NSG6021-6020 Respiratory Exam
Questions with Solutions
A mother brings her infant to you because of a "rattle" in his chest with
breathing. Which of the following would you hear if there were a problem in
the upper airway? - -Inspiratory sounds
-All of the following produce a chronic cough except:
Chronic Bronchitis
Allergic Rhinitis
Acute viral upper respiratory infection - -Acute viral upper respiratory
infection
-A 47-year-old receptionist comes to your office, complaining of fever,
shortness of breath, and a productive cough with golden sputum. She says
she had a cold last week and her symptoms have only gotten worse, despite
using over-the-counter cold remedies. She denies any weight gain, weight
loss, or cardiac or gastrointestinal symptoms. Her past medical history
includes type 2 diabetes for 5 years and high cholesterol. She takes an oral
medication for both diseases. She has had no surgeries. She denies tobacco,
alcohol, or drug use. Her mother has diabetes and high blood pressure. Her
father passed away from colon cancer. On examination you see a middle-
aged woman appearing her stated age. She looks ill and her temperature is
elevated, at 101. Her blood pressure and pulse are unremarkable. Her head,
eyes, ears, nose, and throat examinations are unremarkable except for
edema of the nasal turbinates. On auscultation she - -Pneumonia
-Which of the following is consistent with good percussion technique? - -
Strike the pleximeter over the distal interphalangeal joint.
-Which of the following conditions would produce a hyperresonant
percussion note? - -Large Pneumothorax
-Which of the following is a normal physiological lung sound? Vesicular
Stridor
Wheezing
Rhonchi - -Vesicular
-A patient complains of shortness of breath for the past few days. On
examination, you note late inspiratory crackles in the lower third of the chest
that were not present a week ago. What is the most likely explanation for
these? - -Heart Failure
, -A 60-year-old baker presents to your clinic, complaining of increasing
shortness of breath and nonproductive cough over the last month. She feels
like she can't do as much activity as she used to do without becoming tired.
She even has to sleep upright in her recliner at night to be able to breathe
comfortably. She denies any chest pain, nausea, or sweating. Her past
medical history is significant for high blood pressure and coronary artery
disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She
is married and is retiring from the local bakery soon. She denies any tobacco,
alcohol, or drug use. Her mother died of a stroke and her father died from
prostate cancer. She denies any recent upper respiratory illness, and she has
had no other symptoms. On examination she is in no acute distress. Her
blood pressure is 160/100 and her pulse is 100. She is afebrile and her
respiratory rate is 16. With auscul - -Left-sided heart failure
-A male patient states that he has difficulty breathing when he is lying down
but when he sits up, it improves. This is a classic description of: - -Orthopnea
-A patient states that the only way he can sleep at night is to use several
pillows or to sleep upright in a recliner. This sleep pattern is most consistent
with: - -obstructive lung disease
-When crackles, wheezes, or rhonchi clear with a cough, which of the
following is a
likely etiology? - -Bronchitis
-Which of the following is characteristic of COPD?
Asymmetric chest expansion
Increased lateral diameter
Increased anterior-posterior diameter
Pectus excavatum - -Increased anterior-posterior diameter
-When palpating the posterior chest, the clinician notes increased tactile
fremitus over the left lower lobe. This can be indicative of:
Pneumonia
Emphysema
Pneumothorax
Asthma - -Pneumonia
-During physical examination of a patient, you note resonance on percussion
in the upper lung fields. This is consistent with:
COPD
Pneumothorax
A normal finding
Pleural effusion - -A normal finding
Questions with Solutions
A mother brings her infant to you because of a "rattle" in his chest with
breathing. Which of the following would you hear if there were a problem in
the upper airway? - -Inspiratory sounds
-All of the following produce a chronic cough except:
Chronic Bronchitis
Allergic Rhinitis
Acute viral upper respiratory infection - -Acute viral upper respiratory
infection
-A 47-year-old receptionist comes to your office, complaining of fever,
shortness of breath, and a productive cough with golden sputum. She says
she had a cold last week and her symptoms have only gotten worse, despite
using over-the-counter cold remedies. She denies any weight gain, weight
loss, or cardiac or gastrointestinal symptoms. Her past medical history
includes type 2 diabetes for 5 years and high cholesterol. She takes an oral
medication for both diseases. She has had no surgeries. She denies tobacco,
alcohol, or drug use. Her mother has diabetes and high blood pressure. Her
father passed away from colon cancer. On examination you see a middle-
aged woman appearing her stated age. She looks ill and her temperature is
elevated, at 101. Her blood pressure and pulse are unremarkable. Her head,
eyes, ears, nose, and throat examinations are unremarkable except for
edema of the nasal turbinates. On auscultation she - -Pneumonia
-Which of the following is consistent with good percussion technique? - -
Strike the pleximeter over the distal interphalangeal joint.
-Which of the following conditions would produce a hyperresonant
percussion note? - -Large Pneumothorax
-Which of the following is a normal physiological lung sound? Vesicular
Stridor
Wheezing
Rhonchi - -Vesicular
-A patient complains of shortness of breath for the past few days. On
examination, you note late inspiratory crackles in the lower third of the chest
that were not present a week ago. What is the most likely explanation for
these? - -Heart Failure
, -A 60-year-old baker presents to your clinic, complaining of increasing
shortness of breath and nonproductive cough over the last month. She feels
like she can't do as much activity as she used to do without becoming tired.
She even has to sleep upright in her recliner at night to be able to breathe
comfortably. She denies any chest pain, nausea, or sweating. Her past
medical history is significant for high blood pressure and coronary artery
disease. She had a hysterectomy in her 40s for heavy vaginal bleeding. She
is married and is retiring from the local bakery soon. She denies any tobacco,
alcohol, or drug use. Her mother died of a stroke and her father died from
prostate cancer. She denies any recent upper respiratory illness, and she has
had no other symptoms. On examination she is in no acute distress. Her
blood pressure is 160/100 and her pulse is 100. She is afebrile and her
respiratory rate is 16. With auscul - -Left-sided heart failure
-A male patient states that he has difficulty breathing when he is lying down
but when he sits up, it improves. This is a classic description of: - -Orthopnea
-A patient states that the only way he can sleep at night is to use several
pillows or to sleep upright in a recliner. This sleep pattern is most consistent
with: - -obstructive lung disease
-When crackles, wheezes, or rhonchi clear with a cough, which of the
following is a
likely etiology? - -Bronchitis
-Which of the following is characteristic of COPD?
Asymmetric chest expansion
Increased lateral diameter
Increased anterior-posterior diameter
Pectus excavatum - -Increased anterior-posterior diameter
-When palpating the posterior chest, the clinician notes increased tactile
fremitus over the left lower lobe. This can be indicative of:
Pneumonia
Emphysema
Pneumothorax
Asthma - -Pneumonia
-During physical examination of a patient, you note resonance on percussion
in the upper lung fields. This is consistent with:
COPD
Pneumothorax
A normal finding
Pleural effusion - -A normal finding
