NSG 6020 Midterm Exam Questions with Correct Answers What age does bronchiolitis occur? - Correct Answer most common at age 6 months- does not occur after age 2 main symptom of bronchiolitis - Correct Answer wheezing-lasts about 7 days most common cause of bronchiolitis - Correct Answer RSV Treatment for bronchiolitis - Correct Answer No specific treatment Order of lung exam - Correct Answer inspect, palpate, percuss, auscultate Pectus Excavatum - Correct Answer congenital posterior displacement of lower aspect of sternum -hollowed-out appearance -concave appearance of lower sternum Pectus carinatum - Correct Answer at birth -post CABG mid childhood and 11-14 year old pubertal males undergoing a growth spurt -convex deformity -97% have MVP Barrel Chest - Correct Answer associated with emphysema and lung hyperinflation -accompanying x-ray demonstrates increased ant-post diameter as well as diaphragmatic flattening Tactile fremitus - Correct Answer palpable vibrations of the bronchiopulmonary tree as the patient is speaking (99 or 1-2-3) -impeded in COPD, pulm effusion or pneumothorax -increased in consolidation and PNA
percussion: 1 / 2
flatness - Correct Answer (thigh) Large Pleural effusion Percussion- dullness - Correct Answer (liver) Lobar PNA
Percussion: resonance - Correct Answer (Lung)
simple chronic bronchitis
Percussion: hyperresonance - Correct Answer None
-emphysema, pneumothorax
Percussion: tympany - Correct Answer (gastric bubble)
-large pneumothorax Auscultation: vesicular - Correct Answer soft and low pitched; usually heard over most of both lungs Auscultation: bronchial - Correct Answer louder and higher in pitch; usually heard over the manubrium Auscultation: bronchovesicular - Correct Answer intermediate intensity and pitch; usually heard over the 1st and 2nd interspaces
Auscultation: tracheal - Correct Answer over the trachea and neck, very loud
Rhonchi - Correct Answer low-pitched snore-like sounds, often characterized by secretions w/in the large airways -sometimes cleared with a cough Wheezes - Correct Answer continuous, high-pitched, musical, sounds that are produced by air flowing through narrowed bronchi -predominately expiratory
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