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physical assessment: thorax and lungs


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The manubriosternal angle is:
the articualtion of the manubrium and the body of the sternum
Describe the left lung as compared to the right:
Narrowere than the right with two lobes
Some conditions have a cough with characteristic timing. The cough associatied with chronic bronchitis is best described as:
productive cough for at least 3 months of the year for 2 years in a row
Symmetric chest expansion is best confirmed by:
placing hands on the posterolateral chest wall with thumbs at the level of T9 or T10, then sliding the hands up to pinch up a small fold of skin between the thumbs
Absence of diaphragmatic excursio noccurs with:
pleural effusion or atelectasis of the lower lobes
Auscultation of breath sounds is an important component of respiratory assessment. Describe the process:
Hold the diaphragm of the stethoscope against the chest wall; listen to one full respiration in each location, being sure to do side-to-side comparisons.
Describe bronchovesicular breath sounds.
moderate pitch, inspiration equal to expiration
You note a patient has: increased respiration rate, chest expansion is decreased on the left side, dull to percussion over left lowerlobe, breathsounds louder with fine crackles over left lower lobe. This are signs and symptoms of:
lobar pneumonia
Upon examining a patient's nails, you note that the angle of the nail base is > 160* and that the nail base feels spongy to palpation. These findings are consistent with:
chronic, congenital heart disease and COPD
Upon examination of a patient, you note a coarse, low-pitched sound during both inspriation and expiration. This patient complains of pain wit hbreathing. These findings are onsistent with:
pleural friction rub
In order to use the technique of egophony, ask the patient to:
say "ee" each time the stethoscope is moved
When examining for tactile fremitus, it is important to:
palpate the chest symmetrically
The pulse oximeter measures:
arterial oxygenation saturation
The lung borders of the apex
are 3 to 4 cm above the inner third of the clavicles
The lung borders of the base
rests on the diaphragm
The lung borders of the lateral left
are the sixth rib, and midclavicular line
The lung borders of the lateral right
are the fifth intercostal space
The lung borders of the posterior apex
Configurations of the thorax: ellipticalshape with an anteroposterior: transverse diameter in the ratio of 1:2
normal chest
Configurations of the thorax: anteroposterior = transverse diameter
barrel chest
Configurations of the thorax: sunken sternum and adjacent cartilages
pectus excavatum
Configurations of the thorax: forward protrusion of the sernum with ribs slopin back at either side
pectus carnatum
Configurations of the thorax: lateral, S-shaped curvature of the thoracic and lumbar spine
Configurations of the thorax: exaggerated posterior curvature of thoracic spine

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