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Test your basic knowledge |
Pulmonology
Start Test
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
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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. Paroxysmal nocturnal dyspnea (PND) is...
Brief - discrete - non-musical sounds with a popping quality
Dyspnea that awakens the patient several hours after going to sleep
Outer surface of each lung
Total lung capacity (TLC)
2. Coarse crackles are...
Bicarbonate
Inside of the thoracic cavity wall and the upper surface of the diaphragm
Decreased pressure
Louder - lower-pitched - and slightly longer in duration
3. Spirometry: The result is stated as
Soft - high-pitched and crisp
A percentage of predicted values - which are derived from normal individuals grouped by gender - age - and height
Spirometry in the diagnosis - severity staging - and monitoring of these conditions
A reduction in lung capacity - secondary to scarring or extraneous material
4. residual volume
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
2 - each wavelength is partially absorbed by hemoglobin
Spirometry
Shaped like a sail - rising rapidly to a sharp peak - then descending in a straight line at about a 45˚ angle
5. a visible and palpable angulation of the sternum - and the point at which the second rib articulates with the sternum
Manubrio-sternal junction (angle of Louis)
Brief - discrete - non-musical sounds with a popping quality
Right
An increase in airway resistance as a result of a reduction of elastic recoil and /or compromise of the air passage
6. Obstructive Disease: Expiratory airflow is reduced more than
Air to move from the upper airway to the farthest alveolar reaches
Blood to the alveoli
Expiratory volume - and there is a prolonged expiratory time
A tracing of the lung volume against time in seconds
7. The most reliable site for detecting central cyanosis is the...
No
Wheezes - high-pitched - musical sounds - distinct whistling quality
Tongue
Inspiration
8. Coarse crackles result from
Pressure required to drive air through the airways
70%
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
Air bubbles flowing through secretions or slightly closed airways during respiration
9. Internationally recognized guidelines for management of asthma and COPD recommend the use of...
Spirometry in the diagnosis - severity staging - and monitoring of these conditions
Excessive secretions and abnormal airway collapsibility
Anemia - since the oxygen saturation at which cyanosis becomes clinically apparent is a function of hemoglobin concentration
Perfusion
10. Egophony
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11. normal subjects expel approximately how much of the FVC in the 1st second?
'scooped out' or bowl-shaped
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
Functional residual capacity (FRC)
80%
12. 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
respiratory bronchioles - alveolar ducts - alveolar sacs - and alveoli
Tongue
right and left mainstem bronchi
13. Inspiratory stridor indicates
right and left mainstem bronchi
10 to 11 cm long and about 2 cm in diameter
70%
A site of obstruction above the vocal cords (supraglottic or glottic obstruction)
14. Abnormal lung sounds are classified as
Either continuous or discontinuous
Diaphragm - External Intercostals
Postero-anterior (PA) and lateral view series
Internal Intercostals - Internal and External Obliques - Transversus Abdominis
15. the lingula is analogous to...
The right middle lobe
Alveoli to the blood
A reduction in lung capacity - secondary to scarring or extraneous material
A good effort
16. Obstructive disease refers to...
Air bubbles flowing through secretions or slightly closed airways during respiration
Excessive secretions and abnormal airway collapsibility
An increase in airway resistance as a result of a reduction of elastic recoil and /or compromise of the air passage
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
17. Pulse Oximetry does not detect
Hypoventilation or modest changes in the PaO2
Blood to the alveoli
The negative logarithm of hydrogen ions in the blood
A percentage of predicted values - which are derived from normal individuals grouped by gender - age - and height
18. inspiratory reserve
50%
Vesicular breath sounds - Bronchiovesicular breath sounds - Bronchial breath sounds
Left upper lobe
The amount of air that can be inhaled after normal inspiration
19. The purpose of respiration is to...
Diaphragm and the intercostal muscles
Larger airways
An increase in airway resistance as a result of a reduction of elastic recoil and /or compromise of the air passage
Keep the body adequately supplied with oxygen and protected from excess accumulation of carbon dioxide
20. The active movement of gases between the ambient air and the lungs
The total amount of air that can be exhaled following a maximal inhalation
Ventilation
80 to 120% of predicted value
Alveoli to the blood
21. Which bronchus is wider - shorter - and more vertically placed?
The gas in the conducting airways does not participate in alveolar exchange
Number of pillows the patient uses for sleeping - or by the fact that the patient needs to sleep sitting up
Right
10 to 11 cm long and about 2 cm in diameter
22. The use of accessory muscles (contraction of the sternocleidomastoid or supraclavicular muscles during inspiration) indicates
Either inspiration or expiration
respiratory rate and rhythm - the depth of breathing - and the relative amount of time spent in inspiration and expiration
Increased work of breathing
5 years - to detect obstruction and determine its reversibility
23. The trachea divides into right and left mainstem bronchi At what level?
Interstitial diseases or early pulmonary edema
T4 or T5 - and just below the manubrio-sternal joint
The amount of air that can be inhaled after normal inspiration
Carboxyhemoglobin
24. The normal FEV1 /FVC ratio is...
70%
Carboxyhemoglobin
Decreased Hb-O2 affinity
Wheezes - high-pitched - musical sounds - distinct whistling quality
25. Cyanosis is caused by
Pressure required to drive air through the airways
Tongue
Increased amounts of unsaturated hemoglobin in capillary blood
Difficulty breathing or shortness of breath
26. FIO2
To assess response to treatment
Anemia - since the oxygen saturation at which cyanosis becomes clinically apparent is a function of hemoglobin concentration
