NSG 6020 Midterm Exam Questions With
Verified Answers
What age does bronchiolitis occur?
most common at age 6 months- does not occur after age 2
main symptom of bronchiolitis
wheezing-lasts about 7 days
most common cause of bronchiolitis
RSV
Treatment for bronchiolitis
No specific treatment
Order of lung exam
inspect, palpate, percuss, auscultate
Pectus Excavatum
congenital posterior displacement of lower aspect of sternum
-hollowed-out appearance
-concave appearance of lower sternum
Pectus carinatum
at birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth spurt
-convex deformity
-97% have MVP
Barrel Chest
, associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well as
diaphragmatic flattening
Tactile fremitus
palpable vibrations of the bronchiopulmonary tree as the patient is speaking (99 or 1-2-
3)
-impeded in COPD, pulm effusion or pneumothorax
-increased in consolidation and PNA
percussion:
flatness
(thigh)
Large Pleural effusion
Percussion- dullness
(liver)
Lobar PNA
Percussion: resonance
(Lung)
simple chronic bronchitis
Percussion: hyperresonance
None
-emphysema, pneumothorax
Percussion: tympany
(gastric bubble)
-large pneumothorax
Auscultation: vesicular
soft and low pitched; usually heard over most of both lungs
Auscultation: bronchial
louder and higher in pitch; usually heard over the manubrium
Auscultation: bronchovesicular
Verified Answers
What age does bronchiolitis occur?
most common at age 6 months- does not occur after age 2
main symptom of bronchiolitis
wheezing-lasts about 7 days
most common cause of bronchiolitis
RSV
Treatment for bronchiolitis
No specific treatment
Order of lung exam
inspect, palpate, percuss, auscultate
Pectus Excavatum
congenital posterior displacement of lower aspect of sternum
-hollowed-out appearance
-concave appearance of lower sternum
Pectus carinatum
at birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth spurt
-convex deformity
-97% have MVP
Barrel Chest
, associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well as
diaphragmatic flattening
Tactile fremitus
palpable vibrations of the bronchiopulmonary tree as the patient is speaking (99 or 1-2-
3)
-impeded in COPD, pulm effusion or pneumothorax
-increased in consolidation and PNA
percussion:
flatness
(thigh)
Large Pleural effusion
Percussion- dullness
(liver)
Lobar PNA
Percussion: resonance
(Lung)
simple chronic bronchitis
Percussion: hyperresonance
None
-emphysema, pneumothorax
Percussion: tympany
(gastric bubble)
-large pneumothorax
Auscultation: vesicular
soft and low pitched; usually heard over most of both lungs
Auscultation: bronchial
louder and higher in pitch; usually heard over the manubrium
Auscultation: bronchovesicular
