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Exam 3: Advanced Patient Assessment: Inspection, Palpation, and Percussion

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Question 1

Multiple Choice

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Resonance is the sound heard in percussing normal lung tissue.Which of the following best describes this percussion note?

A) It is a low-pitched sound of long duration.
B) It is a loud,low-pitched sound of long duration.
C) It is a sound of medium intensity and pitch with a short duration.
D) It is a sound of low amplitude and pitch.

E) A) and B)
F) B) and C)

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A

Question 2

Multiple Choice

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What is (are) the bony prominence(s) on the posterior chest? I.Vertebrae II.Sternum III.Scapulae IV.Clavicles

A) I and III
B) II and IV
C) I only
D) II,III,IV

E) B) and C)
F) A) and B)

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Question 3

Multiple Choice

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What is defined as vibration felt on the palpation of the chest during phonation,or speech?

What type of skeletal abnormality has an anterior-to-posterior curvature of the upper spine and a lateral curvature that causes the vertebrae in the affected area to rotate,flattening the rib cage anteriorly?

Which type of breathing pattern is characterized by the diaphragm descending and the ribs moving up and out anteriorly and laterally and is the result of discoordinated motion of various parts of the chest wall and/or abdomen?

Which of the following would cause a tracheal shift toward the affected side of the chest? I.Pleural effusion II.Atelectasis III.Pulmonary fibrosis IV.Tension pneumothorax

Where is (are) the midscapulae line(s) located?

What is the normal diaphragmatic excursion?

What is a congenital deformity of the sternum characterized by a depression in the sternum at the level of the lower body and xyphoid process?

In diabetic acidosis,a condition termed metabolic acidosis is produced.What type of breathing pattern is produced to compensate for this condition?

What is an increase in the depth of respirations to greater than normal?

What chest wall abnormality is commonly associated with chronic lung disease due to air trapping and a loss in lung compliance and is commonly associated with COPD?

What is defined as the presence of air beneath the skin in the subcutaneous tissues?

Which way would the trachea shift if the patient had a tension pneumothorax on the right side?

A patient is admitted to the hospital with an infiltrate on the chest x-ray in the left lower lobe.Explain what should be expected upon inspecting,percussing,and palpating this patient's chest wall.

Upon reviewing a patient's admission notes,the history states the patient has a long-standing history of emphysema.What type of percussion note would you expect over the patient's chest?

What is normal I:E ratio?

A patient with severe COPD arrives in the clinic.What findings would you expect upon evaluating this patient's chest and breathing pattern?

What breathing pattern is periodic in nature,with a gradual increase in depth and respiratory rate followed by a tapering of rate and depth with periods of apnea or as a waxing and waning of respirations?

Upon percussing the patient's chest,a dull percussion note is heard over the left lower lobe.What other findings would be expected to be found over the left lower lobe?