QUESTIONS & VERIFIED
ANSWERS
Inspiratory sounds - correct answer ✔✔A mother brings her infant to you because of a "rattle"
in his chest with breathing. Which of the following would you hear if there were a problem in
the upper airway?
Acute viral upper respiratory infection - correct answer ✔✔All of the following produce a
chronic cough except:
Chronic Bronchitis
Allergic Rhinitis
Acute viral upper respiratory infection
Pneumonia - correct answer ✔✔A 47-year-old receptionist comes to your office, complaining of
fever, shortness of breath, and a productive cough with golden sputum. She says she had a cold
last week and her symptoms have only gotten worse, despite using over-the-counter cold
remedies. She denies any weight gain, weight loss, or cardiac or gastrointestinal symptoms. Her
past medical history includes type 2 diabetes for 5 years and high cholesterol. She takes an oral
medication for both diseases. She has had no surgeries. She denies tobacco, alcohol, or drug
use. Her mother has diabetes and high blood pressure. Her father passed away from colon
cancer. On examination you see a middle-aged woman appearing her stated age. She looks ill
and her temperature is elevated, at 101. Her blood pressure and pulse are unremarkable. Her
head, eyes, ears, nose, and throat examinations are unremarkable except for edema of the
nasal turbinates. On auscultation she
Strike the pleximeter over the distal interphalangeal joint. - correct answer ✔✔Which of the
following is consistent with good percussion technique?
, Large Pneumothorax - correct answer ✔✔Which of the following conditions would produce a
hyperresonant percussion note?
Vesicular - correct answer ✔✔Which of the following is a normal physiological lung sound?
Vesicular
Stridor
Wheezing
Rhonchi
Heart Failure - correct answer ✔✔A patient complains of shortness of breath for the past few
days. On examination, you note late inspiratory crackles in the lower third of the chest that
were not present a week ago. What is the most likely explanation for these?
Left-sided heart failure - correct answer ✔✔A 60-year-old baker presents to your clinic,
complaining of increasing shortness of breath and nonproductive cough over the last month.
She feels like she can't do as much activity as she used to do without becoming tired. She even
has to sleep upright in her recliner at night to be able to breathe comfortably. She denies any
chest pain, nausea, or sweating. Her past medical history is significant for high blood pressure
and coronary artery disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She
is married and is retiring from the local bakery soon. She denies any tobacco, alcohol, or drug
use. Her mother died of a stroke and her father died from prostate cancer. She denies any
recent upper respiratory illness, and she has had no other symptoms. On examination she is in
no acute distress. Her blood pressure is 160/100 and her pulse is 100. She is afebrile and her
respiratory rate is 16. With auscul
Orthopnea - correct answer ✔✔A male patient states that he has difficulty breathing when he is
lying down but when he sits up, it improves. This is a classic description of:
obstructive lung disease - correct answer ✔✔A patient states that the only way he can sleep at
night is to use several pillows or to sleep upright in a recliner. This sleep pattern is most
consistent with: