Question 1

Which structural chest deformity describes a depressed lower sternum that usually causes restriction only when it is severe?

Accepted Answer

A)   Flail chest
B)   Pigeon chest
C)   Pectus carinatum
D)   Pectus excavatumE) C) and D)
F) A) and B) D

Question 2

Which tone derived from mediate percussion describes a high-pitched,medium-duration tone heard over hollow structures such as the stomach?

Accepted Answer

A)   Tympanic
B)   Flat
C)   Dull
D)   ResonantE) A) and D)
F) C) and D)

Question 3

Which heart sound signifies the closing of the atrioventricular valves?

Accepted Answer

A)   S1
B)   S2
C)   S3
D)   S4E) A) and B)
F) C) and D)

Question 4

Which breath sounds are described as high pitched and are distinguished by a pause that exists between the inspiratory and expiratory phases that are heard?

Accepted Answer

A)   Bronchial
B)   Bronchovesicular
C)   Vesicular
D)   AdventitiousE) A) and C)
F) None of the above

Question 5

Which heart sound is normal in children and young adults but abnormal in individuals older than age 40 years?

Accepted Answer

A)   S1
B)   S2
C)   S3
D)   S4E) All of the above
F) A) and D)

Question 6

Which breathing pattern exists when respiration is slowed to less than 12 breaths/min?

Accepted Answer

A)   Tachypnea
B)   Bradypnea
C)   Eupnea
D)   Kussmaul breathingE) B) and D)
F) None of the above

Question 7

Which area of the chest will assist the therapist in auscultation of the tricuspid valve?

Accepted Answer

A)   Second intercostal space at the right sternal border
B)   Second intercostal space at the left sternal border
C)   Fourth and fifth intercostal space at the left sternal border
D)   Cardiac apex, fifth intercostal space, and midclavicular lineE) B) and D)
F) A) and B)

Question 8

Which kind of question is likely to give the most valuable information?

Accepted Answer

A)   A yes/no question directed toward a patient
B)   An open-ended question directed toward a patient
C)   A yes/no question directed toward a patient's family
D)   An open-ended question directed toward a patient's familyE) A) and B)
F) None of the above

Question 9

Which of the following describes hyperresonant tones derived from mediate percussion?

Accepted Answer

A)   High-pitched, medium-duration sounds
B)   Low-amplitude, medium- to high-pitched, short-duration sounds
C)   High-pitched, short-duration sounds
D)   Very-low-pitched, prolonged-duration soundsE) None of the above
F) B) and C)

Question 10

During evaluation of thoracic expansion,a symmetrical decrease in chest wall motion occurs in which condition?

Accepted Answer

A)   Lobar pneumonia
B)   Scoliosis
C)   Surgical incision
D)   COPDE) B) and C)
F) All of the above

Question 11

When should discharge planning begin in the acute-care setting?

Accepted Answer

A)   The first day of treatment
B)   The second day of treatment
C)   The second week of treatment
D)   The second-to-last day of treatmentE) A) and D)
F) A) and C)

Question 12

Which of the following may be present if crepitus is palpated over the chest wall?

Accepted Answer

A)   An air leak from a chest-tube site
B)   Pleural rub
C)   Friction rub
D)   All of the aboveE) B) and C)
F) B) and D) D

Question 13

Which of the following may cause tracheal deviation?

Accepted Answer

A)   A pneumothorax
B)   Atelectasis
C)   A tumor
D)   All of the aboveE) All of the above
F) None of the above

Question 14

Which adventitious breath sounds are described as discontinuous,low-pitched sounds?

Accepted Answer

A)   Crackles
B)   Rhonchi
C)   Wheezes
D)   WhistlesE) A) and B)
F) A) and C)

Question 15

What is the normal respiratory rate for newborns?

