NSG 6020 MIDTERM QUESTIONS AND
ANSWERS
What55age55does55bronchiolitis55occur?55-55answer--
most55common55at55age55655months-55does55not55occur55after55age552
main55symptom55of55bronchiolitis55-55answer--wheezing-lasts55about55755days
most55common55cause55of55bronchiolitis55-55answer--RSV
Treatment55for55bronchiolitis55-55answer--No55specific55treatment
Order55of55lung55exam55-55answer--inspect,55palpate,55percuss,55auscultate
Pectus55Excavatum55-55answer--
congenital55posterior55displacement55of55lower55aspect55of55sternum
-hollowed-out55appearance
-concave55appearance55of55lower55sternum
Pectus55carinatum55-55answer--at55birth
-post55CABG
mid55childhood55and5511-1455year55old55pubertal55males55undergoing55a55growth55spurt
-convex55deformity
-97%55have55MVP
Barrel55Chest55-55answer--associated55with55emphysema55and55lung55hyperinflation
-accompanying55x-ray55demonstrates55increased55ant-
post55diameter55as55well55as55diaphragmatic55flattening
Tactile55fremitus55-55answer--
palpable55vibrations55of55the55bronchiopulmonary55tree55as55the55patient55is55speaking55
(9955or551-2-3)
-impeded55in55COPD,55pulm55effusion55or55pneumothorax55
-increased55in55consolidation55and55PNA
percussion:
flatness55-55answer--(thigh)
Large55Pleural55effusion
, Percussion-55dullness55-55answer--(liver)
Lobar55PNA
Percussion:55resonance55-55answer--(Lung)
simple55chronic55bronchitis
Percussion:55hyperresonance55-55answer--None
-emphysema,55pneumothorax
Percussion:55tympany55-55answer--(gastric55bubble)
-large55pneumothorax
Auscultation:55vesicular55-55answer--
soft55and55low55pitched;55usually55heard55over55most55of55both55lungs
Auscultation:55bronchial55-55answer--
louder55and55higher55in55pitch;55usually55heard55over55the55manubrium
Auscultation:55bronchovesicular55-55answer--
intermediate55intensity55and55pitch;55usually55heard55over55the551st55and552nd55interspa
ces
Auscultation:55tracheal55-55answer--over55the55trachea55and55neck,55very55loud
Rhonchi55-55answer--low-pitched55snore-
like55sounds,55often55characterized55by55secretions55w/in55the55large55airways
-sometimes55cleared55with55a55cough
Wheezes55-55answer--continuous,55high-
pitched,55musical,55sounds55that55are55produced55by55air55flowing55through55narrowed55
bronchi
-predominately55expiratory
stridor55-55answer--loud,55rough,55continuous,55high-
pitched55sound55that55is55pronounced55during55inspiration
-indicates55proximal55airway55obstruction
absent/attenuated55sounds55-55answer--
NO55airflow55to55the55region55being55auscultated
-
can55occur55in55a55pneumothorax,55hemothorax,55pleural55effusion,55or55parenchymal55c
onsolidation
Crackles55-55answer--
intermittent,55nonmusical,55very55brief,55more55pronounced55during55inspiration
-fine55or55course
ANSWERS
What55age55does55bronchiolitis55occur?55-55answer--
most55common55at55age55655months-55does55not55occur55after55age552
main55symptom55of55bronchiolitis55-55answer--wheezing-lasts55about55755days
most55common55cause55of55bronchiolitis55-55answer--RSV
Treatment55for55bronchiolitis55-55answer--No55specific55treatment
Order55of55lung55exam55-55answer--inspect,55palpate,55percuss,55auscultate
Pectus55Excavatum55-55answer--
congenital55posterior55displacement55of55lower55aspect55of55sternum
-hollowed-out55appearance
-concave55appearance55of55lower55sternum
Pectus55carinatum55-55answer--at55birth
-post55CABG
mid55childhood55and5511-1455year55old55pubertal55males55undergoing55a55growth55spurt
-convex55deformity
-97%55have55MVP
Barrel55Chest55-55answer--associated55with55emphysema55and55lung55hyperinflation
-accompanying55x-ray55demonstrates55increased55ant-
post55diameter55as55well55as55diaphragmatic55flattening
Tactile55fremitus55-55answer--
palpable55vibrations55of55the55bronchiopulmonary55tree55as55the55patient55is55speaking55
(9955or551-2-3)
-impeded55in55COPD,55pulm55effusion55or55pneumothorax55
-increased55in55consolidation55and55PNA
percussion:
flatness55-55answer--(thigh)
Large55Pleural55effusion
, Percussion-55dullness55-55answer--(liver)
Lobar55PNA
Percussion:55resonance55-55answer--(Lung)
simple55chronic55bronchitis
Percussion:55hyperresonance55-55answer--None
-emphysema,55pneumothorax
Percussion:55tympany55-55answer--(gastric55bubble)
-large55pneumothorax
Auscultation:55vesicular55-55answer--
soft55and55low55pitched;55usually55heard55over55most55of55both55lungs
Auscultation:55bronchial55-55answer--
louder55and55higher55in55pitch;55usually55heard55over55the55manubrium
Auscultation:55bronchovesicular55-55answer--
intermediate55intensity55and55pitch;55usually55heard55over55the551st55and552nd55interspa
ces
Auscultation:55tracheal55-55answer--over55the55trachea55and55neck,55very55loud
Rhonchi55-55answer--low-pitched55snore-
like55sounds,55often55characterized55by55secretions55w/in55the55large55airways
-sometimes55cleared55with55a55cough
Wheezes55-55answer--continuous,55high-
pitched,55musical,55sounds55that55are55produced55by55air55flowing55through55narrowed55
bronchi
-predominately55expiratory
stridor55-55answer--loud,55rough,55continuous,55high-
pitched55sound55that55is55pronounced55during55inspiration
-indicates55proximal55airway55obstruction
absent/attenuated55sounds55-55answer--
NO55airflow55to55the55region55being55auscultated
-
can55occur55in55a55pneumothorax,55hemothorax,55pleural55effusion,55or55parenchymal55c
onsolidation
Crackles55-55answer--
intermittent,55nonmusical,55very55brief,55more55pronounced55during55inspiration
-fine55or55course
