Healthl IIl Review|l Galenl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l OXYGENATION:l Whatl dol wel askl whenl wel assessl ourl patient?
Answer:
Cough?
Dyspneal froml activity?
Pain?
Coughingl upl bloodl (hemoptysis)?
Personall orl familyl hx?
Exposures?
Q:l Whatl dol youl seel onl generall physicall assessmentl ofl oxygenationl issues?
Answer:
-l clubbedl fingers
-l chestl symmetryl andl expansion
-l barrell chest
-l cyanosis
-l pallor
-l positioning
-l RRl andl depth
-l Cheyennel Stokes/Biot'sl Apnea
Q:l Whatl arel Cheyne-Stokesl respirations?
Answer:
Ratel andl depthl ofl breathingl increases,l andl thenl decreasesl untill apneal (~20sec)
,Q:l Whatl arel Biot'sl respirations?
Answer:
Periodsl ofl normall breathingl (3-4l breaths)l followedl byl varyingl periodsl ofl apneal (~10-
60sec)
Q:l Whatl isl thel differencel betweenl Cheyenne-Stokesl andl Biot'sl respirations?
Answer:
C-Sl =l regularl patternl withl ratel andl depth
Biot'sl =l irregularlyl cycled
Q:l Whatl dol youl hearl onl generall assessmentl ofl oxygenationl issues?
Answer:
-l cracklesl (fluid)
-l wheezesl (narrowl airway)
-l stridorl (veryl restrictedl airway)
-l rhonchil (secretions)
Q:l AGE-RELATEDl CHANGESl andl OXYGENATION:l whatl increases?
Answer:
-l alveolarl thicknessl andl diameter
-l thoracicl cagel rigidity
-l riskl forl infection
-l residuall volume
Q:l AGE-RELATEDl CHANGESl andl OXYGENATION:l whatl decreases?
Answer:
-l cilial andl mucus
-l respiratoryl musclel strength
, -l coughl andl gagl reflex
Q:l AGE-RELATEDl CHANGESl andl OXYGENATION:l whatl staysl thel same?
Answer:
-l totall lungl capacityl (TLC)
-l abilityl tol livel al normall lifel inl thel absencel ofl disease
Q:l Whatl arel generall diagnosticsl ofl oxygenationl issues?
Answer:
-l bloodl gasl studiesl (arteriall orl venous)l
-l pulmonaryl functionl tests
-l pulsel ox
-l sputuml studiesl &l cultures
-l CT,l MRI
-l angiographyl (vasculature)
-l bronchoscopy,l thoracoscopy/biopsy
Q:l Whatl happensl tol pulmonaryl vesselsl inl COPD?
Answer:
Thicken;l canl leadl tol pulmonaryl HTN
Q:l Whatl happensl tol bronchi,l bronchioles,l andl lungl tissuel inl COPD?
Answer:
Thickenl andl becomel fibroticl froml chronicl inflammation
Q:l Whatl happensl tol thel alveolarl walll inl COPD?
Answer:
Destructionl andl lossl ofl recoill leadsl tol pressure/diffusionl reduction