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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.
If you are not ready to take this test, you can
study here
.
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. Inspiratory stridor indicates
A site of obstruction above the vocal cords (supraglottic or glottic obstruction)
Perfusion
Anemia - since the oxygen saturation at which cyanosis becomes clinically apparent is a function of hemoglobin concentration
The volume of air inhaled and exhaled with each resting breath during normal - quiet breathing
2. The most reliable site for detecting central cyanosis is the...
Blue or bluish-gray discoloration of the skin or mucous membranes
Either continuous or discontinuous
Dullness replaces resonance
Tongue
3. Bronchial breath sounds
Louder and higher in pitch - with a short silence between inspiratory and expiratory sounds - the expiratory phase lasting longer than inspiratory phase
Partial pressure of carbon dioxide in the alveoli
The total amount of air in the lungs at the end of a maximal inhalation
Inside of the thoracic cavity wall and the upper surface of the diaphragm
4. The accessory muscles are the...
Sternocleidomastoid - Scalene Muscles
reduced in size - compared with a normal curve - due to lower lung volume
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
Partial pressure of O2 in the arterial blood
5. Tachypnea is an
Increased rate of breathing and is commonly associated with a decrease in tidal volume
respiration
Cough
A sensor placed over a translucent area of arterial pulsation
6. hypocapnia
Speed of airflow - the higher the flow - the greater the resistance
Lung volumes - but no difficulty or delay in exhaling what volume they do have
Increased minute volume ventilation - which results in a lowered carbon dioxide level
Lowered carbon dioxide level - results from hyperventilation
7. Peripheral cyanosis results from
Spirometry
From insufficient cardiac output - obstruction of blood flow - or vasoconstriction due to cold temperature
Air to move from the upper airway to the farthest alveolar reaches
Terminal - and ultimately into respiratory bronchioles so small that each is associated with one acinus
8. The presence of pressure gradients causes respiratory gases to move from
Difficulty breathing or shortness of breath
An increase in airway resistance as a result of a reduction of elastic recoil and /or compromise of the air passage
An area of higher concentration to that of a lower concentration passively - with no expenditure of energy
80 to 120% of predicted value
9. FEV1% in restrictive disease
'scooped out' or bowl-shaped
Spirometry
Normal to increased FEV1%
Spirometry in the diagnosis - severity staging - and monitoring of these conditions
10. the process by which gases in the alveoli and the blood exchange by way of the alveolar-capillary membrane
Diffusion
require supplemental oxygenation and possibly ABG analysis
Postero-anterior (PA) and lateral view series
Wheezes - high-pitched - musical sounds - distinct whistling quality
11. Oxygen moves from the...
80 to 120% of predicted value
Oxygen (O2)
Alveoli to the blood
A reduction in lung capacity - secondary to scarring or extraneous material
12. The normal FEV1 /FVC ratio is...
right
70%
Spirometry
Functional residual capacity (FRC)
13. Rhonchi frequently clear after
T4 or T5 - and just below the manubrio-sternal joint
Increased work of breathing
PaO2 is less than 40 mm Hg - and the unsaturated hemoglobin is 5 grams/dL
Cough
14. normal adult tidal volume
The ratio of the FEV1 to the forced vital capacity - and it is expressed as a percentage (FEV1%)
500 to 800 mL
Pulse oximetry
Inside of the thoracic cavity wall and the upper surface of the diaphragm
15. Discontinuous lung sounds are also called
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16. The parietal pleura lines the...
The ratio of the FEV1 to the forced vital capacity - and it is expressed as a percentage (FEV1%)
Air-filled - fluid-filled - or solid
Significant pulmonary impairment
Inside of the thoracic cavity wall and the upper surface of the diaphragm
17. Stridor is a high-pitched - noisy respiration - Which is indicative of...
Upper respiratory obstruction - usually in the trachea or larynx
Pneumonia - obstructive lung disease - and late pulmonary edema
Decreased pressure
50%
18. HCO3
Bronchospasm - mucosal edema - or excessive secretions
Bicarbonate
Lowered carbon dioxide level - results from hyperventilation
50%
19. Rhonchi are due to...
Decreased pressure
Soft - high-pitched and crisp
Inspiration
Excessive secretions and abnormal airway collapsibility
20. The spirometry printout usually includes
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21. Restrictive disease refers to...
release of O2 from Hb
A reduction in lung capacity - secondary to scarring or extraneous material
Either continuous or discontinuous
Expiratory volume - and there is a prolonged expiratory time
22. pain in lung conditions usually arises from
Alveolar and interstitial processes such as edema - fibrosis - and infection; large - space-occupying lesions; atelectasis; pleural effusion; and pneumothorax
A reduction in lung capacity - secondary to scarring or extraneous material
Inflammation of the adjacent parietal pleura
The gas in the conducting airways does not participate in alveolar exchange
23. 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
Pulse oximetry
Either inspiration or expiration
Saturated with oxygen or unsaturated
Inside of the thoracic cavity wall and the upper surface of the diaphragm
24. What is the potential space between the visceral and parietal pleurae?
Narrowed nearly to the point of closure
Pleural space
10 to 11 cm long and about 2 cm in diameter
right
25. Vesicular breath sounds
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
Pressure required to drive air through the airways
Chronic obstructive pulmonary disease (COPD) - chronic bronchitis - emphysema - and asthma