Accepted Answer

A)   14 to 20 breaths/min
B)   15 to 25 breaths/min
C)   20 to 40 breaths/min
D)   30 to 60 breaths/minE) A) and D)
F) A) and C)

Question 16

What amount of chest wall excursion is normal in young adults between 20 and 30 years of age?

Accepted Answer

A)   1.25 inches
B)   3.25 inches
C)   4.5 inches
D)   8.5 inchesE) All of the above
F) C) and D)

Question 17

Which topographic landmarks designate the location of the left ventricular apex?

Accepted Answer

A)   The midclavicular line and fifth intercostal space
B)   The midclavicular line and second intercostal space
C)   The left sternal border and second intercostal space
D)   The right sternal border and second intercostal spaceE) All of the above
F) A) and B) A

Question 18

Which voice sound phenomenon distorts the "e" sound so that an "aaa" sound is heard over the peripheral lung area?

Accepted Answer

A)   Bronchophony
B)   Egophony
C)   Whispered pectoriloquy
D)   WheezingE) None of the above
F) B) and D)

Question 19

What will likely be observed during inspection of a patient's skin when oxygen saturation is less than 80%?

Accepted Answer

A)   Cyanosis
B)   Ecchymosis
C)   Edema
D)   Unusually prominent bony landmarksE) All of the above
F) C) and D)

Question 20

Which of the following is an imaginary topographic line on a lateral view of the thorax?

Accepted Answer

A)   Midsternal line
B)   Anterior axillary line
C)   Midclavicular line
D)   Midscapular lineE) B) and D)
F) All of the above

Exam 15: Clinical Evaluation and Assessment of the Cardiovascular and Pulmonary Systems

Which structural chest deformity describes a depressed lower sternum that usually causes restriction only when it is severe?

Correct AnswerverifiedD

Which tone derived from mediate percussion describes a high-pitched,medium-duration tone heard over hollow structures such as the stomach?

Correct AnswerverifiedShow Answer

Which heart sound signifies the closing of the atrioventricular valves?

Correct AnswerverifiedShow Answer

Which breath sounds are described as high pitched and are distinguished by a pause that exists between the inspiratory and expiratory phases that are heard?

Correct AnswerverifiedShow Answer

Which heart sound is normal in children and young adults but abnormal in individuals older than age 40 years?

Correct AnswerverifiedShow Answer

Which breathing pattern exists when respiration is slowed to less than 12 breaths/min?

Correct AnswerverifiedShow Answer

Which area of the chest will assist the therapist in auscultation of the tricuspid valve?

Correct AnswerverifiedShow Answer

Which kind of question is likely to give the most valuable information?

Correct AnswerverifiedShow Answer

Which of the following describes hyperresonant tones derived from mediate percussion?

Correct AnswerverifiedShow Answer

During evaluation of thoracic expansion,a symmetrical decrease in chest wall motion occurs in which condition?

Correct AnswerverifiedShow Answer

When should discharge planning begin in the acute-care setting?

Correct AnswerverifiedShow Answer

Which of the following may be present if crepitus is palpated over the chest wall?

Correct AnswerverifiedD

Which of the following may cause tracheal deviation?

Correct AnswerverifiedShow Answer

Which adventitious breath sounds are described as discontinuous,low-pitched sounds?

Correct AnswerverifiedShow Answer

What is the normal respiratory rate for newborns?

Correct AnswerverifiedShow Answer

What amount of chest wall excursion is normal in young adults between 20 and 30 years of age?

Correct AnswerverifiedShow Answer

Which topographic landmarks designate the location of the left ventricular apex?

Correct AnswerverifiedA

Which voice sound phenomenon distorts the "e" sound so that an "aaa" sound is heard over the peripheral lung area?

Correct AnswerverifiedShow Answer

What will likely be observed during inspection of a patient's skin when oxygen saturation is less than 80%?

Correct AnswerverifiedShow Answer

Which of the following is an imaginary topographic line on a lateral view of the thorax?

Correct AnswerverifiedShow Answer

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D

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A

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