ACCS Respiratory questions with correct
answers
Normal Urine Output Answer✔✔ 40 mL/hr (approx. 1 Liter/day)
Decreased CVP (<2 mmHg) Answer✔✔ Hypovolemia
Increased CVP (>6 mmHg) Answer✔✔ Hypervolemia
Glasgow Coma Scale (GCS) Answer✔✔ Eye-opening response
Spontaneous opening- 4
To verbal stimuli- 3
To pain- 2
None- 1
Most appropriate verbal response
Oriented- 5
Confused- 4
Inappropriate words- 3
Incoherent- 2
None- 1
Most intergrated motor response (arm)
Obeys commands- 6
Localizes pain- 5
Withdraws from pain- 4
Flexion to pain- 3
Extension to pain- 2
,None- 1
Orthopnea Answer✔✔ ability to breathe only in an upright position (CHF, Heart
problem)
General malaise Answer✔✔ Run down feeling, nausea, weakness, fatigue,
headache (electrolyte imbalance)
Dyspnea Answer✔✔ Grade 1- occurs after unusual exertion
Grade 2- breathless after going up hills or stairs
Grade 3- while walking at normal speed
Grade 4- slowly walking a short distance
Grade 5- at rest, shaving, dressing, etc.
vasovagal syncope Answer✔✔ Common dizziness and fainting, caused by loss of
peripheral venous tone
orthostatic hypotension Answer✔✔ Excessive drop in BP when assuming the
standing position
Carotid sinus syncope Answer✔✔ Associated with hypertension carotid sinus -
more common in elderly patients
Cough (tussive) syncope Answer✔✔ Transient loss of consciousness following
severe coughing
FUO Answer✔✔ fever of unknown origin
,heart rate Answer✔✔ 60-100 bpm
Respiratory rate Answer✔✔ 12-20 breaths per minute
Temperature Norm. Answer✔✔ Oral- 97.0-99.5 *F (36.5-37.5 *C)
Rectal- 98.7-100.5 *F (37.1-38.1 *C)
Ear- 98.7-100.5 *F (37.1-38.1*C)
PERRLA Answer✔✔ pupils- equal, round, reactive to light and accommodation
Miosis Answer✔✔ constricted pupils (pinpoint)
Ptosis Answer✔✔ Drooping of the upper eyelid
Diplopia Answer✔✔ Blurred or double vision
Nystagmus Answer✔✔ involuntary, rapid, rhythmic movement of the eyeball
Peripheral edema Answer✔✔ Presence of excess fluid in the tissue.
Caused by CHF, pulmonary hypertension, venous insufficiency and renal failure.
Rated +1,+2,+3,+4; higher numbers indicate more severs swelling.
May be described as "pitting edema"
ascites Answer✔✔ abnormal accumulation of fluid in the abdomen, generally
caused by liver failure
, Clubbing of fingers Answer✔✔ Caused by chronic hypoxemia, suggestive of
pulmonary disease
Eupnea Answer✔✔ normal respiratory rate, depth and rhythm
Tachypnea Answer✔✔ increased respiratory rate (over 20 breaths per minute)
Bradypnea Answer✔✔ decreased respiratory rate (less than 12 per minute)
variable depth and irregular rhythm
Apnea Answer✔✔ not breathing
Hyperpnea Answer✔✔ increased respiratory rate, increased depth, regular rhythm
(caused by metabolic disorder, CNS disorder)
Cheyne Stokes Answer✔✔ gradually increasing then decreasing rate and depth in
a cycle lasting from 30-180 seconds, with periods of apnea lasting up to 60
seconds.
Biot's Answer✔✔ increased respiratory rate and depth with irregular periods of
apnea. Each breath has the same depth.
Kussmaul's Answer✔✔ Increased respiratory rate (usually over 20 breaths/min.),
increased depth, irregular rhythm, breathing sounds labored.
