of blood pressure?

When taking a blood pressure measurement, where on the patient's arm is the sphygmomanometer placed?

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What type of chest is characterized by an increased anteroposterior size, smoothened supraclavicular fossae, parallel course of ribs, and wide intercostal spaces?

A type of chest shape characterized by an increased anteroposterior size, smoothened supraclavicular fossae, parallel course of ribs, and wide intercostal spaces.

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What does spirography determine?

Spirography: Used to assess the airflow and lung volumes that a patient can generate during breathing.

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What breath sound is heard with a longer expiration, high pitch, and gap?

A high-pitched, loud, strong breath sound with a longer expiration than inspiration and a clear gap between them.

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What is the thyroid gland enlargement classification if it is not visible or palpable?

The thyroid gland is not visible or palpable with the naked eye. It is considered a normal-sized gland.

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What is auscultation?

A method of examining the heart by listening to its sounds using a stethoscope.

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What is the normal width of the apex beat?

The apical impulse, also known as the point of maximal impulse (PMI), is the pulsation created as the apex of the heart strikes the chest wall during systole.

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What is the area of relative dullness of the heart?

The area in the chest where the heart's sound resonates most strongly due to its close proximity to the chest wall.

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What are the two main components of a heart sound?

The first heart sound (S1) represents the closure of the mitral and tricuspid valves.

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What is the normal range of heart rate for an adult?

The range of a normal heart rate for an adult at rest is between 60-100 beats per minute.

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What component creates the second heart sound (S2)?

The closure of the aortic and pulmonary valves creates the second heart sound (S2).

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Percussion of the Spleen

A method of physical examination used to assess the size and consistency of the spleen. It involves tapping on the abdomen with a finger to produce a sound that can be interpreted to determine the organ's size.

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Palpation of the Abdomen

A method of physical examination that involves pressing on the abdomen to assess tenderness, masses, and other abnormalities.

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Zimnitsky Test

A method used to assess the kidney function. It measures the concentration of urine throughout the day and night to detect variations in kidney filtration and reabsorption.

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Liver Auscultation

A method of physical examination that involves listening to the sounds produced within the body using a stethoscope. This is used to evaluate the health of the liver and other organs.

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Palpation of the Liver

A method of physical examination that aims to determine the position, size, and consistency of the liver by pressing your fingers below the rib cage. It tests the liver's response to pressure.

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Percussion of the Chest

A method of physical examination that involves tapping on the chest with fingers to produce a sound. This helps assess the underlying lung tissue and identify abnormalities.

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Comparative Percussion

A method of physical examination that involves comparing sounds produced by percussion on symmetrical parts of the body. This helps identify differences in lung tissue or other organs on the left and right sides.

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Palpation of the Thyroid Gland

A method of physical examination that involves pressing on the thyroid gland to assess its size, shape, and consistency. This helps identify abnormalities in the thyroid gland.

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Hypertensive Crisis

A blood pressure reading of 180/120 mmHg falls under this category, indicating a serious health concern.

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Where is the carotid artery palpable?

The carotid artery is located in the neck and is responsible for supplying blood to the head and brain. It's palpable near the front of the neck, just below the jaw.

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What does a displaced apex beat indicate?

The apex beat is displaced to the left when the heart is enlarged or shifted. This happens in conditions like heart failure, where the left ventricle is weakened and enlarged.

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Normal Urine Specific Gravity

Normal urine has a specific gravity between 1.010 and 1.025, which is a measure of its density compared to water.

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Where is the pancreas located?

The pancreas is a long organ that lies across the back of the abdomen. It's projected onto the anterior abdominal wall, roughly between the stomach and the spine.

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Normal Liver Size (Kurlov)

The liver is a large organ located in the upper right abdomen. According to Kurlov's method, its normal size is about 10-12 cm in the midclavicular line.

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Palpating the liver

The liver is palpable in the right upper quadrant of the abdomen. It can be felt by gently pressing on this area.

