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Respiratory Sounds and Indications Quiz

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50 Questions

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

Tracheal shift to the contralateral side

Which of the following lung diseases is most likely to cause asymmetrical chest wall movement during respiration?

Pleural effusion

What is the expected normal range for respiratory expansion during palpation?

2-5 inches

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

Pleural effusion

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

Pneumonia

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

Increased lung volume on the affected side

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

Absent or diminished breath sounds over the affected area

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

Chronic bronchitis

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

Dullness or flatness over the affected area

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

Rhonchi

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

Both A and B

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

Wheezes

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

Pleural effusion

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

Wheezes

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?

Upper airway obstruction

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

Pleural effusion

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?

Recommend increased use of bronchodilators

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?

Pleural effusion

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

Tension pneumothorax

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

Increased A-P diameter

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

Chronic hypoxia

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

Tracheal deviation towards the right

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

Pectus excavatum

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

Tracheal deviation towards the left

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

Pleural effusion

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?

Emphysema

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

Dull percussion note

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?

Bronchodilators

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

Pulmonary fibrosis

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?

Airway obstruction

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

Percussion

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?

Pneumothorax

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

Pulmonary fibrosis

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?

Bronchodilators

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

Decreased breath sounds on the affected side

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

Rapid, shallow breathing

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

Dullness to percussion on the affected side

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

Productive cough with mucus

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

Decreased breath sounds

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

Angle between the nail plate and nail fold is greater than 180 degrees

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

Increased anteroposterior (A-P) diameter

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

Decreased anteroposterior (A-P) diameter

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

Tracheal deviation away from the affected side

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

Tracheal deviation towards the right side

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

Increased anteroposterior (A-P) diameter

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

Tracheal deviation towards the affected side

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?

Tracheal deviation towards the left side

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

Tracheal deviation towards the right side

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?

Tracheal deviation towards the affected side

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?

Tracheal deviation away from the affected side

Test your knowledge on respiratory sounds and indications such as rhonchi, crackles, and pleural friction rub. Learn about different breath sounds and their implications for various conditions like bronchitis, cystic fibrosis, and pleural inflammation.

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