問題一覧
1
Relieved by nitroglycerin (30 sec to 1 min)
stable angina
2
Comes on at the same heart rate and blood pressure and is relieved by rest (lasts only a few minutes)
stable angina
3
Not palpable
stable angina
4
Associated with feelings of doom, cold sweats, SOB
stable angina
5
Often seen with ST-segment depression
stable angina
6
Chest wall pain
nonanginal discomfort
7
Occurs any time; lasts for hours
nonanginal discomfort
8
Muscle soreness, joint soreness, evoked by palpation or deep breaths
nonanginal discomfort
9
Minimal additional symptoms
nonanginal discomfort
10
No ST-segment depression
nonanginal discomfort
11
Absence of ventilation
apnea
12
Apnea with concomitant mouth opening and closing
fish mouth
13
Associated with neck extension and bradypnea
fish mouth
14
Normal rate, normal depth, regular rhythm
eupnea
15
Slow rate, shallow or normal depth, regular rhythm
bradypnea
16
Associated with drug overdose
bradypnea
17
Fast rate, shallow depth, regular rhythm
tachypnea
18
Associated with RLD
tachypnea
19
Normal rate, increased depth, regular rhythm
hyperpnea
20
Increasing then decreasing depth, period of apnea interspersed
cheyne strokes
21
Somewhat regular rhythm
cheyne strokes
22
Associated with critically ill patients
cheyne strokes
23
Slow rate, shallow depth, apneic periods, irregular rhythm
biot’s
24
Associated with central nervous system disorders like meningitis
biot’s
25
Slow rate, deep inspiration followed by apnea, irregular rhythm
apneustic
26
Associated wuth brainstem disorders
apneustic
27
Fast inspiration, slow and prolonged expiration yet normal rate, depth and regular rhythm
prolonged expiration
28
Associated with obstructive lung disease
prolonged expiration
29
Difficulty breathing in postures other than erect
orthopnea
30
Fast rate, increased depth, regular rhythm
hyperventilation
31
Results in decreased arterial carbon dioxide, tension
hyperventilation
32
Called Kussmaul breathing in metabolic acidosis
hyperventilation
33
Also associated with central nervous system disorders like encephalitis
hyperventilation
34
Normal rate, regular intervals of sighing
psychogenic dyspnea
35
Associated with anxiety
psychogenic dyspnea
36
Ralid rate, shallow depth, regular rhythm
dyspnea
37
Associated with accessory muscle activity
dyspnea
38
Normal rate and rhythm
doorstop
39
Characterized by abrupt cessation of inspiration when restriction is encountered
doorstop
40
Assiciated with pleurisy
doorstop
41
Sore throat, runny nose, runny eyes
nonspecific
42
Acute lung infection; tracheibronchitis
nonspecific
43
Proceedes by an earlier, painful, nonproductive cough associated with an upper respiratory tract infection
productive
44
Lobar pneumonia
productive
45
Acute bronchitis
dry or productive
46
Bronchopneumonia
dry or productive
47
Flu like syndrome
paroxysmal
48
Acute exacerbation of chronic bronchitis
purulent sputum
49
Chronic bronchitis
productive for more than 3 mos consecutively and for atleast 2 years
50
Long standing problem
foul smelling, copious, layered purulent sputum
51
Bronchiectasis
foul smelling, copious, layered purulent sputum
52
Month long
blood tinged sputum
53
Mucoid or blood stained sputum
paroxysmal
54
TB or fungal infection
blood tinged sputum
55
Pneumonitis, interstitial fibrosis, pulmonary infiltrates
persistent, nonproductive
56
Smoking history, injected pharynx
persistent, minimally productive
57
Smoker’s cough
persistent, minimally productive
58
Long standing
nonspecific, minimal hemoptysis
59
Neoplastic disease
nonspecific, minimal hemoptysis
60
Long standing, dyspnea
nonproductive
61
Mediastinal neoplasm
nonproductive
62
Aortic aneurysm
brassy
63
Sudden, onset at the same yine as signs of aphyxia
violent cough
64
Localized wheezing
violent cough
65
Aspiration of foreign body
violent cough
66
Worsens in supine position, dyspnea
frothy sputum
67
Heart failure, pulmonary edema
frothy sputum
68
Sudden; simultaneous dyspnea; pleural effusion
hemoptysis
69
Pulmonary infarct
hemoptysis
70
CORRECT
placing bell or diaphragm directly against the chest wall, keeping tubing free from contact with any objects during auscultation, turning television or radio off, wetting chest hair before auscultation if thick, asking alert patient to sit up; rolling comatose patient onto side to auscultate posterior lobes
71
DECREASED BREATH SOUND
hyperinflation in COPD, hypoinflation in acute lung disease
72
ABSENT BREATH SOUNF
pleural effusion, pneumothorax, severe hyperinflation, obesity
73
BROCHIAL BREATH SOUND
consolidation, atelectasis
74
CRACKLES BREATH SOUND
secretions, deflation
75
WHEEZES BREATH SOUND
diffuse airway obstruction, localized stenosis
76
monophasic
deflation
77
Biphasic
secretion
78
Diffuse airway obstruction
polyphonic
79
Localized stenosis
monophonic
80
Mediastinal emphysema
crunch
81
Pleural inflammation or reaction
pleural rub
82
Pericardial inflammation
pericardial rub
83
DECREASED VOICE SOUND
atelectasis, pleural effusion, pneumothorax
84
INCREASED VOICE SOUND
consolidation, pulmonary fibrosis