GNUR 238 - EXAM 3 RESPIRATORY QUESTIONS
What is the term for "conditions affecting the airway" - Answer -Patency
What is the term for "Conditions affecting Movement of Air" - Answer -Breathing
Patterns
What is the term for "Conditions affecting Diffusion" - Answer -Hypoxemia and Hypoxia
What is the term for "Conditions affecting transport" - Answer -Decreased CO:
Hypovolemia, CHF
What are the clinical manifestations of Acute bronchitis? - Answer -- Initially non-
productive cough that eventually becomes productive
- Rhonchi with wheezing after coughing
What are the clinical manifestations of Pneumonia? - Answer -- Crackles or Rhonchi
- Viral non-productive cough
- Bacterial productive cough
What are the clinical manifestations of Asthma? - Answer -- Dyspnea
- Chest Tightness
- Tachycardia
- Tachypnea
- Prolonged expiration
- Audible wheezing
- use of accessory muscles when breathing
What are the clinical manifestations of Emphysema? - Answer -Underweight and barrel
chest
SOB w/ exertion
Clubbing
Diminished breath sounds
May have wheezes or crackles
What are the clinical manifestations of Chronic Bronchitis? - Answer -Productive cough
Rhonchi (sometimes cleared by coughing)
Cladding
Cyanosis
What are the clinical manifestations of Pneumothorax? - Answer -- Depends on the
amount of lung collapse.
SOB to severe respiratory distress
Decreased chest wall movement
May have tracheal displacement
, What are the clinical manifestations of Ateleactasis? - Answer -Diminished breath
sounds , O2 sat > 90%
What is a continuous abnormal respiration finding? - Answer -An extra sound that lasts
more than 0.2 seconds with a full respiration.
What is High-pitched polyphonic wheeze (Rhonchi) - Answer -High pitched, musical-
instrument-type sound that has MANY different sound qualities
Could be heard in expiration or inspiration
Low-pitch Monophonic Wheeze (Rhonchi) - Answer -A low pitch whistle or whine with
ONE sound quality
Can be heard on expiration or inspiration
stridor - Answer -Heard on inspiration due to obstruction of the airway
High-pitched whistling or gasp
Harsh quality
What are discontinuous breath sounds? - Answer -Extra sound that lasts less than 0.2
seconds
Coarse crackles (Rales) - Answer -Mainly heard in inspiration (but can expand into
expiration)
Low-pitch "wet/bubbling" sound
Coarse crackles can be caused by: - Answer -Extra fluid in the lungs
Such as with CHF or Pulmonary edema, or pneumonia
Fine crackles - Answer -Heard on inspiration
High-pitch crackling sound
"Crackling like a fire"
Does not clear when pt coughs
Pleural friction rub - Answer -Heard on inspiration and expiration
Low-pitch harsh grading sound
The layers of the pleura are rubbing against each other
Bronchial Breath Sounds - Answer -Heard Next to trachea
Expiration is longer than inspiration (E>I)
Loud and high-pitched
Tracheal Breath Sounds - Answer -Heard Over the trachea
Inspiration < Expiration (I<E)
Harsh, high-pitched
What is the term for "conditions affecting the airway" - Answer -Patency
What is the term for "Conditions affecting Movement of Air" - Answer -Breathing
Patterns
What is the term for "Conditions affecting Diffusion" - Answer -Hypoxemia and Hypoxia
What is the term for "Conditions affecting transport" - Answer -Decreased CO:
Hypovolemia, CHF
What are the clinical manifestations of Acute bronchitis? - Answer -- Initially non-
productive cough that eventually becomes productive
- Rhonchi with wheezing after coughing
What are the clinical manifestations of Pneumonia? - Answer -- Crackles or Rhonchi
- Viral non-productive cough
- Bacterial productive cough
What are the clinical manifestations of Asthma? - Answer -- Dyspnea
- Chest Tightness
- Tachycardia
- Tachypnea
- Prolonged expiration
- Audible wheezing
- use of accessory muscles when breathing
What are the clinical manifestations of Emphysema? - Answer -Underweight and barrel
chest
SOB w/ exertion
Clubbing
Diminished breath sounds
May have wheezes or crackles
What are the clinical manifestations of Chronic Bronchitis? - Answer -Productive cough
Rhonchi (sometimes cleared by coughing)
Cladding
Cyanosis
What are the clinical manifestations of Pneumothorax? - Answer -- Depends on the
amount of lung collapse.
SOB to severe respiratory distress
Decreased chest wall movement
May have tracheal displacement
, What are the clinical manifestations of Ateleactasis? - Answer -Diminished breath
sounds , O2 sat > 90%
What is a continuous abnormal respiration finding? - Answer -An extra sound that lasts
more than 0.2 seconds with a full respiration.
What is High-pitched polyphonic wheeze (Rhonchi) - Answer -High pitched, musical-
instrument-type sound that has MANY different sound qualities
Could be heard in expiration or inspiration
Low-pitch Monophonic Wheeze (Rhonchi) - Answer -A low pitch whistle or whine with
ONE sound quality
Can be heard on expiration or inspiration
stridor - Answer -Heard on inspiration due to obstruction of the airway
High-pitched whistling or gasp
Harsh quality
What are discontinuous breath sounds? - Answer -Extra sound that lasts less than 0.2
seconds
Coarse crackles (Rales) - Answer -Mainly heard in inspiration (but can expand into
expiration)
Low-pitch "wet/bubbling" sound
Coarse crackles can be caused by: - Answer -Extra fluid in the lungs
Such as with CHF or Pulmonary edema, or pneumonia
Fine crackles - Answer -Heard on inspiration
High-pitch crackling sound
"Crackling like a fire"
Does not clear when pt coughs
Pleural friction rub - Answer -Heard on inspiration and expiration
Low-pitch harsh grading sound
The layers of the pleura are rubbing against each other
Bronchial Breath Sounds - Answer -Heard Next to trachea
Expiration is longer than inspiration (E>I)
Loud and high-pitched
Tracheal Breath Sounds - Answer -Heard Over the trachea
Inspiration < Expiration (I<E)
Harsh, high-pitched
