問題一覧
1
General appearance includes jugular vein engorgement and level of awareness
true
2
General appearance includes
hypertrophy at use at rest: SCM and upper trapezius, supraclavicular or intercostal retraction during inspiration, peripheral edema, clubbig of digits, use of pursued lip breathing
3
Symmetry of chest and trunk
chest shape and dimension analysis
4
Level of awareness
general appearance
5
Supraclavicular or intercostal retraction during inspiration
general appearance
6
Hypertrophy or use at rest of accessory muscles of ventilation
general appearance
7
Peripheral edema
general appearance
8
Mobility of trunk
chest shape and dimension analysis
9
Funnel breast
pectus excavatum
10
Pigeon breast
pectua carinatum
11
Air=solid
resonant
12
Normal
resonant
13
Air<solid
hyporesonant
14
Dull, flat, thud-like sound
hyporesonant
15
Restrictive lung disease
hyporesonant
16
Air>solid
hyperresonant
17
COPD
hyperresonant
18
Tympanic
hyperresonant
19
Chest wall pain
palpation
20
Mediastinal shift
palpation
21
Same side of lesion
pneumonectomy, atelectasis
22
Away from side of lesion
hemothorax, pneumothorax
23
E > I
bronchial
24
I > E
vesicular
25
I = E
tracheal, bronchovesicular
26
Adjacent to trachea
bronchial
27
All lung fields
vesicular
28
Trachea
tracheal
29
Over the primary bronchi
bronchovesicular
30
Intermittent popping, may be coarse or fine
crackles or rales
31
Continuous, may be high or low pitch
wheeze or rhonchi
32
Harsh, coarse wheeze that may occur both during I and E
stridor
33
Low pitch creaking most often heard during I
pleural friction rub
34
Gurgling of saliva and bronchial secretion
death rattle
35
99 procedure
bronchophony, tactile fremitus
36
Muffled 99
bronchophony
37
Clear, crisp 99
bronchophony
38
E procedure and normal findings
egophony
39
A abnormal findings
egophony
40
Whispers E or 1,2,3
whispered pectoriloquy
41
Absent sound for normal findings
whispered pectoriloquy
42
Audible E or 1,2,3 for abnormal findings
whispered pectoriloquy
43
Customary vibration
tactile fremitus
44
Increased and decreased abnormal findings
tactile fremitus
45
Components of cough
deep inhale, inspiratory hold, forceful cough
46
Components of cough
cough assessment and production
47
Sputum assessment
cough assessment and production
48
Sputum assessment
color, consistency, amount, odor
49
Hemoptysis
red
50
TB
red
51
Purulent
green
52
Infection with pus
green
53
Infection without pus
yellow
54
Neoplasm
purple
55
Emphysema
gray
56
Pulmonary edema
pink frothy
57
Pneumonia
rusty
58
Cystic fibrosis
fetid
59
White, foul smelling
fetid
60
Very viscous
thick tenacious
61
Highly viscous
fetid
62
Asthmatic bronchitis
thick tenacious
63
Carbon particle
flecked
64
Pneumoconiosis
flecked
65
Incentive spirometer
prob with deep inhale
66
Diaphragmatic breathing
prob with deep inhale
67
Stacked breaths
prob with deep inhale
68
Progressive volume breaths
prob with deep inhale
69
Facilitated segmental breaths
prob with deep inhale
70
Assisted coughs
secondary to muscle weakness
71
Positioning and compensatory strategies
secondary to muscle weakness
72
Secondary to pain
huff, splint, stacked cough, progressive force coughs
73
Expiratory focused exercises
pursued lip breathing, expiratory prompts
74
May be the only means of clearing the airways in patients who are unable to cough or huff voluntarily
endotracheal suctioning
75
Only clears the trachea and the mainstem bronchi
endotracheal suctioning
76
an expiratory impairment
COPD
77
Chronic (potentially productive) cough
COPD
78
Characteristic musculoskeletal changes
COPD
79
An inspiratory impairment
RLD
80
Emaciated appearance
RLD
81
COPD common pathologies
asthma, chronic bronchitis, emphysema, bronchiectasis, cystic fibrosis
82
RLD common pathologies
fibrotic diseases, sarcoidosis, acute respiratory distress syndrome, pleural effusion, pulmonary edema, pneumonia, tuberculosis, sequelae secondary to musculoskeletal and neuromuscular endurance