APEA- Respiratory (Adv Assessment)
A condition associated with a chronic cough that produces copious amounts of purulent sputum
is most likely:
-Tracheobronchitis
-Chronic bronchitis
-Bronchiectasis
-Laryngitis - ANS-Bronchiectasis
Explanation:An acute viral illness that presents with a burning retrosternal discomfort and a dry
cough is tracheobronchitis. An acute, mild illness often associated with viral nasopharyngitis and
goarseness is laryngitis. The initial cough is dry and nonproductive by may become productive
over time. a chronic bronchitis cough is characteristically productive with mucoid to purulent
sputum and by be blood tinged. Bronchiectasis produces a chronic cough with sputum that is
copious and foul-smelling. It may be blood tinged.
When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on
the
-Anterior chest at the nipple line
-Lateral surface of the chest near the axilla
-Posterior chest at the cervical 7 level
-Anterior chest in the upper sternal area - ANS-Posterior chest at the cervical 7 level (apices)
Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with
talking, suggest:
-PNA
-Lung CA
-Bronchitis
-COPD - ANS-COPD
Diminished breath sounds should be interpreted as:
-Suggestive of COPD
-Suggestive of severe respiratory failure
-An abnormal finding warranting further explanation
-A normal finding - ANS-An abnormal finding warranting further explanation
To document chest findings located between the scapulae, which one of the following terms
would be used?
-Infraclavicular
-Supraclavicular
-Interscapular
, -Infrascapular - ANS-Interscapular
A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings on
exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and respiratory rate of
40 breaths/minute. Tachypnea in this child is most likely related to:
-Paradoxical respirations
-Child's febrile state
-Child's age
-Airway obstruction - ANS-Child's febrile state.
Orthopnea is typically associated with all of the following conditions except:
=left ventricular hypertrophy
-Pulmonary embolus
-Mitral Stenosis
-Obstructive lung DZ - ANS-Pulmonary embolus.
One of the anterior thoracic landmarks is the costal angle. It is located:
-Where the manubrium and body of the sternum intersect
-Where the right and left costal margins form an angle where they meet at the xiphoid process
-Where the suprasternal notch and the sternum form an angle
-At the angle where the 9th and 10th ribs are fused - ANS-Where the right and left costal
margins form an angle where they meet at the xiphoid process.
To document chest findings located between the scapulae, which one of the following terms
would be used?
-Infraclavicular
-supraclavicular
-Interscapular
-Infrascapular - ANS-Interscapular
To document chest findings located at the lowermost portion of the lungs, which one of the
following terms would be used?
-Lower lung fields
-Visceral pleura
-Parietal pleura
-Bases of the lungs - ANS-Bases of the lungs
A patient who walked into the examination room, may be observed to be sitting and leaning
forward in his chair. Lips were pursed during exhalation and arms are supported on the table.
This position could be consistent with patients who have:
-PNA
-COPD
-Asthma
-Croup - ANS-COPD
A condition associated with a chronic cough that produces copious amounts of purulent sputum
is most likely:
-Tracheobronchitis
-Chronic bronchitis
-Bronchiectasis
-Laryngitis - ANS-Bronchiectasis
Explanation:An acute viral illness that presents with a burning retrosternal discomfort and a dry
cough is tracheobronchitis. An acute, mild illness often associated with viral nasopharyngitis and
goarseness is laryngitis. The initial cough is dry and nonproductive by may become productive
over time. a chronic bronchitis cough is characteristically productive with mucoid to purulent
sputum and by be blood tinged. Bronchiectasis produces a chronic cough with sputum that is
copious and foul-smelling. It may be blood tinged.
When auscultating breath sounds, use the diaphragm of the stethoscope by placing it initially on
the
-Anterior chest at the nipple line
-Lateral surface of the chest near the axilla
-Posterior chest at the cervical 7 level
-Anterior chest in the upper sternal area - ANS-Posterior chest at the cervical 7 level (apices)
Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with
talking, suggest:
-PNA
-Lung CA
-Bronchitis
-COPD - ANS-COPD
Diminished breath sounds should be interpreted as:
-Suggestive of COPD
-Suggestive of severe respiratory failure
-An abnormal finding warranting further explanation
-A normal finding - ANS-An abnormal finding warranting further explanation
To document chest findings located between the scapulae, which one of the following terms
would be used?
-Infraclavicular
-Supraclavicular
-Interscapular
, -Infrascapular - ANS-Interscapular
A 3 year-old presents with a history of fever and cough over the past 24 hours. Findings on
exam reveal: temperature of 102°F, apical heart rate of 157 beats/minute, and respiratory rate of
40 breaths/minute. Tachypnea in this child is most likely related to:
-Paradoxical respirations
-Child's febrile state
-Child's age
-Airway obstruction - ANS-Child's febrile state.
Orthopnea is typically associated with all of the following conditions except:
=left ventricular hypertrophy
-Pulmonary embolus
-Mitral Stenosis
-Obstructive lung DZ - ANS-Pulmonary embolus.
One of the anterior thoracic landmarks is the costal angle. It is located:
-Where the manubrium and body of the sternum intersect
-Where the right and left costal margins form an angle where they meet at the xiphoid process
-Where the suprasternal notch and the sternum form an angle
-At the angle where the 9th and 10th ribs are fused - ANS-Where the right and left costal
margins form an angle where they meet at the xiphoid process.
To document chest findings located between the scapulae, which one of the following terms
would be used?
-Infraclavicular
-supraclavicular
-Interscapular
-Infrascapular - ANS-Interscapular
To document chest findings located at the lowermost portion of the lungs, which one of the
following terms would be used?
-Lower lung fields
-Visceral pleura
-Parietal pleura
-Bases of the lungs - ANS-Bases of the lungs
A patient who walked into the examination room, may be observed to be sitting and leaning
forward in his chair. Lips were pursed during exhalation and arms are supported on the table.
This position could be consistent with patients who have:
-PNA
-COPD
-Asthma
-Croup - ANS-COPD
