KETTERING CORE EXAM TEST QUESTIONS AND
SOLUTIONS RATED A+
p, drugs, alcohol, metabolic disorder - ✔✔Bradpnea caused by? (4)
✔✔Diaphragm and external intercostals - ✔✔What are the 2 muscles used for normal
ventilation?
✔✔passive - ✔✔Is exhalation passive or active?
✔✔internal intercostals, scalene, sternocleidomastoid, pectoris major, and abdominal
muscles - ✔✔What are the four muscle groups used during an emergency?
✔✔COPD - ✔✔Hypertrophy of the accessory muscles is commonly seen in patient's
with?
✔✔atrophy, cachexia, and starvation - ✔✔Muscle wasting is also known as? (3)
✔✔severe airway obstruction or respiratory distress - ✔✔Retraction are caused by ?
✔✔internal and/or sternal retractions occur when the chest moves inward during
inspiration instead of outward. - ✔✔Retractions are defined as?
✔✔respiratory distress - ✔✔Nasla flaring is a sign of ______ in infants?
✔✔Electrolyte imbalance - ✔✔General malaise is associated with?
✔✔enlarged tongue - ✔✔Macroglossia is defined as?
✔✔short receding mandible, enlarged tongue (macroglossia), bull neck, and limited
range of motion o f the neck - ✔✔While assessing a patient to determine how difficult
the intubation will be the therapist should look for? (4)
✔✔weight gain, electrolyte imbalance, increased hemodynamic pressures, and
decreased lung compliance. - ✔✔If fluid intake exceeds fluid output, this could result in:
(4)
✔✔right atrium, venous return - ✔✔The catheter measure CVP is located in what
location of the heart? and what does it measure?
✔✔Cardiac evaluation - ✔✔A patient present with Orthopnea the physician ask the
therapist to further evaluation the patient. What type of evaluation should the therapist
perform?
,✔✔60-100 - ✔✔Normal pulse rate?
✔✔100; indicates hypoxemia, anxiety, stress; oxygen - ✔✔Tachycardia is HR >? and
caused by? recommend?
✔✔60; indicates heart failure, shock, code/emergency; atropine - ✔✔Bradycardia is
HR<? and caused by? recommend?
✔✔>20 - ✔✔An adverse reaction is indicated by what change in HR?
✔✔Heart failure - ✔✔A pulse that is weak and thready could possibly indicate?
✔✔Hypoxemia - ✔✔A pulse that is strong and bounding could possibly indicate?
✔✔pulse and blood pressure vary with respiration - ✔✔Paradoxical pulse/pulsus
paradoxus is defined as?
✔✔Severe air trapping; status asthmatics, tension pneumothorax, cardiac tamponade -
✔✔Pluses paradoxes may indicate? related to?
✔✔placing the index finger into the supra-sternal notch and comparing the space
between the left clavicle and the left border of the trachea - ✔✔What is the procedure to
identifying tracheal deviation?
✔✔1) Massive pleural effusion
2) Tension pneumothorax
3) Neck or thyroid tumors
4) Large mediastinal mass - ✔✔A patient presents in the ER with tracheal deviation
toward the right side with abnormal breath sounds on the left side what are the possible
causes?
(4)
✔✔1) Pulmonary atelectasis
2) Pulmonary fibrosis
3) Pneumonectomy
4) Diaphragmatic paralysis - ✔✔A patient presents in the ER with tracheal deviation
toward the right side with abnormal breath sounds on the right side what are the
possible causes? (4)
✔✔voice vibrations on the chest wall - ✔✔Vocal fremitus is defined as?
✔✔A grating sensation felt on the chest wall due to roughened pleural surfaces rubbing
together - ✔✔Pleural rub fremitus is defined as?
, ✔✔palpable rhonchi; secretions in the airway - ✔✔Rhonchal Fremites is also known as?
and indicates?
✔✔Bubbles of air under the skin that can be palpated and indicates the presence of
subcutaneous emphysema - ✔✔Crepitus is defined as?
✔✔Normal air-filled lungs - ✔✔The therapist percuss the patients chest and notes
Resonant sounds. What should the therapist deduce from the sounds?
✔✔normally one the sternum; areas of atelectasis - ✔✔The therapist percuss the
patients chest and notes flat sounds. Over what areas are flat sounds typically heard?
what pathology will cause flat sounds?
✔✔fluid filled organs such as heart and liver; pleural effusion or pneumonia - ✔✔The
therapist percuss the patients chest and notes Dull sounds. Dull sounds are normally
heard over? and when heard over the lungs may indicate?
✔✔air-filled stomach; increase volume - ✔✔The Therapist percuss the patient chest and
notes Tympanic sounds normally heard over? and when heard over the lungs may
indicate?
✔✔pneumothorax or emphysema. - ✔✔The Therapist percuss the patient chest and
notes hyperresonant sounds which can indicate the presence of?
✔✔normal lung sounds - ✔✔The therapist auscultates the patients breath sounds and
note bronchial breath sounds over the trachea and bronchi indicating?
✔✔Lung consolidation - ✔✔The therapist auscultates the patients breath sounds and
notes bronchial breath sounds over the lung periphery which would indicate?
✔✔Normal breath sounds - ✔✔Vesicular breath sounds are defined as?
✔✔The patient saying "E" and sounding like "A" - ✔✔Egophony is defined as?
✔✔Lung consolidation - ✔✔Egophony is an indication of?
✔✔secretions/fluid - ✔✔Crackles (rales) indicates the presence of?
✔✔Secretions; large airway; suctioning or instructing the patient to cough - ✔✔Coarse
crackles indicates the presence of? located in? is treated with?
✔✔secretions; middle airways; recommend hygiene therapy (chest physiotherapy) -
✔✔Medium crackles indicates the presence of? located in? is treated with?