Apneustic Answer✔✔ prolonged gasping inspiration followed by extremely short,
insufficient expiration.
answers
Normal Urine Output Answer✔✔ 40 mL/hr (approx. 1 Liter/day)
Decreased CVP (<2 mmHg) Answer✔✔ Hypovolemia
Increased CVP (>6 mmHg) Answer✔✔ Hypervolemia
Glasgow Coma Scale (GCS) Answer✔✔ Eye-opening response
Spontaneous opening- 4
To verbal stimuli- 3
To pain- 2
None- 1
Most appropriate verbal response
Oriented- 5
Confused- 4
Inappropriate words- 3
Incoherent- 2
None- 1
Most intergrated motor response (arm)
Obeys commands- 6
Localizes pain- 5
Withdraws from pain- 4
Flexion to pain- 3
Extension to pain- 2
,None- 1
Orthopnea Answer✔✔ ability to breathe only in an upright position (CHF, Heart
problem)
General malaise Answer✔✔ Run down feeling, nausea, weakness, fatigue,
headache (electrolyte imbalance)
Dyspnea Answer✔✔ Grade 1- occurs after unusual exertion
Grade 2- breathless after going up hills or stairs
Grade 3- while walking at normal speed
Grade 4- slowly walking a short distance
Grade 5- at rest, shaving, dressing, etc.
vasovagal syncope Answer✔✔ Common dizziness and fainting, caused by loss of
peripheral venous tone
orthostatic hypotension Answer✔✔ Excessive drop in BP when assuming the
standing position
Carotid sinus syncope Answer✔✔ Associated with hypertension carotid sinus -
more common in elderly patients
Cough (tussive) syncope Answer✔✔ Transient loss of consciousness following
severe coughing
FUO Answer✔✔ fever of unknown origin
,heart rate Answer✔✔ 60-100 bpm
Respiratory rate Answer✔✔ 12-20 breaths per minute
Temperature Norm. Answer✔✔ Oral- 97.0-99.5 *F (36.5-37.5 *C)
Rectal- 98.7-100.5 *F (37.1-38.1 *C)
Ear- 98.7-100.5 *F (37.1-38.1*C)
PERRLA Answer✔✔ pupils- equal, round, reactive to light and accommodation
Miosis Answer✔✔ constricted pupils (pinpoint)
Ptosis Answer✔✔ Drooping of the upper eyelid
Diplopia Answer✔✔ Blurred or double vision
Nystagmus Answer✔✔ involuntary, rapid, rhythmic movement of the eyeball
Peripheral edema Answer✔✔ Presence of excess fluid in the tissue.
Caused by CHF, pulmonary hypertension, venous insufficiency and renal failure.
Rated +1,+2,+3,+4; higher numbers indicate more severs swelling.
May be described as "pitting edema"
ascites Answer✔✔ abnormal accumulation of fluid in the abdomen, generally
caused by liver failure
, Clubbing of fingers Answer✔✔ Caused by chronic hypoxemia, suggestive of
pulmonary disease
Eupnea Answer✔✔ normal respiratory rate, depth and rhythm
Tachypnea Answer✔✔ increased respiratory rate (over 20 breaths per minute)
Bradypnea Answer✔✔ decreased respiratory rate (less than 12 per minute)
variable depth and irregular rhythm
Apnea Answer✔✔ not breathing
Hyperpnea Answer✔✔ increased respiratory rate, increased depth, regular rhythm
(caused by metabolic disorder, CNS disorder)
Cheyne Stokes Answer✔✔ gradually increasing then decreasing rate and depth in
a cycle lasting from 30-180 seconds, with periods of apnea lasting up to 60
seconds.
Biot's Answer✔✔ increased respiratory rate and depth with irregular periods of
apnea. Each breath has the same depth.
Kussmaul's Answer✔✔ Increased respiratory rate (usually over 20 breaths/min.),
increased depth, irregular rhythm, breathing sounds labored.
Apneustic Answer✔✔ prolonged gasping inspiration followed by extremely short,
insufficient expiration.
