PEAT Series 2 Form B
A patient's skin distal to the mid-calf is darker than the skin proximal to the mid-calf. which of the
following examination techniques would MOST efficentyly screen for the expected dysfunction?
a. capillarily refill time
b. venous filling time
c. dorsalis pedis pulse
d. sensory filament testing - CORRECT ANSWER ✔✔✔ b. venous filling time
the pt presents with venous insufficency
which of the following ranges for respiratory rate would be NORMAl for an 8-year-old child?
a. 12 to 20 bpm
b. 18 to 30 bpm
c. 24 to 40 bpm
d. 30 to 60 bpm - CORRECT ANSWER ✔✔✔ b. 18 to 30 bpm
a. 12 to 20 is for an adult
c. normal rnage for a toddler
d. normal range for an infant
which of the following clinical manifestations would MOST likely be associated with right ventricular
failure?
a. pulmonary edema
b. jugular venous distention
c. paroxysmal nocturnal dyspnea
d. muscular weakness and fatigue - CORRECT ANSWER ✔✔✔ b. jugular venous distention
,The other answers are associated with left ventricular failure
which of the following heart sounds heard in a 70-year-old adult MOSt likely indicates ventricular
failure?
a. S1
b. S2
c. S3
d. S4 - CORRECT ANSWER ✔✔✔ c. S3
S1 and S2 are normal heart sounds
S4 is for other cardiacmyopathies and coarctation of the aorta but not with LHF
which of the following scenarios BEST describes the effect of climatic conditions on an individual who
has exercise-induced asthma?
a. Bronchospasm is facilitated by exercise in a humid environment, compared with a dry environment.
b. Bronchospasm is facilitated by exercise in a warm environment, compared with a cold environment.
c. Bronchospasm is blunted when exercising in a humid environment, compared with a dry environment.
d. Bronchospasm is blunted when exercising in a cold environment, compared with a warm
environment. - CORRECT ANSWER ✔✔✔ c. Bronchospasm is blunted when exercising in a humid
environment, compared with a dry environment.
Exercise-induced asthma or bronchospasm is exacerbated in cold and dry environments and is blunted
when exercising in a humid environment.
A patient has pain in the mid lower abdominal area and low back that is not of musculoskeletal origin.
Which of the following diagnoses is MOST likely?
a. enlarged liver
,b. inflamed pancreas
c. ruptured gallbladder
d. dissecting aortic aneurysm - CORRECT ANSWER ✔✔✔ d. dissescting aortic aneurysm
a. Liver pain is referred to the right shoulder, upper back, and chest and would not be consistent with
the lower abdominal pain
b. While pancreatic pain can refer to the middle or lower back, it tends to be in the epigastric and left
upper quadrant region, not in the lower abdomen
c. Gallbladder pain refers to the right shoulder, chest, and upper back regions and would not be
consistent with the lower abdominal pain
A patient who has chronic obstructive disease has a respiratory rate of 30 breaths/minute and exhibits
prominent use of the upper trapezius and sternocleidomastoid muscles during inspiration. Which of the
following interventions is MOST appropriate for the patient?
a. incentive spirometry
b. pursed-lip breathing
c. segmental breathing
d. glossopharyngeal breathing - CORRECT ANSWER ✔✔✔ b. pursed lip breathing
Pursed-lip breathing slows the respiratory rate. The patient has a rapid respiratory rate and overuse of
the inspiratory accessory muscles and would, therefore, benefit from techniques to slow down
respiration.
a. Incentive spirometry is commonly performed by postoperative patients to reduce the incidence of
respiratory complications. This patient is not post surgery, and incentive spirometry does not address
the increased respiratory rate.
c. Segmental breathing is used to augment localized lung expansion. Although this patient has signs and
symptoms of respiratory distress, segmental breathing will not address the elevated respiratory rate.
, d. Glossopharyngeal breathing is used in patients who have high-level tetraplegia to improve respiratory
capacity and increase vital capacity. This patient does not have a loss of vital capacity, but rather has an
increased respiratory rate and overuse of the accessory inspiratory muscles.
Which of the following options BEST represents a typical respiratory rate for a child who is 1 year old?
a. 15 bpm
b. 30 bpm
c. 45 bpm
d. 60 bpm - CORRECT ANSWER ✔✔✔ b. 30 bpm
Which of the following assessments is MOST accurate in diagnosing and determining the progression of
chronic obstructive pulmonary disease?
a. arterial blood gas
b. chest radiograph
c. pulmonary function test
d. maximal exercise test - CORRECT ANSWER ✔✔✔ c. pulmonary function test
Pulmonary function testing, i.e., spirometry, is used to diagnose and monitor the progression of chronic
obstructive lung disease. Pulmonary function testing provides information regarding the volume of air
the lung contains and information on the different lung capacities. Two forced spirometry measures that
can be followed over time include forced expiratory volume in 1 second (FEV1) and forced vital capacity
(FVC); the ratio of these values decreases as the severity of lung obstruction increases.
a. Blood gas analysis is crucial in the assessment of acid-base balance, ventilation, and oxygenation.