SOLUTIONS RATED A+
p, drugs, alcohol, metabolic disorder - ✔✔Bradpnea caused by? (4)
✔✔Diaphragm and external intercostals - ✔✔What are the 2 muscles used for normal
ventilation?
✔✔passive - ✔✔Is exhalation passive or active?
✔✔internal intercostals, scalene, sternocleidomastoid, pectoris major, and abdominal
muscles - ✔✔What are the four muscle groups used during an emergency?
✔✔COPD - ✔✔Hypertrophy of the accessory muscles is commonly seen in patient's
with?
✔✔atrophy, cachexia, and starvation - ✔✔Muscle wasting is also known as? (3)
✔✔severe airway obstruction or respiratory distress - ✔✔Retraction are caused by ?
✔✔internal and/or sternal retractions occur when the chest moves inward during
inspiration instead of outward. - ✔✔Retractions are defined as?
✔✔respiratory distress - ✔✔Nasla flaring is a sign of ______ in infants?
✔✔Electrolyte imbalance - ✔✔General malaise is associated with?
✔✔enlarged tongue - ✔✔Macroglossia is defined as?
✔✔short receding mandible, enlarged tongue (macroglossia), bull neck, and limited
range of motion o f the neck - ✔✔While assessing a patient to determine how difficult
the intubation will be the therapist should look for? (4)
✔✔weight gain, electrolyte imbalance, increased hemodynamic pressures, and
decreased lung compliance. - ✔✔If fluid intake exceeds fluid output, this could result in:
(4)
✔✔right atrium, venous return - ✔✔The catheter measure CVP is located in what
location of the heart? and what does it measure?
✔✔Cardiac evaluation - ✔✔A patient present with Orthopnea the physician ask the
therapist to further evaluation the patient. What type of evaluation should the therapist
perform?
,✔✔60-100 - ✔✔Normal pulse rate?
✔✔100; indicates hypoxemia, anxiety, stress; oxygen - ✔✔Tachycardia is HR >? and
caused by? recommend?
✔✔60; indicates heart failure, shock, code/emergency; atropine - ✔✔Bradycardia is
HR<? and caused by? recommend?
✔✔>20 - ✔✔An adverse reaction is indicated by what change in HR?
✔✔Heart failure - ✔✔A pulse that is weak and thready could possibly indicate?
✔✔Hypoxemia - ✔✔A pulse that is strong and bounding could possibly indicate?
✔✔pulse and blood pressure vary with respiration - ✔✔Paradoxical pulse/pulsus
paradoxus is defined as?
✔✔Severe air trapping; status asthmatics, tension pneumothorax, cardiac tamponade -
✔✔Pluses paradoxes may indicate? related to?
✔✔placing the index finger into the supra-sternal notch and comparing the space
between the left clavicle and the left border of the trachea - ✔✔What is the procedure to
identifying tracheal deviation?
✔✔1) Massive pleural effusion
2) Tension pneumothorax
3) Neck or thyroid tumors
4) Large mediastinal mass - ✔✔A patient presents in the ER with tracheal deviation
toward the right side with abnormal breath sounds on the left side what are the possible
causes?
(4)
✔✔1) Pulmonary atelectasis
2) Pulmonary fibrosis
3) Pneumonectomy
4) Diaphragmatic paralysis - ✔✔A patient presents in the ER with tracheal deviation
toward the right side with abnormal breath sounds on the right side what are the
possible causes? (4)
✔✔voice vibrations on the chest wall - ✔✔Vocal fremitus is defined as?
✔✔A grating sensation felt on the chest wall due to roughened pleural surfaces rubbing
together - ✔✔Pleural rub fremitus is defined as?
, ✔✔palpable rhonchi; secretions in the airway - ✔✔Rhonchal Fremites is also known as?
and indicates?
✔✔Bubbles of air under the skin that can be palpated and indicates the presence of
subcutaneous emphysema - ✔✔Crepitus is defined as?
✔✔Normal air-filled lungs - ✔✔The therapist percuss the patients chest and notes
Resonant sounds. What should the therapist deduce from the sounds?
✔✔normally one the sternum; areas of atelectasis - ✔✔The therapist percuss the
patients chest and notes flat sounds. Over what areas are flat sounds typically heard?
what pathology will cause flat sounds?
✔✔fluid filled organs such as heart and liver; pleural effusion or pneumonia - ✔✔The
therapist percuss the patients chest and notes Dull sounds. Dull sounds are normally
heard over? and when heard over the lungs may indicate?
✔✔air-filled stomach; increase volume - ✔✔The Therapist percuss the patient chest and
notes Tympanic sounds normally heard over? and when heard over the lungs may
indicate?
✔✔pneumothorax or emphysema. - ✔✔The Therapist percuss the patient chest and
notes hyperresonant sounds which can indicate the presence of?
✔✔normal lung sounds - ✔✔The therapist auscultates the patients breath sounds and
note bronchial breath sounds over the trachea and bronchi indicating?
✔✔Lung consolidation - ✔✔The therapist auscultates the patients breath sounds and
notes bronchial breath sounds over the lung periphery which would indicate?
✔✔Normal breath sounds - ✔✔Vesicular breath sounds are defined as?
✔✔The patient saying "E" and sounding like "A" - ✔✔Egophony is defined as?
✔✔Lung consolidation - ✔✔Egophony is an indication of?
✔✔secretions/fluid - ✔✔Crackles (rales) indicates the presence of?
✔✔Secretions; large airway; suctioning or instructing the patient to cough - ✔✔Coarse
crackles indicates the presence of? located in? is treated with?
✔✔secretions; middle airways; recommend hygiene therapy (chest physiotherapy) -
✔✔Medium crackles indicates the presence of? located in? is treated with?
