NSG 6020 Midterm Exam Questions
With Complete Solutions
/.What age does bronchiolitis occur? - Answer-✅most common at age 6 months- does
not occur after age 2
/.main symptom of bronchiolitis - Answer-✅wheezing-lasts about 7 days
/.most common cause of bronchiolitis - Answer-✅RSV
/.Treatment for bronchiolitis - Answer-✅No specific treatment
/.Order of lung exam - Answer-✅inspect, palpate, percuss, auscultate
/.Pectus Excavatum - Answer-✅congenital posterior displacement of lower aspect of
sternum
-hollowed-out appearance
-concave appearance of lower sternum
/.Pectus carinatum - Answer-✅at birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth spurt
-convex deformity
-97% have MVP
/.Barrel Chest - Answer-✅associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well as
diaphragmatic flattening
/.Tactile fremitus - Answer-✅palpable vibrations of the bronchiopulmonary tree as the
patient is speaking (99 or 1-2-3)
-impeded in COPD, pulm effusion or pneumothorax
-increased in consolidation and PNA
/.percussion:
flatness - Answer-✅(thigh)
Large Pleural effusion
/.Percussion- dullness - Answer-✅(liver)
Lobar PNA
, /.Percussion: resonance - Answer-✅(Lung)
simple chronic bronchitis
/.Percussion: hyperresonance - Answer-✅None
-emphysema, pneumothorax
/.Percussion: tympany - Answer-✅(gastric bubble)
-large pneumothorax
/.Auscultation: vesicular - Answer-✅soft and low pitched; usually heard over most of
both lungs
/.Auscultation: bronchial - Answer-✅louder and higher in pitch; usually heard over the
manubrium
/.Auscultation: bronchovesicular - Answer-✅intermediate intensity and pitch; usually
heard over the 1st and 2nd interspaces
/.Auscultation: tracheal - Answer-✅over the trachea and neck, very loud
/.Rhonchi - Answer-✅low-pitched snore-like sounds, often characterized by secretions
w/in the large airways
-sometimes cleared with a cough
/.Wheezes - Answer-✅continuous, high-pitched, musical, sounds that are produced by
air flowing through narrowed bronchi
-predominately expiratory
/.stridor - Answer-✅loud, rough, continuous, high-pitched sound that is pronounced
during inspiration
-indicates proximal airway obstruction
/.absent/attenuated sounds - Answer-✅NO airflow to the region being auscultated
-can occur in a pneumothorax, hemothorax, pleural effusion, or parenchymal
consolidation
/.Crackles - Answer-✅intermittent, nonmusical, very brief, more pronounced during
inspiration
-fine or course
fine (softer, higher in pitch)
course (louder, lower in pitch)
/.Bronchophony - Answer-✅ask pt to say "99"
With Complete Solutions
/.What age does bronchiolitis occur? - Answer-✅most common at age 6 months- does
not occur after age 2
/.main symptom of bronchiolitis - Answer-✅wheezing-lasts about 7 days
/.most common cause of bronchiolitis - Answer-✅RSV
/.Treatment for bronchiolitis - Answer-✅No specific treatment
/.Order of lung exam - Answer-✅inspect, palpate, percuss, auscultate
/.Pectus Excavatum - Answer-✅congenital posterior displacement of lower aspect of
sternum
-hollowed-out appearance
-concave appearance of lower sternum
/.Pectus carinatum - Answer-✅at birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth spurt
-convex deformity
-97% have MVP
/.Barrel Chest - Answer-✅associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well as
diaphragmatic flattening
/.Tactile fremitus - Answer-✅palpable vibrations of the bronchiopulmonary tree as the
patient is speaking (99 or 1-2-3)
-impeded in COPD, pulm effusion or pneumothorax
-increased in consolidation and PNA
/.percussion:
flatness - Answer-✅(thigh)
Large Pleural effusion
/.Percussion- dullness - Answer-✅(liver)
Lobar PNA
, /.Percussion: resonance - Answer-✅(Lung)
simple chronic bronchitis
/.Percussion: hyperresonance - Answer-✅None
-emphysema, pneumothorax
/.Percussion: tympany - Answer-✅(gastric bubble)
-large pneumothorax
/.Auscultation: vesicular - Answer-✅soft and low pitched; usually heard over most of
both lungs
/.Auscultation: bronchial - Answer-✅louder and higher in pitch; usually heard over the
manubrium
/.Auscultation: bronchovesicular - Answer-✅intermediate intensity and pitch; usually
heard over the 1st and 2nd interspaces
/.Auscultation: tracheal - Answer-✅over the trachea and neck, very loud
/.Rhonchi - Answer-✅low-pitched snore-like sounds, often characterized by secretions
w/in the large airways
-sometimes cleared with a cough
/.Wheezes - Answer-✅continuous, high-pitched, musical, sounds that are produced by
air flowing through narrowed bronchi
-predominately expiratory
/.stridor - Answer-✅loud, rough, continuous, high-pitched sound that is pronounced
during inspiration
-indicates proximal airway obstruction
/.absent/attenuated sounds - Answer-✅NO airflow to the region being auscultated
-can occur in a pneumothorax, hemothorax, pleural effusion, or parenchymal
consolidation
/.Crackles - Answer-✅intermittent, nonmusical, very brief, more pronounced during
inspiration
-fine or course
fine (softer, higher in pitch)
course (louder, lower in pitch)
/.Bronchophony - Answer-✅ask pt to say "99"
