1. The anterior surface landmark on the thorax that is denoted by a hollow U-shaped
depression just above the sternum and between the clavicles is termed the: suprasternal
notch
2. Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with
talking, suggest: chronic obstructive pulmonary disease
3. The line that extends through the inferior angle of the scapula when the arms are at the
sides of the body is the: scapular line
4. The lower tip of the scapula is located: around the seventh or eighth rib
5. Stridor heard louder in the neck than over the chest wall indicates: a partial obstruction in
the larynx
6. A 37-year-old female has audible stridor. This type of stridor is consistent with: a foreign
object lodged in the upper trachea
7. When palpating the thorax, a crackling, popping noise under the skin is heard. On
auscultation, a sound similar to hair being rubbed between the fingers is noted. These
symptoms could be consistent with:
8. To locate the twelfth rib, palpate: between the spine and the lateral chest
9. A 3-year-old presents with a history of fever and cough over the past 24 hours. Findings
on exam reveal: temperature of 102F, apical heart rate of 157 beats/minute, and
respiratory rate of 40 breaths/minute. Tachypnea in this child is most likely related to: the
child's febrile state
10. When palpating the thorax, a crackling, popping noise under the skin is heard. On
auscultation, a sound similar to hair being rubbed between the fingers is noted. These
symptoms could be consistent with: pneumonia
11. One of the anterior thoracic landmarks is the costal angle. It is located: where the right
and left costal margins form an angle where they meet at the xiphoid process
12. A patient who walked into the examination room, may be observed to be sitting and
leaning forward in his chair. Lips were pursed during exhalation and arms are supported
on the table. This position could be consistent with patients who have: chronic
obstructive pulmonary disease
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, 13. Atypical respiratory symptoms associated with gastroesophageal disease (GERD) may
include all of the following except: rhinitis
14. Diminished breath sounds should be interpreted as: an abnormal finding warranting
further evaluation
15. A 65-year-old obese man with a past medical history of hypertension complains of
increased fatigue during the day. The practitioner orders a polysomnogram to test for:
obstructive sleep apnea (OSA)
16. An acute viral illness that presents with a burning retrosternal discomfort and a dry cough
is suggestive of: tracheobronchitis
17. Breath sounds consisting of a full inspiratory and expiratory phase with the inspiratory
phase usually being louder and normally heard over the trachea and larynx are
considered: bronchial
18. On auscultation of the chest, if the patient says "ninety-nine" and it is clearly heard, this
is indicative of: lung density in the area
19. The palpation technique used to assess respiratory expansion of the chest is placing the
hands on the eight or tenth ribs posteriorly with the thumbs close to the vertebrae, sliding
the hand medially and grasping a small fold of skin between the thumbs. Then: ask the
patient to take a deep breathe and note any delay in expansion during inhalation
20. When trying to differentiate between hemoptysis or blood streaked material, which one of
the following observations is correct? Hemoptysis is common in children with cystic
fibrosis
21. Breath sounds heard over the periphery of the lung fields are: vesicular
22. A condition associated with a chronic cough that produces copious amounts of purulent
sputum is most likely: bronchiectasis
23. Which technique best determines whether the tissues in the chest are air-filled, fluid-
filled, or solid? Percussion
24. When percussing the chest in a patient who has left sided heart failure, the sound
emanated would be: resonant
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