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