CHEST PHYSIOTHERAPY EXAM REVISION. ALL EXAM REVISION
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024
UPDATE) 100%
Angina - ANSWER- occurs when your heart doesn't get enough oxygen or blood due to
blockage
Vibration - ANSWER- - coupled with postural drainage & percussion
- a technique used on expiration to assist with proximal movement of secretions
- performed with one hand on either side of chest or with one hand over the other on the segment
being treated
- the patient is asked to breathe in deeply & then exhale slowly & completely
- as the patient exhales, light pressure & small amplitude vibrations are performed with stiff arms
& flat hands
- used to gently shake secretions into larger airways to be cleared more easily
Postural drainage postions - ANSWER- - postion depends on segment
- segment point down to drain
- each segment has its own position
- segment being drain has to be in the highest position so gravity helps
Right & left lobes apical segment - ANSWER- anterior
- patient supine/sitting - reclined 30-40 degree
,- percussion is applied directly under the clavicles
Posterior
- patient sitting - leaning forward 30-40 degree
- percussion is applied above the scapulae
- fingers curve over the top of the shoulder
Left & right upper lobes anterior segments - ANSWER- - supine (head of bed elevated slightly
for left)
- percussion is applied directly over the nipple or just above the breast
- you can get patient to place their hands over their breast so if you were to miss you will hit their
hand instead of their boobs & you can percuss right over their hand
Left upper lobe posterior segment - ANSWER- - prone 1/4 turn toward supine on the right side
- head of bed elevated 45 degree or 18"
- percussion is applied directly over left scapula
Right upper lobe posterior segment - ANSWER- - prone 1/4 turn toward supine on left side
- percussion is applied directly over right scapula
Left upper lobe lingula - ANSWER- - supine 1/4 turn toward prone on right side
- head down position with foot of bed elevated 15-30 degree or 12"
, - percussion is applied under left breast
Right & left lower lobes superior segments - ANSWER- - prone
- percussion is applied bilaterally directly under the scapula
- higher up on the back, part of the upper segments
Right middle lobe - ANSWER- - supine 1/4 turn toward supine on the left side
- head down position with feet elevated 15-30 degree or 12"
- percussion is applied under the right breast
Right & left lower lobes anterior segments - ANSWER- - supine
- head down position with feet elevated 30-45 degree or 18"
- percussion is applied bilaterally over the lower portion of the ribs
Right lower lobe lateral segment - ANSWER- - left side lying
- percussion is applied over the lower lateral aspect of the right rib cage
- head down position with feet elevated 30-45 degree or 18"
Left lower lobe lateral segment - ANSWER- - right side lying
- percussion is applied over the lower lateral aspect of the left rib cage
- head down position with feet elevated 30-45 degree or 18"
- also treats right lower lobe medial/cardiac segment
Right & left lower lobes posterior segments - ANSWER- - prone
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024
UPDATE) 100%
Angina - ANSWER- occurs when your heart doesn't get enough oxygen or blood due to
blockage
Vibration - ANSWER- - coupled with postural drainage & percussion
- a technique used on expiration to assist with proximal movement of secretions
- performed with one hand on either side of chest or with one hand over the other on the segment
being treated
- the patient is asked to breathe in deeply & then exhale slowly & completely
- as the patient exhales, light pressure & small amplitude vibrations are performed with stiff arms
& flat hands
- used to gently shake secretions into larger airways to be cleared more easily
Postural drainage postions - ANSWER- - postion depends on segment
- segment point down to drain
- each segment has its own position
- segment being drain has to be in the highest position so gravity helps
Right & left lobes apical segment - ANSWER- anterior
- patient supine/sitting - reclined 30-40 degree
,- percussion is applied directly under the clavicles
Posterior
- patient sitting - leaning forward 30-40 degree
- percussion is applied above the scapulae
- fingers curve over the top of the shoulder
Left & right upper lobes anterior segments - ANSWER- - supine (head of bed elevated slightly
for left)
- percussion is applied directly over the nipple or just above the breast
- you can get patient to place their hands over their breast so if you were to miss you will hit their
hand instead of their boobs & you can percuss right over their hand
Left upper lobe posterior segment - ANSWER- - prone 1/4 turn toward supine on the right side
- head of bed elevated 45 degree or 18"
- percussion is applied directly over left scapula
Right upper lobe posterior segment - ANSWER- - prone 1/4 turn toward supine on left side
- percussion is applied directly over right scapula
Left upper lobe lingula - ANSWER- - supine 1/4 turn toward prone on right side
- head down position with foot of bed elevated 15-30 degree or 12"
, - percussion is applied under left breast
Right & left lower lobes superior segments - ANSWER- - prone
- percussion is applied bilaterally directly under the scapula
- higher up on the back, part of the upper segments
Right middle lobe - ANSWER- - supine 1/4 turn toward supine on the left side
- head down position with feet elevated 15-30 degree or 12"
- percussion is applied under the right breast
Right & left lower lobes anterior segments - ANSWER- - supine
- head down position with feet elevated 30-45 degree or 18"
- percussion is applied bilaterally over the lower portion of the ribs
Right lower lobe lateral segment - ANSWER- - left side lying
- percussion is applied over the lower lateral aspect of the right rib cage
- head down position with feet elevated 30-45 degree or 18"
Left lower lobe lateral segment - ANSWER- - right side lying
- percussion is applied over the lower lateral aspect of the left rib cage
- head down position with feet elevated 30-45 degree or 18"
- also treats right lower lobe medial/cardiac segment
Right & left lower lobes posterior segments - ANSWER- - prone
