Kettering TMC workbook patient
assessment airway management ACTUAL
EXAM 2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS ||
BRAND NEW VERSION
1. indications of paradoxical pulses/pulsus paradoxus - ANSWER ✅ sever air
trapping, Pneumo, status asthmaticus, cardiac tamponade
(pulse/BP varies with respiration)
2. pulled toward affected side - ANSWER ✅ atelectasis pneumonectomy
diaphragmatic paralysis
3. pushed away from affected side - ANSWER ✅ pleural effusion tension
pneumothorax tumor (neck or thyroid) mediastinal mass
4. vibrations felt on chest wall by hand
*Increased in consolidation and pulmonary edema*
*decreased in COPD, pneumothorax, and pleural effusion* - ANSWER ✅
tactile fremitus
5. skind tender around incisions, chest tubes, bruises, burns, or fractures -
ANSWER ✅ tenderness
6. bubbles of air under skin - ANSWER ✅ crepitus (subcutaneous
emphysema)
,7. different than therapeutic chest percussion (chest PT) - ANSWER ✅
diagnostic chest percussion
8. normal air filled lungs (hollow sound) - ANSWER ✅ resonant
9. (less air)
normally heard over sternum
areas of atelectasis - ANSWER ✅ flat
10.(less air)
normally heard over fluid filled organs (heart, liver)
Pleural effusion/pneumonia (thud) - ANSWER ✅ dull
(extra air)
11.normally heard over air-filled stomach
drum like sound indicating increased volume when heard over lungs -
ANSWER ✅ tympanic
12.(extra air)
booming sound that can be heard on an area of lung were either a
*pneumothorax or emphysema* is present - ANSWER ✅ hyperresonant
13.normal breath sounds - ANSWER ✅ vesicular
14.abnormal breath sounds - ANSWER ✅ adventitious
,15.patient instructed to say E and sounds like A (or 99) *indicates consolidation
of the lung tissue as with a pneumonia like condition* - ANSWER ✅
egophony
16.what breath sounds would be expected in a patient with pulmonary edema -
ANSWER ✅ fine crackles (moist crepitant rales)
17.large airway secretions
rhonchi that clears with cough
*suction or have patient cough* - ANSWER ✅ coarse crackles
18.middle airway secretions
*bronchial hygiene* - ANSWER ✅ medium crackles
19.moist crepitant rales
alveoli/fluid
associated with CHF and pulmonary edema
*o2, IPPB, diuretics, and positive inotropic agents (strengthens the heart)* -
ANSWER ✅ fine crackles
20.bronchospasm
unilateral wheeze = obstruction
*bronchodilator or bronchoscopy* - ANSWER ✅ wheeze
21.upper airway obstruction
supraglottic swelling (epiglottitis)
subglottic swelling (croup and post extubation)
*racemic epi (mild to moderate), suctioning/bronch, intubation (marked or
severe)* - ANSWER ✅ stridor
, 22.noisy during inhalation
low pitch snoring (vibrations for secretions bc tissues relax) - ANSWER ✅
stertor
23.coarse, raspy, crunching sound
inflamed surface of visceral and parietal pleura rubbing
*pleurisy, TB, pneumonia, cancer, pulmonary infarction*
*steriods (inflammation) or antibiotics (infection) - ANSWER ✅ pleural
friction rub
24.normal closure of mitral and tricuspid valves *lub* - ANSWER ✅ S1
25.normal sound occurring when systole ends, ventricles relax and pulmonic
and aortic valves close *dub* - ANSWER ✅ S2
26.abnormal heart sound *heart failure* - ANSWER ✅ S3
27.abnormal heart sounds *hypertension/aortic stenosis* - ANSWER ✅ S4
28.abnormal heart sounds *turbulent blood flow/heart valve defects* -
ANSWER ✅ murmur
29.abnormal heart sounds *made in an artery/vein when blood flow becomes
turbulent or flows at abnormal speed/carotid artery* - ANSWER ✅ Bruit
30.what affect would cardiac stress have on blood pressure? - ANSWER ✅