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Order of gastrointestinal examination

The examination of the gastrointestinal system should proceed in a logical order, starting from the mouth and progressing downwards. This ensures a systematic and thorough assessment.

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Which part of the colon is related to the lower border of the stomach?

The area of the colon that is most closely related to the lower border of the stomach is the descending colon. It's the section of the large intestine that descends from the left side of the abdomen to the pelvic region.

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What examination technique helps determine the lower border of the stomach?

Palpation is a physical examination technique where the doctor uses their hands to feel the body's tissues for any abnormalities, like tenderness, swelling, or masses. In this case, palpation is used to assess the lower border of the stomach.

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Which body type makes it challenging to determine the lower border of the stomach?

Hypersthenic body type is characterized by a predominance of the abdomen over the chest. This means the person has a larger belly compared to their chest. This type of body build may make it harder to accurately determine the lower border of the stomach during palpation.

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What line on the chest is used to locate the lower border of the stomach?

The midclavicular line is a vertical line that runs down the chest, passing through the middle of the clavicle (collarbone). It is used as a reference point to locate anatomical structures during physical examination, including the lower border of the stomach.

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Which abdominal region is associated with the descending colon?

The left hypochondriac region is a specific area on the left side of the abdomen, just below the ribs. The descending colon is located in this region, making it relevant to the lower border of the stomach.

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What organ is located in the left hypochondriac region?

The spleen is an organ located in the left hypochondriac region of the abdomen. It's important to know its location because it can affect palpation of the lower border of the stomach. The spleen might be enlarged and interfere with the doctor's assessment.

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What examination technique is used to assess the size and position of the stomach?

Percussion is a physical examination technique that involves tapping on the body surface to elicit sounds. Different sounds indicate different densities of underlying tissue. Percussion can help determine the size and position of the stomach.

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What type of sound is produced during percussion over the stomach?

Tympanic sound is a hollow, drum-like sound produced during percussion. It's often heard over air-filled organs, like the stomach. When assessing the lower border of the stomach, the doctor might hear a tympanic sound over the stomach and a duller sound over the underlying organs.

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What organ is located near the upper border of the stomach?

The liver is a large organ located in the right upper quadrant of the abdomen. Its upper border is typically found near the lower border of the stomach. Palpation of the liver might affect the assessment of the lower border of the stomach.

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What is the first part of the small intestine?

The duodenum is the first part of the small intestine and is located in the right upper quadrant of the abdomen. It is connected to the stomach and plays a significant role in digestion.

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What organ is located behind the stomach?

The pancreas is an organ located in the upper abdomen, behind the stomach. It plays a critical role in digestion and blood sugar regulation. Its position can indirectly affect the lower border of the stomach during palpation because it's located near the stomach.

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What procedure is used to visualize the lower border of the stomach directly?

Esophagogastroduodenoscopy (EGD) is a procedure where a long, flexible tube with a camera is inserted down the esophagus, into the stomach, and into the duodenum. This allows for a direct visual examination of these organs, including the lower border of the stomach.

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What hormone is produced by the stomach and stimulates gastric acid release?

Gastrin is a hormone produced by the stomach that helps stimulate the release of gastric acid and digestive enzymes. It's important to understand gastric function to comprehend how the stomach might be affected during the physical examination.

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What type of palpation is used to examine the deeper structures of the abdomen?

Deep palpation is a physical examination technique where the doctor presses their fingers deeply into the body to assess the underlying structures. It's used to examine the deeper structures of the abdomen, including the lower border of the stomach.

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What type of percussion involves comparing sounds from different parts of the body?

Comparative percussion is a physical examination technique where the doctor compares the sounds produced by tapping on different areas of the body. This technique helps determine the size and position of the stomach and other organs.

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What imaging technique is used to assess the size and shape of the stomach?

X-ray is a diagnostic imaging technique that uses electromagnetic radiation to capture images of internal structures. It's a common method to assess the stomach's size, shape, and any potential abnormalities, aiding in the determination of the lower border of the stomach.

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