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