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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. gas exchange across the alveolar-pulmonary capillary membranes
Dyspnea upon assuming a recumbent position
Increased rate of breathing and is commonly associated with a decrease in tidal volume
Diffusion
2 - each wavelength is partially absorbed by hemoglobin
2. Restrictive disease refers to...
Hypoventilation or modest changes in the PaO2
Normal to increased FEV1%
Dyspnea that awakens the patient several hours after going to sleep
A reduction in lung capacity - secondary to scarring or extraneous material
3. An efficient approach to examination of the patient begins with
Observing the pattern of breathing
The total amount of air that can be exhaled following a maximal inhalation
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
Diffusion
4. 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
Partial pressure of oxygen (PO2)
The volume of air inhaled and exhaled with each resting breath during normal - quiet breathing
Saturated with oxygen or unsaturated
5. What change occurs when fluid or solid tissue replaces air-containing lung or occupies the pleural space beneath your percussing fingers?
Blue or bluish-gray discoloration of the skin or mucous membranes
Dullness replaces resonance
Hypoventilation or modest changes in the PaO2
A reliable and consistent classification of auditory findings
6. Rhonchi originate in the...
Air bubbles flowing through secretions or slightly closed airways during respiration
Spirometry
Larger airways
Partial pressure of oxygen (PO2) - Bohr effect of pH - Temperature
7. What is the potential space between the visceral and parietal pleurae?
The gas in the conducting airways does not participate in alveolar exchange
The examiner can clearly distinguish the word that the pt speak or whispers
Pleural space
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
8. Apnea is defined as
80%
Observing the pattern of breathing
No respiration for > 20 seconds
Expiratory airflow - the expiratory time is very short - and chest expansion is poor
9. During expiration - thoracic cavity volume decreases - and the intrapulmonary pressure becomes greater than
Alveolar and interstitial processes such as edema - fibrosis - and infection; large - space-occupying lesions; atelectasis; pleural effusion; and pneumothorax
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 atmospheric pressure
release of O2 from Hb - as heat is a by-product of metabolism.
10. vital capacity (VC)
Partial pressure of oxygen in the alveoli
The total amount of air that can be exhaled following a maximal inhalation
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
The rib above it
11. Fine crackles are heard in
Upper respiratory obstruction - usually in the trachea or larynx
Interstitial diseases or early pulmonary edema
Fraction (%age) of inspired oxygen
Inspiration
12. Chest Radiography: The most common chest X-ray series is the...
Diffusion
Postero-anterior (PA) and lateral view series
Cough
Inspiration
13. pH
The negative logarithm of hydrogen ions in the blood
Expiratory airflow - the expiratory time is very short - and chest expansion is poor
The sternal angle of Louis anteriorly - and the T4 spinous process posteriorly
Inflammation of the adjacent parietal pleura
14. Which lung has an oblique fissure?
Observing the pattern of breathing
Cough
right & left
A site of obstruction above the vocal cords (supraglottic or glottic obstruction)
15. Respiration involves
An area of higher concentration to that of a lower concentration passively - with no expenditure of energy
Ventilation - Diffusion - Perfusion
Either continuous or discontinuous
A good effort
16. The trachea bifurcates into its mainstem bronchi at the level of...
The sternal angle of Louis anteriorly - and the T4 spinous process posteriorly
Total lung capacity (TLC)
10 to 11 cm long and about 2 cm in diameter
Louder and higher in pitch - with a short silence between inspiratory and expiratory sounds - the expiratory phase lasting longer than inspiratory phase
17. Pectoriloquy
The examiner can clearly distinguish the word that the pt speak or whispers
PaCO2
Terminal - and ultimately into respiratory bronchioles so small that each is associated with one acinus
Difficulty breathing or shortness of breath
18. Resistance is dependent upon
A series of tiny explosions when small airways - deflated during expiration - pop open during inspiration
Acinus
Speed of airflow - the higher the flow - the greater the resistance
Interstitial diseases or early pulmonary edema
19. Rhonchi
A tracing of the lung volume against time in seconds
PaO2 is less than 40 mm Hg - and the unsaturated hemoglobin is 5 grams/dL
Continuous lung sound - lower-pitched - snoring sounds - may have a gurgling quality
Insufficient oxygenation of hemoglobin in the lungs
20. hypocapnia
Bicarbonate
Lowered carbon dioxide level - results from hyperventilation
The atmospheric pressure
Interstitial diseases or early pulmonary edema
21. Pulse oximetry determines the percent of hemoglobin saturated with oxygen by way of...
A sensor placed over a translucent area of arterial pulsation
A pulsatile blood flow - therefore it may be inaccurate in situations that result in peripheral vasoconstriction
Normal to increased FEV1%
Outer surface of each lung
22. Bohr Effect of pH: right shift
Decreased Hb-O2 affinity
Either inspiration or expiration
Hypoventilation or modest changes in the PaO2
The rib above it
23. Fine crackles are...
Diaphragm - External Intercostals
An increase in airway resistance as a result of a reduction of elastic recoil and /or compromise of the air passage
