Clinical Assessment of the Respiratory System in COPD
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Questions and Answers

Which condition is often mistaken for asthma due to symptoms like wheezing at night?

  • Pulmonary Embolism
  • Cardiovascular Disorders
  • Gastroesophageal Reflux (correct)
  • Lung Cancer

What symptom is commonly associated with Lung Cancer besides cough and weight loss?

  • Orthopnea
  • Dyspnea
  • Regurgitation
  • Hemoptysis (correct)

What condition is characterized by abrupt onset, early peak, and persistent symptoms for hours or more?

  • Asthma
  • Gastroesophageal Reflux Disease (GERD) (correct)
  • Chronic Bronchitis
  • Left-Sided Heart Failure

Which medical condition can progress to pink frothy sputum in severe cases?

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

What is a common symptom of Pulmonary Embolism along with dry cough and tachypnea?

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

Which problem involves excessive mucus production in the bronchi, leading to chronic obstruction of airways?

<p>Chronic Obstructive Pulmonary Disease (COPD) (A)</p> Signup and view all the answers

In which condition does dyspnea occur at rest but is not always relieved by nitroglycerin?

<p>Left-Sided Heart Failure (C)</p> Signup and view all the answers

What is a distinguishing feature of exposure to irritating particles, chemicals, or gases?

<p>Latent period between exposure and symptoms (A)</p> Signup and view all the answers

What is a characteristic feature of asthma?

<p>Reversible bronchial hyperresponsiveness (B)</p> Signup and view all the answers

Besides cough, what is a common symptom associated with Asthma?

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

Which condition shows the symptom of hoarseness along with dysphagia and syncope?

<p>Left-Sided Heart Failure (B)</p> Signup and view all the answers

What intervention may provide relief for symptoms in Gastroesophageal Reflux Disease (GERD)?

<p>Antacids and sometimes belching (C)</p> Signup and view all the answers

What is a characteristic finding in COPD on percussion?

<p>The upper border of the liver is displaced downward (C)</p> Signup and view all the answers

When auscultating the chest, what should be done to compare symmetric areas of the lungs?

<p>Use the pattern suggested for percussion and extend it to adjacent areas, if indicated (B)</p> Signup and view all the answers

Where are breath sounds usually louder on auscultation?

<p>Upper anterior lung fields (C)</p> Signup and view all the answers

What type of breath sounds may be heard over the large airways, especially on the right side?

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

When should adventitious sounds be listened for during auscultation?

<p>During both normal and deep breathing (A)</p> Signup and view all the answers

What practical, simple ways to assess cardiopulmonary function are mentioned in the text?

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

What is the typical ratio of AP diameter to lateral diameter in a normal chest?

<p>0.7 to 0.9 (B)</p> Signup and view all the answers

What condition is characterized by depression in the lower portion of the sternum?

<p>Funnel Chest (Pectus Excavatum) (B)</p> Signup and view all the answers

Which chest condition is associated with an increased AP diameter and is normal during infancy?

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

What chest condition is characterized by the sternum being displaced anteriorly and the costal cartilages adjacent to it being depressed?

<p>Pigeon Chest (Pectus Carinatum) (C)</p> Signup and view all the answers

Which chest condition may result in paradoxical movements due to multiple rib fractures?

<p>Traumatic Flail Chest (D)</p> Signup and view all the answers

What condition involves abnormal spinal curvatures and vertebral rotation leading to deformation of the chest?

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

Which of the following statements about the origins of breath sounds is correct?

<p>The expiratory component of vesicular breath sounds arises in the more central larger airways. (C)</p> Signup and view all the answers

What is the primary cause of bronchial breath sounds replacing normal vesicular sounds over airless areas of the lung?

<p>Lobar pneumonia with consolidation (B)</p> Signup and view all the answers

Which of the following is NOT typically associated with bronchial breath sounds?

<p>Decreased lung compliance (B)</p> Signup and view all the answers

Where are vesicular breath sounds predominantly heard?

<p>Throughout most of the lungs (D)</p> Signup and view all the answers

Which of the following statements about tracheal and bronchial sounds is correct?

<p>They can be heard over the trachea and mainstem bronchi. (B)</p> Signup and view all the answers

What is the process called when alveoli get filled with fluid and cellular debris, leading to bronchial breath sounds over those areas?

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

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