hypertension hypoxemia
assessment airway management ACTUAL
EXAM 2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS ||
BRAND NEW VERSION
1. indications of paradoxical pulses/pulsus paradoxus - ANSWER ✅ sever air
trapping, Pneumo, status asthmaticus, cardiac tamponade
(pulse/BP varies with respiration)
2. pulled toward affected side - ANSWER ✅ atelectasis pneumonectomy
diaphragmatic paralysis
3. pushed away from affected side - ANSWER ✅ pleural effusion tension
pneumothorax tumor (neck or thyroid) mediastinal mass
4. vibrations felt on chest wall by hand
*Increased in consolidation and pulmonary edema*
*decreased in COPD, pneumothorax, and pleural effusion* - ANSWER ✅
tactile fremitus
5. skind tender around incisions, chest tubes, bruises, burns, or fractures -
ANSWER ✅ tenderness
6. bubbles of air under skin - ANSWER ✅ crepitus (subcutaneous
emphysema)
,7. different than therapeutic chest percussion (chest PT) - ANSWER ✅
diagnostic chest percussion
8. normal air filled lungs (hollow sound) - ANSWER ✅ resonant
9. (less air)
normally heard over sternum
areas of atelectasis - ANSWER ✅ flat
10.(less air)
normally heard over fluid filled organs (heart, liver)
Pleural effusion/pneumonia (thud) - ANSWER ✅ dull
(extra air)
11.normally heard over air-filled stomach
drum like sound indicating increased volume when heard over lungs -
ANSWER ✅ tympanic
12.(extra air)
booming sound that can be heard on an area of lung were either a
*pneumothorax or emphysema* is present - ANSWER ✅ hyperresonant
13.normal breath sounds - ANSWER ✅ vesicular
14.abnormal breath sounds - ANSWER ✅ adventitious
,15.patient instructed to say E and sounds like A (or 99) *indicates consolidation
of the lung tissue as with a pneumonia like condition* - ANSWER ✅
egophony
16.what breath sounds would be expected in a patient with pulmonary edema -
ANSWER ✅ fine crackles (moist crepitant rales)
17.large airway secretions
rhonchi that clears with cough
*suction or have patient cough* - ANSWER ✅ coarse crackles
18.middle airway secretions
*bronchial hygiene* - ANSWER ✅ medium crackles
19.moist crepitant rales
alveoli/fluid
associated with CHF and pulmonary edema
*o2, IPPB, diuretics, and positive inotropic agents (strengthens the heart)* -
ANSWER ✅ fine crackles
20.bronchospasm
unilateral wheeze = obstruction
*bronchodilator or bronchoscopy* - ANSWER ✅ wheeze
21.upper airway obstruction
supraglottic swelling (epiglottitis)
subglottic swelling (croup and post extubation)
*racemic epi (mild to moderate), suctioning/bronch, intubation (marked or
severe)* - ANSWER ✅ stridor
, 22.noisy during inhalation
low pitch snoring (vibrations for secretions bc tissues relax) - ANSWER ✅
stertor
23.coarse, raspy, crunching sound
inflamed surface of visceral and parietal pleura rubbing
*pleurisy, TB, pneumonia, cancer, pulmonary infarction*
*steriods (inflammation) or antibiotics (infection) - ANSWER ✅ pleural
friction rub
24.normal closure of mitral and tricuspid valves *lub* - ANSWER ✅ S1
25.normal sound occurring when systole ends, ventricles relax and pulmonic
and aortic valves close *dub* - ANSWER ✅ S2
26.abnormal heart sound *heart failure* - ANSWER ✅ S3
27.abnormal heart sounds *hypertension/aortic stenosis* - ANSWER ✅ S4
28.abnormal heart sounds *turbulent blood flow/heart valve defects* -
ANSWER ✅ murmur
29.abnormal heart sounds *made in an artery/vein when blood flow becomes
turbulent or flows at abnormal speed/carotid artery* - ANSWER ✅ Bruit
30.what affect would cardiac stress have on blood pressure? - ANSWER ✅
hypertension hypoxemia
