NSG 6020 MIDTERM QUESTIONS WITH
DETAILED VERIFIED ANSWERS
What age does bronchiolitis occur? Ans: most common at age 6 months-
does not occur after age 2
main symptom of bronchiolitis Ans: wheezing-lasts about 7 days
most common cause of bronchiolitis Ans: RSV
Treatment for bronchiolitis Ans: No specific treatment
Order of lung exam Ans: inspect, palpate, percuss, auscultate
Pectus Excavatum Ans: congenital posterior displacement of lower aspect
of sternum
-hollowed-out appearance
-concave appearance of lower sternum
Pectus carinatum Ans: at birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth
spurt
-convex deformity
-97% have MVP
Barrel Chest Ans: associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well
as diaphragmatic flattening
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Tactile fremitus Ans: 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 Ans: (thigh)
Large Pleural effusion
Percussion- dullness Ans: (liver)
Lobar PNA
Percussion: resonance Ans: (Lung)
simple chronic bronchitis
Percussion: hyperresonance Ans: None
-emphysema, pneumothorax
Percussion: tympany Ans: (gastric bubble)
-large pneumothorax
Auscultation: vesicular Ans: soft and low pitched; usually heard over
most of both lungs
Auscultation: bronchial Ans: louder and higher in pitch; usually heard
over the manubrium
Auscultation: bronchovesicular Ans: intermediate intensity and pitch;
usually heard over the 1st and 2nd interspaces
Auscultation: tracheal Ans: over the trachea and neck, very loud