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

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

Wheezes

When are wheezes most frequently heard?

During exhalation

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

Emphysematous density

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

Adventitious lung sounds

What condition is often associated with wheezing on expiration?

Bronchospasm

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

Rhonchi

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

Sitting

How should auscultation of lung sounds be performed?

With the diaphragm of the stethoscope in a quiet environment

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

To identify potential differences or abnormalities

What should be done before auscultating each bronchopulmonary segment?

Listen to at least one breath

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

Auscultate slowly between pulmonary segments

What should be removed to optimize auscultation of lung sounds?

Bed clothes to expose bare skin

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

The effectiveness of the cough

Which of the following would indicate an ineffective cough?

Both A and B

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

100 mL

What could foul-smelling breath indicate?

An anaerobic infection of the mouth or respiratory tract

What could an acetone breath indicate?

Diabetic ketoacidosis

What is an indication of chronic tissue hypoxia?

Digital clubbing of the fingers and toes

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

To obtain measurable and observable data about the patient's health status.

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

Conducting a psychological evaluation of the patient's mental state.

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

To compare the patient's information with standard health benchmarks and identify potential causes.

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

The care plan is based on the analyzed data from the previous phase.

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

The patient's respiratory rate measured during the physical examination.

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

It directly impacts the accuracy of diagnosis and subsequent care decisions.

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

All of the above

What is a characteristic of a productive cough?

Mucoid or bloodstained sputum

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

Productive cough for more than 3 months consecutively and for at least 2 years

What is a characteristic of bronchiectasis?

Foul-smelling, copious, layered purulent sputum

What is a characteristic of a neoplastic cough?

Persistent, nonproductive cough with a smoking history and injected pharynx

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

Frothy sputum that worsens in the supine position

Learn about the process of collecting measurable data through clinical examinations and diagnostic tests to assess a patient's health status. Understand the importance of vital signs such as temperature, pulse, blood pressure, respiratory rate, and oxygen saturation in evaluating a patient's condition.

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