Gathering Objective Patient Information in Internal Medicine: Clinical Examinations and Vital Signs
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Questions and Answers

What term is used to describe continuous adventitious lung sounds with a constant pitch and varying duration?

  • Crackles
  • Rhonchi
  • Wheezes (correct)
  • Rales

When are wheezes most frequently heard?

  • At rest
  • During exhalation (correct)
  • During inhalation
  • On exertion

What type of lung tissue density would cause decreased sound transmission?

  • Normal density
  • Hypodensity
  • Emphysematous density (correct)
  • Increased density

Which term refers to the abnormal noises heard only with a stethoscope?

<p>Adventitious lung sounds (D)</p> Signup and view all the answers

What condition is often associated with wheezing on expiration?

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

According to the American Thoracic Society and American College of Chest Physicians, what were wheezes previously defined as?

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

What is the optimal position for a patient during auscultation of lung sounds?

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

How should auscultation of lung sounds be performed?

<p>With the diaphragm of the stethoscope in a quiet environment (A)</p> Signup and view all the answers

Why is it important to compare the breath sounds between right and left and in the craniocaudal direction during auscultation?

<p>To identify potential differences or abnormalities (A)</p> Signup and view all the answers

What should be done before auscultating each bronchopulmonary segment?

<p>Listen to at least one breath (D)</p> Signup and view all the answers

Which precaution should be taken during auscultation to prevent dizziness secondary to hyperventilation?

<p>Auscultate slowly between pulmonary segments (A)</p> Signup and view all the answers

What should be removed to optimize auscultation of lung sounds?

<p>Bed clothes to expose bare skin (D)</p> Signup and view all the answers

Which of the following is an essential characteristic of a cough that should be evaluated?

<p>The effectiveness of the cough (C)</p> Signup and view all the answers

Which of the following would indicate an ineffective cough?

<p>Both A and B (C)</p> Signup and view all the answers

What is the normal quantity of mucus that a person may raise per day without noticing it?

<p>100 mL (A)</p> Signup and view all the answers

What could foul-smelling breath indicate?

<p>An anaerobic infection of the mouth or respiratory tract (B)</p> Signup and view all the answers

What could an acetone breath indicate?

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

What is an indication of chronic tissue hypoxia?

<p>Digital clubbing of the fingers and toes (A)</p> Signup and view all the answers

What is the primary purpose of the 'Gather Objective Patient Information' phase?

<p>To obtain measurable and observable data about the patient's health status. (C)</p> Signup and view all the answers

Which of the following is NOT typically included in a physical examination?

<p>Conducting a psychological evaluation of the patient's mental state. (C)</p> Signup and view all the answers

What is the primary purpose of the 'Develop an Analysis of the Obtained Information' phase?

<p>To compare the patient's information with standard health benchmarks and identify potential causes. (B)</p> Signup and view all the answers

Which of the following statements about the 'Develop a Care Plan for the Patient' phase is TRUE?

<p>The care plan is based on the analyzed data from the previous phase. (D)</p> Signup and view all the answers

Which of the following is an example of an objective patient information gathered during the 'Gather Objective Patient Information' phase?

<p>The patient's respiratory rate measured during the physical examination. (B)</p> Signup and view all the answers

What is the significance of the 'Develop an Analysis of the Obtained Information' phase?

<p>It directly impacts the accuracy of diagnosis and subsequent care decisions. (D)</p> Signup and view all the answers

Which of the following is an indication of peripheral vascular insufficiency?

<p>All of the above (D)</p> Signup and view all the answers

What is a characteristic of a productive cough?

<p>Mucoid or bloodstained sputum (B)</p> Signup and view all the answers

Which of the following cough types is associated with chronic bronchitis?

<p>Productive cough for more than 3 months consecutively and for at least 2 years (A)</p> Signup and view all the answers

What is a characteristic of bronchiectasis?

<p>Foul-smelling, copious, layered purulent sputum (B)</p> Signup and view all the answers

What is a characteristic of a neoplastic cough?

<p>Persistent, nonproductive cough with a smoking history and injected pharynx (B)</p> Signup and view all the answers

Which cough type is associated with pulmonary edema or heart failure?

<p>Frothy sputum that worsens in the supine position (D)</p> Signup and view all the answers

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