There is an inverse relationship between pressure and volume
26. Carbon dioxide moves from the...
Blood to the alveoli
The atmospheric pressure
respiration
80%
27. The muscles of inspiration are the...
Spirometry
Partial pressure of oxygen (PO2) - Bohr effect of pH - Temperature
Diaphragm - External Intercostals
Keep the body adequately supplied with oxygen and protected from excess accumulation of carbon dioxide
28. Discontinuous lung sounds are...
Pressure required to drive air through the airways
The gas in the conducting airways does not participate in alveolar exchange
Brief - discrete - non-musical sounds with a popping quality
Carboxyhemoglobin
29. The active movement of gases between the ambient air and the lungs
Partial pressure of oxygen (PO2)
Total lung capacity (TLC)
A good effort
Ventilation
30. Which lung has a horizontal fissure?
Alveolar and interstitial processes such as edema - fibrosis - and infection; large - space-occupying lesions; atelectasis; pleural effusion; and pneumothorax
right
2 - each wavelength is partially absorbed by hemoglobin
Portable antero-posterior (AP) view
31. The trachea bifurcates into its mainstem bronchi at the level of...
10 to 11 cm long and about 2 cm in diameter
No respiration for > 20 seconds
The sternal angle of Louis anteriorly - and the T4 spinous process posteriorly
Diffusion
32. Flow-Volume Curve: On a normal graph - the flow-volume curve is...
The rib above it
Shaped like a sail - rising rapidly to a sharp peak - then descending in a straight line at about a 45˚ angle
Ventilation
80 to 120% of predicted value
33. Expiratory stridor indicates
Functional residual capacity (FRC)
Obstruction below the vocal cords (subglottic or tracheal obstruction)
Inside of the thoracic cavity wall and the upper surface of the diaphragm
Obstructive lung disease from restrictive lung disease
34. The primary muscles of respiration are the...
Diaphragm and the intercostal muscles
right and left mainstem bronchi
Partial pressure of oxygen (PO2) - Bohr effect of pH - Temperature
Terminal - and ultimately into respiratory bronchioles so small that each is associated with one acinus
35. Airway resistance refers to...
Inside of the thoracic cavity wall and the upper surface of the diaphragm
Expiration
Pneumonia - obstructive lung disease - and late pulmonary edema
Pressure required to drive air through the airways
36. Cyanosis
Perfusion
Dullness replaces resonance
Alveoli to the blood
Blue or bluish-gray discoloration of the skin or mucous membranes
37. PaCO2
right
Partial pressure of CO2 in the arterial blood
Blue or bluish-gray discoloration of the skin or mucous membranes
A good effort
38. The acini consist of the...
The volume of air left in the lungs after maximal expiration that cannot be exhaled due to the limit of elasticity - or because of the trapping of air in disease states
reduced in size - compared with a normal curve - due to lower lung volume
respiratory bronchioles - alveolar ducts - alveolar sacs - and alveoli
Bicarbonate
39. An SaO2 of 90% correlates with a PaO2 as low as 59 and requires
Increase the intrathoracic space
Immediate oxygenation with or without intubation
Spirometry
Blue or bluish-gray discoloration of the skin or mucous membranes
40. Normal lung sounds
Binding of O2 to Hb
Vesicular breath sounds - Bronchiovesicular breath sounds - Bronchial breath sounds
The total amount of air in the lungs at the end of a maximal inhalation
5 years - to detect obstruction and determine its reversibility
41. 20.95% Atmospheric Composition
Either inspiration or expiration
Wheezes - high-pitched - musical sounds - distinct whistling quality
Air to move from the upper airway to the farthest alveolar reaches
Oxygen (O2)
42. Patients with obstructive disease have normal
Lung volumes - but find it difficult to exhale rapidly
A pulsatile blood flow - therefore it may be inaccurate in situations that result in peripheral vasoconstriction
Either inspiration or expiration
Immediate oxygenation with or without intubation
43. Egophony
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44. Hyperventilation is defined as
A good effort
Keep the body adequately supplied with oxygen and protected from excess accumulation of carbon dioxide
Increased minute volume ventilation - which results in a lowered carbon dioxide level
Blood to the alveoli
45. FIO2
Ventilation - Diffusion - Perfusion
Inside of the thoracic cavity wall and the upper surface of the diaphragm
Fraction (%age) of inspired oxygen
release of O2 from Hb
46. Obstructive Disease: Expiratory airflow is reduced more than
70% occlusion of the airway
Dyspnea that awakens the patient several hours after going to sleep
Left upper lobe
Expiratory volume - and there is a prolonged expiratory time
47. Simple - objective - noninvasive diagnostic test can be performed with relative ease on patients who present with respiratory-related symptoms
Increased minute volume ventilation - which results in a lowered carbon dioxide level
Larger airways
Spirometry
Partial pressure of carbon dioxide in the alveoli
48. What chest radiography is used for unstable patients or those unable to stand during the X-ray?
Partial pressure of oxygen in the alveoli
Altering the respiratory rate and/or the tidal volume
Shaped like a sail - rising rapidly to a sharp peak - then descending in a straight line at about a 45˚ angle
Portable antero-posterior (AP) view
49. The visceral pleura lines the...
Postero-anterior (PA) and lateral view series
Anemia - since the oxygen saturation at which cyanosis becomes clinically apparent is a function of hemoglobin concentration
Outer surface of each lung
Increase the intrathoracic space
50. Obstructive disease refers to...
Larger airways
Fraction (%age) of inspired oxygen
An increase in airway resistance as a result of a reduction of elastic recoil and /or compromise of the air passage
Right
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