GRADE A PLUS
Question 1.
Bronchovesicular breath sounds in young children that are loud and harsh are an indication of:
an accumulation of fluid.
malignant tumors or solid masses.
normal, thin chest wall structures.
pus-filled abscesses and tumors.
tension pneumothorax.
Question 2.
On a CXR, which of the following is true of the diaphragm?
The right diaphragm is usually higher.
The left diaphragm is usually higher.
The diaphragm is of equal heights on both sides.
It is abnormal for the diaphragm to be <3cm on one side versus the other
Question 3.
Which of the following statements is most accurate in describing hepatic jugular reflux?
It is an accurate indicator of heart failure.
It is exaggerated in patients with right heart failure.
It is normal when patients are sitting up straight.
It should be absent in older patients with heart failure.
It never elevates the jugular venous pressure (JVP) in patients without heart failure.
Question 4.
Chest pain in a child with an organic cause is more likely the result of:
cardiac disease.
asthma.
esophageal reflux.
arthritis.
peptic ulcer disease.
Question 5.
The American Thoracic Society suggests replacing the term rales with:
, wheezes.
crunches.
vesicular.
crackles.
rhonchi.
Question 6.
Heart position can vary depending on body habitus. In a short, stocky individual, you would
expect the heart to be located:
more to the right and hanging more vertically.
more to the left and lying more horizontally.
riding higher in the chest and pushed anteriorly.
hanging lower in the chest and riding more vertically.
more to the right and lying more horizontally.
Question 7.
Which of following is considered an expected finding in newborns and when found in adults is a
concern?
Mottling of the thorax
Sternal retractions
Cough
Nasal flaring
Stridor
Question 8.
To assess a patient s jugular veins, he or she should first be placed in which position?
Supine
Semi-Fowler
Upright
Left lateral recumbent
Leaning forward
Question 9.
If pitting edema is unilateral, you would suspect occlusion of a:
lymphatic duct.