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Test your basic knowledge |
Pulmonology
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Study First
Subject
:
health-sciences
Instructions:
Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Abnormal lung sounds are classified as
Internal Intercostals - Internal and External Obliques - Transversus Abdominis
Expiration
Lung volumes - but no difficulty or delay in exhaling what volume they do have
Either continuous or discontinuous
2. Paroxysmal nocturnal dyspnea (PND) is...
Bicarbonate
The amount of air that can be exhaled after expiration
Alveoli to the blood
Dyspnea that awakens the patient several hours after going to sleep
3. Bohr Effect of pH: right shift
Lung volumes - but find it difficult to exhale rapidly
Narrowed nearly to the point of closure
Vesicular breath sounds - Bronchiovesicular breath sounds - Bronchial breath sounds
Decreased Hb-O2 affinity
4. Bronchophony
The total amount of air that can be exhaled following a maximal inhalation
Sternocleidomastoid - Scalene Muscles
While ascultating remote from the bronchi & larynx - the examiner can hear the speaking pts laryngeal (bronchial) sounds - while not being able to distinguish the words
Soft - high-pitched and crisp
5. Boyle's Gas Law
Heard over the periphery of the lung - are soft - low-pitched sounds - heard throughout inspiration - continue without pause through expiration - fade away about one third of the way through expiration
Upper respiratory obstruction - usually in the trachea or larynx
respiration
There is an inverse relationship between pressure and volume
6. FIO2
Either inspiration or expiration
Fraction (%age) of inspired oxygen
Outer surface of each lung
Ventilation - Diffusion - Perfusion
7. within limits - increased temperature =
Expiration
release of O2 from Hb - as heat is a by-product of metabolism.
respiration
The right middle lobe
8. Inspiratory stridor indicates
Air bubbles flowing through secretions or slightly closed airways during respiration
A site of obstruction above the vocal cords (supraglottic or glottic obstruction)
Significant pulmonary impairment
respiration
9. the lingula is analogous to...
50%
'crackles' or 'rales'
The right middle lobe
'scooped out' or bowl-shaped
10. What is the potential space between the visceral and parietal pleurae?
quickly - usually reaching a plateau within 6.0 seconds
A pulsatile blood flow - therefore it may be inaccurate in situations that result in peripheral vasoconstriction
Spirometry in the diagnosis - severity staging - and monitoring of these conditions
Pleural space
11. Which lung has a horizontal fissure?
Immediate oxygenation with or without intubation
Lowered carbon dioxide level - results from hyperventilation
right
A pulsatile blood flow - therefore it may be inaccurate in situations that result in peripheral vasoconstriction
12. most important factor that influences the oxygen carrying capacity of hemoglobin
50%
Partial pressure of oxygen (PO2)
Diffusion
The spoken sound 'ee' as in 'bee' is heard by the ascultator as the 'a' in 'bay'
13. Rhonchi are due to...
Excessive secretions and abnormal airway collapsibility
Shaped like a sail - rising rapidly to a sharp peak - then descending in a straight line at about a 45˚ angle
Dullness replaces resonance
Acinus
14. The normal FEV1 /FVC ratio is...
respiratory rate and rhythm - the depth of breathing - and the relative amount of time spent in inspiration and expiration
Larger airways
70%
'adventitious' breath sounds
15. During expiration - thoracic cavity volume decreases - and the intrapulmonary pressure becomes greater than
The amount of air that can be exhaled after expiration
Continuous lung sound - lower-pitched - snoring sounds - may have a gurgling quality
Acinus
The atmospheric pressure
16. Patients with restrictive disease have low
Lung volumes - but no difficulty or delay in exhaling what volume they do have
Spirometry in the diagnosis - severity staging - and monitoring of these conditions
Pressure required to drive air through the airways
Manubrio-sternal junction (angle of Louis)
17. Continuous lung sounds
Increased work of breathing
Interstitial diseases or early pulmonary edema
Wheezes - high-pitched - musical sounds - distinct whistling quality
Right
18. normal adult tidal volume
Lung volumes - but find it difficult to exhale rapidly
Normal to increased FEV1%
500 to 800 mL
Bicarbonate
19. Late inspiratory crackles result from
release of O2 from Hb - as heat is a by-product of metabolism.
Increased work of breathing
70%
A series of tiny explosions when small airways - deflated during expiration - pop open during inspiration
20. Factors that influence the oxygen carrying capacity of hemoglobin
10 to 11 cm long and about 2 cm in diameter
Partial pressure of oxygen (PO2) - Bohr effect of pH - Temperature
No respiration for > 20 seconds
Interstitial diseases or early pulmonary edema
21. The visceral pleura lines the...
Elasticity of the lung - reflects a measure of the ease of its distension - or the volume change resulting from the application of a pressure differential
Outer surface of each lung
Functional residual capacity (FRC)
Lung volumes - but no difficulty or delay in exhaling what volume they do have
22. Which bronchus is wider - shorter - and more vertically placed?
Inspiration
Right
Number of pillows the patient uses for sleeping - or by the fact that the patient needs to sleep sitting up
respiratory rate and rhythm - the depth of breathing - and the relative amount of time spent in inspiration and expiration