Arterial blood gas analysis is used frequently to monitor the condition of patients in critical care to
modify respiratory interventions. It is not used for diagnosing or monitoring chronic obstructive lung
disease.
b. Although the chest radiograph/x-ray is the predominant test to determine anatomic abnormalities
and pathologic processes within the chest, it is not the best diagnostic test. The classic findings
associated with chronic obstructive pulmonary disease are typically not seen until the condition is
severe. Thus, a chest radiograph is of limited value in diagnosing chronic obstructive pulmonary disease
d. Exercise testing is the single most important noninvasive procedure used in the diagnosis and
management of patients who have coronary artery disease. A maximal exercise test may be used to
A patient's skin distal to the mid-calf is darker than the skin proximal to the mid-calf. which of the
following examination techniques would MOST efficentyly screen for the expected dysfunction?
a. capillarily refill time
b. venous filling time
c. dorsalis pedis pulse
d. sensory filament testing - CORRECT ANSWER ✔✔✔ b. venous filling time
the pt presents with venous insufficency
which of the following ranges for respiratory rate would be NORMAl for an 8-year-old child?
a. 12 to 20 bpm
b. 18 to 30 bpm
c. 24 to 40 bpm
d. 30 to 60 bpm - CORRECT ANSWER ✔✔✔ b. 18 to 30 bpm
a. 12 to 20 is for an adult
c. normal rnage for a toddler
d. normal range for an infant
which of the following clinical manifestations would MOST likely be associated with right ventricular
failure?
a. pulmonary edema
b. jugular venous distention
c. paroxysmal nocturnal dyspnea
d. muscular weakness and fatigue - CORRECT ANSWER ✔✔✔ b. jugular venous distention
,The other answers are associated with left ventricular failure
which of the following heart sounds heard in a 70-year-old adult MOSt likely indicates ventricular
failure?
a. S1
b. S2
c. S3
d. S4 - CORRECT ANSWER ✔✔✔ c. S3
S1 and S2 are normal heart sounds
S4 is for other cardiacmyopathies and coarctation of the aorta but not with LHF
which of the following scenarios BEST describes the effect of climatic conditions on an individual who
has exercise-induced asthma?
a. Bronchospasm is facilitated by exercise in a humid environment, compared with a dry environment.
b. Bronchospasm is facilitated by exercise in a warm environment, compared with a cold environment.
c. Bronchospasm is blunted when exercising in a humid environment, compared with a dry environment.
d. Bronchospasm is blunted when exercising in a cold environment, compared with a warm
environment. - CORRECT ANSWER ✔✔✔ c. Bronchospasm is blunted when exercising in a humid
environment, compared with a dry environment.
Exercise-induced asthma or bronchospasm is exacerbated in cold and dry environments and is blunted
when exercising in a humid environment.
A patient has pain in the mid lower abdominal area and low back that is not of musculoskeletal origin.
Which of the following diagnoses is MOST likely?
a. enlarged liver
,b. inflamed pancreas
c. ruptured gallbladder
d. dissecting aortic aneurysm - CORRECT ANSWER ✔✔✔ d. dissescting aortic aneurysm
a. Liver pain is referred to the right shoulder, upper back, and chest and would not be consistent with
the lower abdominal pain
b. While pancreatic pain can refer to the middle or lower back, it tends to be in the epigastric and left
upper quadrant region, not in the lower abdomen
c. Gallbladder pain refers to the right shoulder, chest, and upper back regions and would not be
consistent with the lower abdominal pain
A patient who has chronic obstructive disease has a respiratory rate of 30 breaths/minute and exhibits
prominent use of the upper trapezius and sternocleidomastoid muscles during inspiration. Which of the
following interventions is MOST appropriate for the patient?
a. incentive spirometry
b. pursed-lip breathing
c. segmental breathing
d. glossopharyngeal breathing - CORRECT ANSWER ✔✔✔ b. pursed lip breathing
Pursed-lip breathing slows the respiratory rate. The patient has a rapid respiratory rate and overuse of
the inspiratory accessory muscles and would, therefore, benefit from techniques to slow down
respiration.
a. Incentive spirometry is commonly performed by postoperative patients to reduce the incidence of
respiratory complications. This patient is not post surgery, and incentive spirometry does not address
the increased respiratory rate.
c. Segmental breathing is used to augment localized lung expansion. Although this patient has signs and
symptoms of respiratory distress, segmental breathing will not address the elevated respiratory rate.
, d. Glossopharyngeal breathing is used in patients who have high-level tetraplegia to improve respiratory
capacity and increase vital capacity. This patient does not have a loss of vital capacity, but rather has an
increased respiratory rate and overuse of the accessory inspiratory muscles.
Which of the following options BEST represents a typical respiratory rate for a child who is 1 year old?
a. 15 bpm
b. 30 bpm
c. 45 bpm
d. 60 bpm - CORRECT ANSWER ✔✔✔ b. 30 bpm
Which of the following assessments is MOST accurate in diagnosing and determining the progression of
chronic obstructive pulmonary disease?
a. arterial blood gas
b. chest radiograph
c. pulmonary function test
d. maximal exercise test - CORRECT ANSWER ✔✔✔ c. pulmonary function test
Pulmonary function testing, i.e., spirometry, is used to diagnose and monitor the progression of chronic
obstructive lung disease. Pulmonary function testing provides information regarding the volume of air
the lung contains and information on the different lung capacities. Two forced spirometry measures that
can be followed over time include forced expiratory volume in 1 second (FEV1) and forced vital capacity
(FVC); the ratio of these values decreases as the severity of lung obstruction increases.
a. Blood gas analysis is crucial in the assessment of acid-base balance, ventilation, and oxygenation.
Arterial blood gas analysis is used frequently to monitor the condition of patients in critical care to
modify respiratory interventions. It is not used for diagnosing or monitoring chronic obstructive lung
disease.
b. Although the chest radiograph/x-ray is the predominant test to determine anatomic abnormalities
and pathologic processes within the chest, it is not the best diagnostic test. The classic findings
associated with chronic obstructive pulmonary disease are typically not seen until the condition is
severe. Thus, a chest radiograph is of limited value in diagnosing chronic obstructive pulmonary disease
d. Exercise testing is the single most important noninvasive procedure used in the diagnosis and
management of patients who have coronary artery disease. A maximal exercise test may be used to