QUESTIONS WITH SOLUTIONS GRADED A+
●● main symptom of bronchiolitis
Answer: wheezing-lasts about 7 days
●● most common cause of bronchiolitis
Answer: RSV
●● Treatment for bronchiolitis
Answer: No specific treatment
●● Order of lung exam
Answer: inspect, palpate, percuss, auscultate
●● Pectus Excavatum
Answer: congenital posterior displacement of lower aspect of sternum
-hollowed-out appearance
-concave appearance of lower sternum
●● Pectus carinatum
Answer: at birth
,-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth
spurt
-convex deformity
-97% have MVP
●● Barrel Chest
Answer: associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well
as diaphragmatic flattening
●● Tactile fremitus
Answer: palpable vibrations of the bronchiopulmonary tree as the patient
is speaking (99 or 1-2-3)
-impeded in COPD, pulm effusion or pneumothorax
-increased in consolidation and PNA
●● percussion:
flatness
Answer: (thigh)
Large Pleural effusion
●● Percussion- dullness
, Answer: (liver)
Lobar PNA
●● Percussion: resonance
Answer: (Lung)
simple chronic bronchitis
●● Percussion: hyperresonance
Answer: None
-emphysema, pneumothorax
●● Percussion: tympany
Answer: (gastric bubble)
-large pneumothorax
●● Auscultation: vesicular
Answer: soft and low pitched; usually heard over most of both lungs
●● Auscultation: bronchial
Answer: louder and higher in pitch; usually heard over the manubrium
●● Auscultation: bronchovesicular