23. During inspiration the diaphragm
'adventitious' breath sounds
Contracts
Perfusion
'scooped out' or bowl-shaped
24. Which lung has an oblique fissure?
Perfusion
right & left
Outer surface of each lung
The negative logarithm of hydrogen ions in the blood
25. The presence of pressure gradients causes respiratory gases to move from
An area of higher concentration to that of a lower concentration passively - with no expenditure of energy
Anemia - since the oxygen saturation at which cyanosis becomes clinically apparent is a function of hemoglobin concentration
reduced in size - compared with a normal curve - due to lower lung volume
70% occlusion of the airway
26. Orthopnea is quantified by
Spirometry
To assess response to treatment
results in a lower than normal FEV1%
Number of pillows the patient uses for sleeping - or by the fact that the patient needs to sleep sitting up
27. Typically - in the presence of obstructive disease - the flow-volume curve looks
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28. dead space ventilation
Inside of the thoracic cavity wall and the upper surface of the diaphragm
Narrowed nearly to the point of closure
The gas in the conducting airways does not participate in alveolar exchange
Postero-anterior (PA) and lateral view series
29. The trachea is how long/wide?
A tracing of the lung volume against time in seconds
10 to 11 cm long and about 2 cm in diameter
Cough
From insufficient cardiac output - obstruction of blood flow - or vasoconstriction due to cold temperature
30. What occurs passively as muscles relax?
No
500 to 800 mL
Altering the respiratory rate and/or the tidal volume
Expiration
31. An efficient approach to examination of the patient begins with
The negative logarithm of hydrogen ions in the blood
Observing the pattern of breathing
Increased rate of breathing and is commonly associated with a decrease in tidal volume
A series of tiny explosions when small airways - deflated during expiration - pop open during inspiration
32. hypocapnia
Altering the respiratory rate and/or the tidal volume
A percentage of predicted values - which are derived from normal individuals grouped by gender - age - and height
Lowered carbon dioxide level - results from hyperventilation
Interstitial diseases or early pulmonary edema
33. PaCO2
The negative logarithm of hydrogen ions in the blood
Partial pressure of oxygen (PO2)
'scooped out' or bowl-shaped
Partial pressure of CO2 in the arterial blood
34. With restrictive disease - the flow-volume curve is...
There is an inverse relationship between pressure and volume
Right
Alveolar and interstitial processes such as edema - fibrosis - and infection; large - space-occupying lesions; atelectasis; pleural effusion; and pneumothorax
reduced in size - compared with a normal curve - due to lower lung volume
35. The muscles of expiration are the...
Oxygen (O2)
Increased work of breathing
Internal Intercostals - Internal and External Obliques - Transversus Abdominis
Right
36. Bronchial breath sounds
Louder - lower-pitched - and slightly longer in duration
Louder and higher in pitch - with a short silence between inspiratory and expiratory sounds - the expiratory phase lasting longer than inspiratory phase
No
Postero-anterior (PA) and lateral view series
37. Stridor is a high-pitched - noisy respiration - Which is indicative of...
Pleural space
Upper respiratory obstruction - usually in the trachea or larynx
Wheezes - high-pitched - musical sounds - distinct whistling quality
Spirometry in the diagnosis - severity staging - and monitoring of these conditions
38. Central cyanosis results from
Insufficient oxygenation of hemoglobin in the lungs
PaO2 is less than 40 mm Hg - and the unsaturated hemoglobin is 5 grams/dL
Contracts
Functional residual capacity (FRC)
39. A state-of-the-art - inexpensive - non-invasive - simple method to monitor a patient's percent hemoglobin saturation with oxygen (SaO2) - without having to obtain an arterial blood specimen
The total amount of air in the lungs at the end of a maximal inhalation
Lung volumes - but find it difficult to exhale rapidly
Pulse oximetry
The volume of air that is forcefully expired during the first second after a deep breath - or the portion of the FVC exhaled in one second
40. Pectoriloquy
Blue or bluish-gray discoloration of the skin or mucous membranes
Partial pressure of oxygen (PO2)
The examiner can clearly distinguish the word that the pt speak or whispers
Diffusion
41. inspiratory reserve
Blood to the alveoli
The amount of air that can be inhaled after normal inspiration
The ratio of the FEV1 to the forced vital capacity - and it is expressed as a percentage (FEV1%)
respiratory rate and rhythm - the depth of breathing - and the relative amount of time spent in inspiration and expiration
42. Bronchiovesicular breath sounds
10 to 11 cm long and about 2 cm in diameter
Right
Inspiratory and expiratory sounds - about equal in length - sometimes separated by a silent interval
Pulse oximetry
43. Carbon dioxide moves from the...
Fraction (%age) of inspired oxygen
Air to move from the upper airway to the farthest alveolar reaches
Binding of O2 to Hb
Blood to the alveoli
44. pain in lung conditions usually arises from
Brief - discrete - non-musical sounds with a popping quality
Inflammation of the adjacent parietal pleura
Increased minute volume ventilation - which results in a lowered carbon dioxide level
Overcome some of the problems associated with low blood flow to the probe site
45. At rest - the use of accessory muscles is a sign of...
Decreased pressure
Soft - high-pitched and crisp
Significant pulmonary impairment
Speed of airflow - the higher the flow - the greater the resistance
46. PAO2
Diaphragm - External Intercostals
Sternocleidomastoid - Scalene Muscles
Partial pressure of oxygen in the alveoli
Right
47. Coarse crackles result from
Air bubbles flowing through secretions or slightly closed airways during respiration
Left upper lobe
Partial pressure of O2 in the arterial blood
Obstructive lung disease from restrictive lung disease
48. gas exchange across the alveolar-pulmonary capillary membranes
Diffusion
Anemia - since the oxygen saturation at which cyanosis becomes clinically apparent is a function of hemoglobin concentration
Pulse oximetry
Blue or bluish-gray discoloration of the skin or mucous membranes
49. PACO2
release of O2 from Hb
Diaphragm - External Intercostals
Partial pressure of carbon dioxide in the alveoli
Dyspnea that awakens the patient several hours after going to sleep
50. The trachea divides into
Bicarbonate
right and left mainstem bronchi
Inspiration
Dyspnea upon assuming a recumbent position
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