Soft - high-pitched and crisp
Dyspnea that awakens the patient several hours after going to sleep
24. Internationally recognized guidelines for management of asthma and COPD recommend the use of...
Spirometry
Spirometry in the diagnosis - severity staging - and monitoring of these conditions
A tracing of the lung volume against time in seconds
To assess response to treatment
25. Coarse crackles are heard in
Pneumonia - obstructive lung disease - and late pulmonary edema
Terminal - and ultimately into respiratory bronchioles so small that each is associated with one acinus
The maximum volume of air that can be expelled from the lungs following a maximal inspiration - performed as rapidly and forcefully as possible
Either inspiration or expiration
26. Continuous lung sounds often audible at the...
70% occlusion of the airway
Bronchospasm - mucosal edema - or excessive secretions
Pulse oximetry
Mouth as well as through the chest wall
27. The visceral pleura lines the...
respiratory bronchioles - alveolar ducts - alveolar sacs - and alveoli
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
require supplemental oxygenation and possibly ABG analysis
Outer surface of each lung
28. Restrictive Disease: Expiratory volume is reduced more than
Expiratory airflow - the expiratory time is very short - and chest expansion is poor
Observing the pattern of breathing
T4 or T5 - and just below the manubrio-sternal joint
Air-filled - fluid-filled - or solid
29. The circulatory system transport of oxygen to - and carbon dioxide from - the peripheral tissues
Obstructive lung disease from restrictive lung disease
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
The amount of air that can be exhaled after expiration
Perfusion
30. Bohr Effect of pH: left shift
Ventilation - Diffusion - Perfusion
Expiration
Overcome some of the problems associated with low blood flow to the probe site
Increased Hb-O2 affinity
31. residual volume
Diffusion
Either continuous or discontinuous
70% occlusion of the airway
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
32. Which lung has a horizontal fissure?
right
Obstruction below the vocal cords (subglottic or tracheal obstruction)
release of O2 from Hb
'scooped out' or bowl-shaped
33. Bronchiovesicular breath sounds
The total amount of air that can be exhaled following a maximal inhalation
respiratory bronchioles - alveolar ducts - alveolar sacs - and alveoli
Inspiratory and expiratory sounds - about equal in length - sometimes separated by a silent interval
Contracts
34. Central cyanosis results from
Either inspiration or expiration
A pulsatile blood flow - therefore it may be inaccurate in situations that result in peripheral vasoconstriction
A series of tiny explosions when small airways - deflated during expiration - pop open during inspiration
Insufficient oxygenation of hemoglobin in the lungs
35. Continuous lung sounds
Oxygen-Hemoglobin Dissociation Curve
Manubrio-sternal junction (angle of Louis)
Inspiration
Wheezes - high-pitched - musical sounds - distinct whistling quality
36. Auscultation of the chest depends on...
right
A reliable and consistent classification of auditory findings
Larger airways
Partial pressure of oxygen (PO2) - Bohr effect of pH - Temperature
37. Rhonchi are due to...
Partial pressure of carbon dioxide in the alveoli
Upper respiratory obstruction - usually in the trachea or larynx
Excessive secretions and abnormal airway collapsibility
Air bubbles flowing through secretions or slightly closed airways during respiration
38. The trachea is how long/wide?
10 to 11 cm long and about 2 cm in diameter
Blood to the alveoli
release of O2 from Hb - as heat is a by-product of metabolism.
Acinus
39. The spirometry printout usually includes
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183
40. At rest - the use of accessory muscles is a sign of...
The total amount of air that can be exhaled following a maximal inhalation
Significant pulmonary impairment
Either continuous or discontinuous
Either inspiration or expiration
41. Bohr Effect of pH is graphed as
Inspiration
The spoken sound 'ee' as in 'bee' is heard by the ascultator as the 'a' in 'bay'
Oxygen-Hemoglobin Dissociation Curve
Immediate oxygenation with or without intubation
42. The tracheo-bronchial tree is a tubular system that provides a pathway for
Contracts
Louder - lower-pitched - and slightly longer in duration
Inspiration
Air to move from the upper airway to the farthest alveolar reaches
43. Inspiratory stridor becomes evident at about
Portable antero-posterior (AP) view
Speed of airflow - the higher the flow - the greater the resistance
70% occlusion of the airway
Right
44. Coarse crackles result from
Diaphragm - External Intercostals
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
The amount of air that can be exhaled after expiration
Air bubbles flowing through secretions or slightly closed airways during respiration
45. total lung capacity (TLC)
The total amount of air in the lungs at the end of a maximal inhalation
Partial pressure of carbon dioxide in the alveoli
Total lung capacity (TLC)
Outer surface of each lung
46. Discontinuous lung sounds are...
Brief - discrete - non-musical sounds with a popping quality
Chronic obstructive pulmonary disease (COPD) - chronic bronchitis - emphysema - and asthma
Blood to the alveoli
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
47. Flow-Volume Curve: On a normal graph - the flow-volume curve is...
Inspiratory and expiratory sounds - about equal in length - sometimes separated by a silent interval
'crackles' or 'rales'
Shaped like a sail - rising rapidly to a sharp peak - then descending in a straight line at about a 45˚ angle
Lowered carbon dioxide level - results from hyperventilation
48. inspiratory reserve
Postero-anterior (PA) and lateral view series
The amount of air that can be inhaled after normal inspiration
Manubrio-sternal junction (angle of Louis)
A percentage of predicted values - which are derived from normal individuals grouped by gender - age - and height
49. Spirometry normal range
right & left
Partial pressure of oxygen in the alveoli
Ventilation
80 to 120% of predicted value
50. PaO2
Partial pressure of O2 in the arterial blood
'crackles' or 'rales'
70%
Inside of the thoracic cavity wall and the upper surface of the diaphragm
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