Consolidation Is Present In The Lungs If You Find

1. A patient complains of shortness of breath and productive cough. Consolidation is present in the lungs if you find:

(A) Dullness to percussion over left base

(B) Bronchial breath sounds throughout

(C) Increased tactile fremitus throughout

(D) Inspiratory and expiratory wheezes

2. Which of the following is the best technique for assessing the supraclavicular lymph nodes?

(A) Place the patient in a supine position and ask him to hold his breath while you palpate

(B) Place the patient in Trendelenburg position and illuminate the nodes with a bright light

(C) Standing behind the patient, palpate deeply behind the clavicles as he takes a deep breath

(D) Palpate lightly below the clavicles with the patient in a sitting position

3. The examiner notes an abnormally high diaphragm on the right side and descent of 4 cm on the left side. These findings suggest:

(A) The patient may have a pleural effusion

(B) The patient may have right middle lobe pneumonia

(C) Asymmetrical findings, which are common in well-conditioned adults

(D) A normal finding because the right lung is larger than the left lung

4. The following findings indicate a possible pulmonary abscess:

(A) Malodorous breath

(B) Protrusion of the clavicle

(C) Clubbing of the nail beds

(D) Kussmaul respirations

5. The patient has an undiagnosed tumor in the middle lobe of the right lung, causing atelectasis, as suggested by

(A) Low-pitched grating sound heard during inspiration and expiration

(B) Hyperresonance in the right middle lobe

(C) Diminished or absent breath sounds in the right middle lobe

(D) An ammonia-like odor on the patient's breath

6. While auscultating the lungs of an obese patient, you would expect the heart sounds to be:

(A) Louder and closer

(B) Softer and more distant

(C) Louder and more distant

(D) Softer and closer

7. To rule out a middle lobe pneumonia, you must make sure to auscultate:

(A) Beneath the right breast

(B) Beneath the left breast

(C) Under the right axilla

(D) Under the left axilla

8. When percussing normal lungs, the expected percussion note would be:

(A) Resonance

(B) Tympany

(C) Dullness

(D) Stridor

9. Expected findings in the healthy adult lung include the presence of:

(A) Increased tactile fremitus and dull percussion tones

(B) Adventitious sounds and limited chest expansion

(C) Muffled voice sounds and symmetrical tactile fremitus

(D) Absent voice sounds and hyperresonant percussion tones

10. Dullness on percussion over the left lower lobe of the lung is most likely to reflect:

(A) Consolidation

(B) Asthma

(C) Chronic obstructive pulmonary disease

(D) Excess adipose tissue

11. The most important technique when progressing from one auscultory site on the thorax to another is:

(A) Top-to-bottom comparison

(B) Side-to-side comparison

(C) Posterior-to-anterior comparison

(D) Interspace-by-interspace comparison

12. When auscultating the chest in an adult, you would:

(A) Use the bell of the stethoscope held lightly against the chest to avoid friction

(B) Use the diaphragm of the stethoscope held firmly against the chest

(C) Instruct the client to breathe in and out through her nose

(D) Instruct the patient to take deep, rapid breaths

13. Decreased breath sounds would be most likely to occur:

(A) When the bronchial tree is obstructed

(B) When adventitious sounds are present

(C) In conditions of hyperresonance like COPD

(D) In conjunction with whispered pectoriloquy

14. A patient presents with an area of dullness to percussion and breath sounds that are decreased to absent, suggesting the following diagnosis:

(A) Pneumothorax

(B) COPD (emphysema)

(C) Pleural effusion

(D) Asthma

15. A teenage boy presents to the emergency room with complaints of sharp pain and trouble breathing. You find that the patient has cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. This is consistent with:

(A) Acute pneumonia

(B) An asthmatic attack

(C) Bronchitis

(D) A spontaneous pneumothorax

16. Tachypnea, use of accessory muscles, prolonged expiration, intercostal retraction, decreased breath sounds, and expiratory wheezes are all symptomatic of:

(A) Pleural effusion

(B) Atelectasis

(C) Asthma

(D) Bronchitis

17. Air passing through narrowed bronchioles would produce which of the following adventitious sounds:

(A) Whispered pectoriloquy

(B) Wheezes

(C) Bronchophony

(D) Muffled breath sounds

18. The primary muscles of respiration include the:

(A) Diaphragm and intercostals

(B) Trapezius and rectus abdominus

(C) Sternomastoids and scalenes

(D) External obliques and pectoralis major

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