Chapter 8. Respiratory System
I I I
Multiple IChoice
Identify Ithe Ichoice Ithat Ibest Icompletes Ithe Istatement Ior Ianswers Ithe Iquestion.
____ 1. A I66-year-old Ipatient Ipresents Ito Ithe Iclinic Icomplaining Iof Idyspnea Iand Iwheezing. IThe
Ipatient Ireports Ia Ismoking Ihistory Iof I2 Ipacks Iof Icigarettes Iper Iday Isince Iage I16. IThis
Iwould Ibe Irecorded Iin Ithe Ichart Ias:
A. 50 Ix I2-pack Iyears
B. 100-pack Iyears
C. 50-year, I2-pack Ihistory
D. 100 Ipack Ihistory
B
____ 2. Which Iof Ithe Ifollowing Iis Icharacteristic Iof ICOPD?
A. Asymmetric Ichest Iexpansion
B. Increased Ilateral Idiameter
C. Increased Ianterior-posterior Idiameter
D. Pectus Iexcavatum
C
____ 3. When Ipalpating Ithe Iposterior Ichest, Ithe Iclinician Inotes Iincreased Itactile Ifremitus Iover Ithe
Ileft Ilower Ilobe. IThis Ican Ibe Iindicative Iof:
A. Pneumonia
B. Emphysema
C. Pneumothorax
D. Asthma
A
____ 4. During Iphysical Iexamination Iof Ia Ipatient, Iyou Inote Iresonance Ion Ipercussion Iin Ithe Iupper
Ilung Ifields. IThis Iis Iconsistent Iwith:
A. COPD
B. Pneumothorax
C. A Inormal Ifinding
D. Pleural Ieffusion
C
, ____ 5. Which Iof Ithe Ifollowing Iimaging Istudies Ishould Ibe Iconsidered Iif Ia Ipulmonary Imalignancy
Iis Isuspected?
A. Computed Itomography I(CT) Iscan
B. Chest Ixray Iwith IPA, Ilateral, Iand Ilordotic
Iviews
C. Ultrasound
D. Positron Iemission Itomography I(PET) Iscan
A
____ 6. Alpha-1 Iantitrypsin Ideficiency Ishould Ibe Iconsidered Iin Ipatients Idiagnosed Iwith:
A. Exercise-induced Icough
B. Bronciectasis
C. COPD
D. Pericarditis
C
____ 7. Upon Iassessment Iof Irespiratory Iexcursion, Ithe Iclinician Inotes Iasymmetric Iexpansion Iof
Ithe Ichest. IOne Iside Iexpands Igreater Ithan Ithe Iother. IThis Icould Ibe Idue Ito:
A. Pneumothorax
B. Pleural Ieffusion
C. Pneumonia
D. Pulmonary Iembolism
A
____ 8. During Iauscultation Iof Ithe Ichest, Iyour Iexam Ireveals Ia Iloud Igrating Isound Iat Ithe Ilower
Ianterolateral Ilung Ifields, Iat Ifull Iinspiration Iand Iearly Iexpiration. IThis Ifinding Iis Iconsistent
Iwith:
A. Pneumonia
B. Pleuritis
C. Pneumothorax
D. A Iand IB
D
____ 9. While Iassessing Iauscultated Ispoken Isounds, Ithe Iausculated Isound Iis Iheard Ias I“a-a-a”
Iwhen Ihe Iis Iasked Ito Irepeat I“e-e-e.” I IThis Iis Iindicative Iof:
A. Asthma
B. Tumor
C. Pneumonia
I I I
Multiple IChoice
Identify Ithe Ichoice Ithat Ibest Icompletes Ithe Istatement Ior Ianswers Ithe Iquestion.
____ 1. A I66-year-old Ipatient Ipresents Ito Ithe Iclinic Icomplaining Iof Idyspnea Iand Iwheezing. IThe
Ipatient Ireports Ia Ismoking Ihistory Iof I2 Ipacks Iof Icigarettes Iper Iday Isince Iage I16. IThis
Iwould Ibe Irecorded Iin Ithe Ichart Ias:
A. 50 Ix I2-pack Iyears
B. 100-pack Iyears
C. 50-year, I2-pack Ihistory
D. 100 Ipack Ihistory
B
____ 2. Which Iof Ithe Ifollowing Iis Icharacteristic Iof ICOPD?
A. Asymmetric Ichest Iexpansion
B. Increased Ilateral Idiameter
C. Increased Ianterior-posterior Idiameter
D. Pectus Iexcavatum
C
____ 3. When Ipalpating Ithe Iposterior Ichest, Ithe Iclinician Inotes Iincreased Itactile Ifremitus Iover Ithe
Ileft Ilower Ilobe. IThis Ican Ibe Iindicative Iof:
A. Pneumonia
B. Emphysema
C. Pneumothorax
D. Asthma
A
____ 4. During Iphysical Iexamination Iof Ia Ipatient, Iyou Inote Iresonance Ion Ipercussion Iin Ithe Iupper
Ilung Ifields. IThis Iis Iconsistent Iwith:
A. COPD
B. Pneumothorax
C. A Inormal Ifinding
D. Pleural Ieffusion
C
, ____ 5. Which Iof Ithe Ifollowing Iimaging Istudies Ishould Ibe Iconsidered Iif Ia Ipulmonary Imalignancy
Iis Isuspected?
A. Computed Itomography I(CT) Iscan
B. Chest Ixray Iwith IPA, Ilateral, Iand Ilordotic
Iviews
C. Ultrasound
D. Positron Iemission Itomography I(PET) Iscan
A
____ 6. Alpha-1 Iantitrypsin Ideficiency Ishould Ibe Iconsidered Iin Ipatients Idiagnosed Iwith:
A. Exercise-induced Icough
B. Bronciectasis
C. COPD
D. Pericarditis
C
____ 7. Upon Iassessment Iof Irespiratory Iexcursion, Ithe Iclinician Inotes Iasymmetric Iexpansion Iof
Ithe Ichest. IOne Iside Iexpands Igreater Ithan Ithe Iother. IThis Icould Ibe Idue Ito:
A. Pneumothorax
B. Pleural Ieffusion
C. Pneumonia
D. Pulmonary Iembolism
A
____ 8. During Iauscultation Iof Ithe Ichest, Iyour Iexam Ireveals Ia Iloud Igrating Isound Iat Ithe Ilower
Ianterolateral Ilung Ifields, Iat Ifull Iinspiration Iand Iearly Iexpiration. IThis Ifinding Iis Iconsistent
Iwith:
A. Pneumonia
B. Pleuritis
C. Pneumothorax
D. A Iand IB
D
____ 9. While Iassessing Iauscultated Ispoken Isounds, Ithe Iausculated Isound Iis Iheard Ias I“a-a-a”
Iwhen Ihe Iis Iasked Ito Irepeat I“e-e-e.” I IThis Iis Iindicative Iof:
A. Asthma
B. Tumor
C. Pneumonia
