Respiratory Sounds and Indications Quiz
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Questions and Answers

Which of the following findings is most characteristic of a tension pneumothorax?

  • Decreased respiratory expansion on the affected side
  • Decreased chest wall movement on the affected side
  • Decreased tactile fremitus
  • Tracheal shift to the contralateral side (correct)
  • Which of the following lung diseases is most likely to cause asymmetrical chest wall movement during respiration?

  • Emphysema
  • Chronic bronchitis
  • Asthma
  • Pleural effusion (correct)
  • What is the expected normal range for respiratory expansion during palpation?

  • 2-5 inches (correct)
  • 5-10 inches
  • 0-2 inches
  • 10-15 inches
  • Which of the following lung diseases is most likely to cause decreased tactile fremitus?

    <p>Pleural effusion</p> Signup and view all the answers

    Which of the following lung diseases is most likely to cause increased tactile fremitus?

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

    What is the primary cause of tracheal shift in a tension pneumothorax?

    <p>Increased lung volume on the affected side</p> Signup and view all the answers

    In a patient with pneumothorax, which of the following would you expect to find on auscultation?

    <p>Absent or diminished breath sounds over the affected area</p> Signup and view all the answers

    A patient presents with a barrel chest, respiratory distress, and a mucousy cough. Which condition would you suspect?

    <p>Chronic bronchitis</p> Signup and view all the answers

    In a patient with a pleural effusion, which of the following would you expect to find on percussion?

    <p>Dullness or flatness over the affected area</p> Signup and view all the answers

    Which of the following adventitious breath sounds is associated with the rattling of secretions in the large airways?

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

    In a patient with emphysema, which of the following would you expect to find on inspection?

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

    Which of the following adventitious breath sounds is associated with an acute exacerbation of asthma?

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

    Which of the following conditions is MOST likely to cause decreased diaphragmatic excursion?

    <p>Pleural effusion</p> Signup and view all the answers

    During auscultation, which type of breath sound would be indicative of narrowed smaller airways, as seen in conditions like asthma or COPD?

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

    A patient presents with stridor, which is described as a wheeze that is predominantly inspiratory. Which of the following conditions is MOST likely to cause this finding?

    <p>Upper airway obstruction</p> Signup and view all the answers

    During percussion, the patient's diaphragmatic excursion is found to be decreased. Which of the following is the MOST likely cause of this finding?

    <p>Pleural effusion</p> Signup and view all the answers

    A patient with a history of COPD presents with wheezing and shortness of breath. Which of the following is the MOST appropriate next step in management?

    <p>Recommend increased use of bronchodilators</p> Signup and view all the answers

    During auscultation, a patient is found to have decreased breath sounds in the left lower lung field. Which of the following is the MOST likely cause of this finding?

    <p>Pleural effusion</p> Signup and view all the answers

    Which of the following conditions would cause the trachea to deviate away from the affected side?

    <p>Tension pneumothorax</p> Signup and view all the answers

    In a patient with chronic obstructive pulmonary disease (COPD), which of the following findings would you expect on inspection of the thorax?

    <p>Increased A-P diameter</p> Signup and view all the answers

    Which of the following conditions is associated with cyanosis and clubbing of the fingers?

    <p>Chronic hypoxia</p> Signup and view all the answers

    In a patient with a large left-sided pleural effusion, which of the following findings would you expect on inspection of the thorax?

    <p>Tracheal deviation towards the right</p> Signup and view all the answers

    Which of the following conditions is associated with a decreased anteroposterior (A-P) diameter of the thorax?

    <p>Pectus excavatum</p> Signup and view all the answers

    Which of the following signs would you expect to see in a patient with a right-sided tension pneumothorax?

    <p>Tracheal deviation towards the left</p> Signup and view all the answers

    Which of the following conditions is associated with decreased tactile fremitus?

