Nurp 532 Week 11 Respiratory Exam Ques ons and
answers | Updated RATED A+ NEW
Most common cause of PE?
DVT
redness, swelling, warmth, and pain usually in the calf; caused by blood stagna on
DVT
_______% of emboli will cause infarc on
10%
Risk factors for DVT:
cancer, immobiliza on, pregnancy, medica ons, obesity, blood clo(ng disorder, infec on,
autoimmune disorder, smoking, afib/MI
S/S of PE; can by asymptoma c:
other signs include:
pleuri c chest pain, cough, fever, tachypnea, tachycardia, any other symptoms of DVT
What are the two most sensi ve and classic signs for PE?
tachypnea and dyspnea
EXAM: _____________
tachycardia
hypotension
fever
respiratory distress
rales or decreased breath sound
calf swelling and tenderness
PE
What tests would you perform if concerned for PE?
,cxr
EKG
O2 levels
ven la on/perfusion lung scan
thrombophilia tes ng
labs for an coagula on studies
This test has limita ons when a6emp ng to dx PE
high sensi vity but low specificity (poor), can get false posi ves
D-Dimer
Nega ve D-Dimer=
unlikely PE
Posi ve D-Dimer=
not always a PE
_____________ score and _____________ score are used in primary care to help determine if
the pa ent has a low, intermediate, or high probability for having a PE and will help determine
the plan of care
Wells Score and Geneva Score
Based on Wells and Geneva Score a low or intermediate score you should proceed with:
D-dimer, if posi ve go ahead with CT angiogram
Based on Wells and Geneva Score a high score indicates what next steps?
skip d-dimer and proceed immediately to the CT angiography
When dx PE, use Wells criteria first, if low risk good to use ________ rule
PERC
To dx PE you must follow up a pos ve d-dimer with what for defini ve dx?
Chest CT
upper airway obstruc on in children, acute inflamma on of the larynx, trachea, and the
bronchi, also known as laryngotracheobronchi s
CROUP
, Croup is commonly caused by what virus?
parainfluenza virus
Croup is common for ages ____ and _____ months, up to _____ years of age
3 and 36 months, up to 6 years of age
croup typically lasts ______ days and intercostal retrac ons are present
5 days
S/S of ______________:
low grade fever
nasal drainage
dyspnea
hoarseness
inspiratory stridor
worsening symptoms at night
seal barking cough
Croup
_____________ stridor is caused by pathology at or above the level of the vocal cors
inspiratory stridor
____________ stridor is caused by pathology below level of vocal cords
expiratory stridor
Laryngomalacia
vocal cord paralysis
Exam: ______________
respiratory distress
listening for the cough
the exam determines the severity of symptoms
lungs should be clear MAYBE some wheezing
Croup
STEEPLE sign=
answers | Updated RATED A+ NEW
Most common cause of PE?
DVT
redness, swelling, warmth, and pain usually in the calf; caused by blood stagna on
DVT
_______% of emboli will cause infarc on
10%
Risk factors for DVT:
cancer, immobiliza on, pregnancy, medica ons, obesity, blood clo(ng disorder, infec on,
autoimmune disorder, smoking, afib/MI
S/S of PE; can by asymptoma c:
other signs include:
pleuri c chest pain, cough, fever, tachypnea, tachycardia, any other symptoms of DVT
What are the two most sensi ve and classic signs for PE?
tachypnea and dyspnea
EXAM: _____________
tachycardia
hypotension
fever
respiratory distress
rales or decreased breath sound
calf swelling and tenderness
PE
What tests would you perform if concerned for PE?
,cxr
EKG
O2 levels
ven la on/perfusion lung scan
thrombophilia tes ng
labs for an coagula on studies
This test has limita ons when a6emp ng to dx PE
high sensi vity but low specificity (poor), can get false posi ves
D-Dimer
Nega ve D-Dimer=
unlikely PE
Posi ve D-Dimer=
not always a PE
_____________ score and _____________ score are used in primary care to help determine if
the pa ent has a low, intermediate, or high probability for having a PE and will help determine
the plan of care
Wells Score and Geneva Score
Based on Wells and Geneva Score a low or intermediate score you should proceed with:
D-dimer, if posi ve go ahead with CT angiogram
Based on Wells and Geneva Score a high score indicates what next steps?
skip d-dimer and proceed immediately to the CT angiography
When dx PE, use Wells criteria first, if low risk good to use ________ rule
PERC
To dx PE you must follow up a pos ve d-dimer with what for defini ve dx?
Chest CT
upper airway obstruc on in children, acute inflamma on of the larynx, trachea, and the
bronchi, also known as laryngotracheobronchi s
CROUP
, Croup is commonly caused by what virus?
parainfluenza virus
Croup is common for ages ____ and _____ months, up to _____ years of age
3 and 36 months, up to 6 years of age
croup typically lasts ______ days and intercostal retrac ons are present
5 days
S/S of ______________:
low grade fever
nasal drainage
dyspnea
hoarseness
inspiratory stridor
worsening symptoms at night
seal barking cough
Croup
_____________ stridor is caused by pathology at or above the level of the vocal cors
inspiratory stridor
____________ stridor is caused by pathology below level of vocal cords
expiratory stridor
Laryngomalacia
vocal cord paralysis
Exam: ______________
respiratory distress
listening for the cough
the exam determines the severity of symptoms
lungs should be clear MAYBE some wheezing
Croup
STEEPLE sign=
