PRACTICE QUESTIONS WITH CORRECT DETAILED ANSWER
EXPLANATIONS
What age does bronchiolitis occur? - CORRECT ANSWERS-most common at age 6 months-
does not occur after age 2
main symptom of bronchiolitis - CORRECT ANSWERS-wheezing-lasts about 7 days
most common cause of bronchiolitis - CORRECT ANSWERS-RSV
Treatment for bronchiolitis - CORRECT ANSWERS-No specific treatment
Order of lung exam - CORRECT ANSWERS-inspect, palpate, percuss, auscultate
Pectus Excavatum - CORRECT ANSWERS-congenital posterior displacement of lower aspect of
sternum
-hollowed-out appearance
-concave appearance of lower sternum
Pectus carinatum - CORRECT ANSWERS-at birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth spurt
-convex deformity
-97% have MVP
Rhonchi - CORRECT ANSWERS-low-pitched snore-like sounds, often characterized by
secretions w/in the large airways
-sometimes cleared with a cough
, Wheezes - CORRECT ANSWERS-continuous, high-pitched, musical, sounds that are produced
by air flowing through narrowed bronchi
-predominately expiratory
stridor - CORRECT ANSWERS-loud, rough, continuous, high-pitched sound that is pronounced
during inspiration
-indicates proximal airway obstruction
absent/attenuated sounds - CORRECT ANSWERS-NO airflow to the region being auscultated
-can occur in a pneumothorax, hemothorax, pleural effusion, or parenchymal consolidation
Crackles - CORRECT ANSWERS-intermittent, nonmusical, very brief, more pronounced during
inspiration
-fine or course
fine (softer, higher in pitch)
course (louder, lower in pitch)
Bronchophony - CORRECT ANSWERS-ask pt to say "99"
-should be muffled and indistinct
-CLEAR sounds are called bronchophony
Egophony - CORRECT ANSWERS-ask pt to say "ee"
-you should hear a muffled long ee sound
-"ee" sounds like "ay" it is positive and called egophony
-present over consolidation
whispered pectoriloquy - CORRECT ANSWERS-ask pt to say "99 or 1-2-3"
-whispered voice is normally faint and indistinct
-louder, clearer sounds are called whispered pectriloquy- heard over consolidation