    <p>Pleural effusion</p> Signup and view all the answers

    A patient with a history of chronic smoking presents with shortness of breath and wheezing. Which of the following lung diseases is the most likely diagnosis?

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

    During percussion of the lungs, which of the following would indicate the presence of a pleural effusion?

    <p>Dull percussion note</p> Signup and view all the answers

    A patient with a history of asthma presents with acute shortness of breath and wheezing. Which of the following is the most appropriate initial treatment?

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

    Which of the following lung diseases is associated with increased tactile fremitus?

    <p>Pulmonary fibrosis</p> Signup and view all the answers

    A patient with a history of chronic bronchitis presents with increased sputum production and wheezing. Which of the following is the most likely cause of these symptoms?

    <p>Airway obstruction</p> Signup and view all the answers

    Which of the following is the most appropriate technique for assessing diaphragmatic excursion during a physical examination?

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

    A patient with a history of trauma presents with sudden-onset shortness of breath and chest pain. Which of the following is the most likely diagnosis?

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

    Which of the following lung diseases is associated with decreased diaphragmatic excursion?

    <p>Pulmonary fibrosis</p> Signup and view all the answers

    A patient with a history of chronic obstructive pulmonary disease (COPD) presents with increased shortness of breath and wheezing. Which of the following is the most appropriate initial treatment?

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

    Which of the following is a characteristic sign of a pneumothorax?

    <p>Decreased breath sounds on the affected side</p> Signup and view all the answers

    A patient with asthma is most likely to exhibit which of the following breathing patterns?

    <p>Rapid, shallow breathing</p> Signup and view all the answers

    A patient with a pleural effusion would most likely exhibit which of the following physical exam findings?

    <p>Dullness to percussion on the affected side</p> Signup and view all the answers

    Which of the following is a characteristic symptom of chronic bronchitis?

    <p>Productive cough with mucus</p> Signup and view all the answers

    A patient with emphysema is most likely to exhibit which of the following physical exam findings?

    <p>Decreased breath sounds</p> Signup and view all the answers

    Which of the following is a characteristic feature of clubbing of the fingernails?

    <p>Angle between the nail plate and nail fold is greater than 180 degrees</p> Signup and view all the answers

    In a patient with pectus carinatum, what would you expect to find on inspection of the thorax?

    <p>Increased anteroposterior (A-P) diameter</p> Signup and view all the answers

    In a patient with pectus excavatum, what would you expect to find on inspection of the thorax?

    <p>Decreased anteroposterior (A-P) diameter</p> Signup and view all the answers

    In a patient with a tension pneumothorax, which of the following would you expect to find on inspection of the thorax?

    <p>Tracheal deviation away from the affected side</p> Signup and view all the answers

    In a patient with a large left-sided pleural effusion, which of the following would you expect to find on inspection of the thorax?

    <p>Tracheal deviation towards the right side</p> Signup and view all the answers

    In a patient with emphysema, what would you expect to find on inspection of the thorax?

    <p>Increased anteroposterior (A-P) diameter</p> Signup and view all the answers

    In a patient with atelectasis (collapsed lung), which of the following would you expect to find on inspection of the thorax?

    <p>Tracheal deviation towards the affected side</p> Signup and view all the answers

    In a patient with a right-sided lung agenesis (absence of a lung), which of the following would you expect to find on inspection of the thorax?

    <p>Tracheal deviation towards the left side</p> Signup and view all the answers

    In a patient with a large right-sided pleural effusion, which of the following would you expect to find on inspection of the thorax?

    <p>Tracheal deviation towards the right side</p> Signup and view all the answers

    In a patient with pleural fibrosis (scarring of the pleural lining), which of the following would you expect to find on inspection of the thorax?

    <p>Tracheal deviation towards the affected side</p> Signup and view all the answers

    In a patient with a pneumonectomy (surgical removal of a lung), which of the following would you expect to find on inspection of the thorax?

    <p>Tracheal deviation away from the affected side</p> Signup and view all the answers

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