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</p> Signup and view all the answers

    What condition is often associated with wheezing on expiration?

    <p>Bronchospasm</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</p> Signup and view all the answers

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

    <p>Sitting</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</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</p> Signup and view all the answers

    What should be done before auscultating each bronchopulmonary segment?

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

    What should be removed to optimize auscultation of lung sounds?

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

    Which of the following would indicate an ineffective cough?

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

    What could foul-smelling breath indicate?

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

    What could an acetone breath indicate?

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

    What is an indication of chronic tissue hypoxia?

    <p>Digital clubbing of the fingers and toes</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.</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.</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.</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.</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.</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.</p> Signup and view all the answers

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

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

    What is a characteristic of a productive cough?

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

    What is a characteristic of bronchiectasis?

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

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