500 to 800 mL
Fraction (%age) of inspired oxygen
27. The trachea is how long/wide?
From insufficient cardiac output - obstruction of blood flow - or vasoconstriction due to cold temperature
Perfusion
10 to 11 cm long and about 2 cm in diameter
Oxygen-Hemoglobin Dissociation Curve
28. increased volume results in
'crackles' or 'rales'
Observing the pattern of breathing
Decreased pressure
Perfusion
29. dead space ventilation
Right
Pneumonia - obstructive lung disease - and late pulmonary edema
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
The gas in the conducting airways does not participate in alveolar exchange
30. Fine crackles are...
50%
Altering the respiratory rate and/or the tidal volume
Soft - high-pitched and crisp
Lowered carbon dioxide level - results from hyperventilation
31. Abnormal lung sounds AKA
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32. Central cyanosis results from
Insufficient oxygenation of hemoglobin in the lungs
Pneumonia - obstructive lung disease - and late pulmonary edema
Blood to the alveoli
Interstitial diseases or early pulmonary edema
33. Oxygen moves from the...
Alveoli to the blood
10 to 11 cm long and about 2 cm in diameter
respiratory rate and rhythm - the depth of breathing - and the relative amount of time spent in inspiration and expiration
Decreased pressure
34. Spirometry normal range
Expiratory volume - and there is a prolonged expiratory time
Soft - high-pitched and crisp
80 to 120% of predicted value
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
35. Examples of obstructive disease
Binding of O2 to Hb
Chronic obstructive pulmonary disease (COPD) - chronic bronchitis - emphysema - and asthma
Functional residual capacity (FRC)
Sternocleidomastoid - Scalene Muscles
36. Which bronchus is more susceptible to aspiration of foreign bodies?
Diaphragm and the intercostal muscles
respiratory bronchioles - alveolar ducts - alveolar sacs - and alveoli
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
Right
37. The vital capacity and the residual volume together constitute the...
The sternal angle of Louis anteriorly - and the T4 spinous process posteriorly
Insufficient oxygenation of hemoglobin in the lungs
Total lung capacity (TLC)
Vesicular breath sounds - Bronchiovesicular breath sounds - Bronchial breath sounds
38. What is the potential space between the visceral and parietal pleurae?
Altering the respiratory rate and/or the tidal volume
Pleural space
80 to 120% of predicted value
Upper respiratory obstruction - usually in the trachea or larynx
39. Pectoriloquy
The gas in the conducting airways does not participate in alveolar exchange
The sternal angle of Louis anteriorly - and the T4 spinous process posteriorly
80 to 120% of predicted value
The examiner can clearly distinguish the word that the pt speak or whispers
40. The diaphragm contracts and moves downward during inspiration - lowering the abdominal contents to...
A site of obstruction above the vocal cords (supraglottic or glottic obstruction)
Number of pillows the patient uses for sleeping - or by the fact that the patient needs to sleep sitting up
Increase the intrathoracic space
Inspiration
41. The primary muscles of respiration are the...
Interstitial diseases or early pulmonary edema
Diaphragm and the intercostal muscles
The total amount of air in the lungs at the end of a maximal inhalation
Number of pillows the patient uses for sleeping - or by the fact that the patient needs to sleep sitting up
42. Bohr Effect of pH: right shift
Decreased Hb-O2 affinity
Louder - lower-pitched - and slightly longer in duration
There is an inverse relationship between pressure and volume
Contracts
43. Pulse oximetry determines the percent of hemoglobin saturated with oxygen by way of...
A sensor placed over a translucent area of arterial pulsation
Wheezes - high-pitched - musical sounds - distinct whistling quality
Diaphragm and the intercostal muscles
Increased work of breathing
44. Bronchial breath sounds
Partial pressure of O2 in the arterial blood
Increased work of breathing
Right
Louder and higher in pitch - with a short silence between inspiratory and expiratory sounds - the expiratory phase lasting longer than inspiratory phase
45. 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
Increased amounts of unsaturated hemoglobin in capillary blood
Pulse oximetry
Upper respiratory obstruction - usually in the trachea or larynx
Louder - lower-pitched - and slightly longer in duration
46. Boyle's Gas Law
Diffusion
Diaphragm - External Intercostals
There is an inverse relationship between pressure and volume
Ventilation - Diffusion - Perfusion
47. forced vital capacity (FVC)
Altering the respiratory rate and/or the tidal volume
Either continuous or discontinuous
Larger airways
The maximum volume of air that can be expelled from the lungs following a maximal inspiration - performed as rapidly and forcefully as possible
48. Oximetry readings of < 94%
Wheezes - high-pitched - musical sounds - distinct whistling quality
T4 or T5 - and just below the manubrio-sternal joint
release of O2 from Hb
require supplemental oxygenation and possibly ABG analysis
49. The interspace between two ribs (intercostal space) is numbered by
Dyspnea that awakens the patient several hours after going to sleep
Acinus
There is an inverse relationship between pressure and volume
The rib above it
50. tidal volume (Vt)
The volume of air inhaled and exhaled with each resting breath during normal - quiet breathing
The spoken sound 'ee' as in 'bee' is heard by the ascultator as the 'a' in 'bay'
respiratory bronchioles - alveolar ducts - alveolar sacs - and alveoli
Air to move from the upper airway to the farthest alveolar reaches
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