Question 1

Which of the following patterns of breathing is associated with a loss in lung volume?

Accepted Answer

A)  Slow and deep
B)  Rapid and deep
C)  Slow and shallow
D)  Rapid and shallowE) B) and C)
F) A) and C)

Question 2

Which of the following terms describes the area of the chest wall that overlies the heart?

Accepted Answer

A)  Periosteum
B)  Precordium
C)  Pericardium
D)  None of the aboveE) A) and B)
F) A) and C)

Question 3

Which of the following physical examination findings is associated with myasthenia gravis?

Accepted Answer

A)  Ptosis
B)  Miosis
C)  Mydriasis
D)  HepatomegalyE) A) and C)
F) A) and D) A

Question 4

Which of the following disorders is associated with a barrel chest?

Accepted Answer

A)  Chronic bronchitis
B)  Pneumonia
C)  Emphysema
D)  Chest traumaE) B) and D)
F) C) and D)

Question 5

Which of the following diseases is most likely to cause a prolonged inspiratory time?

Accepted Answer

A)  Chronic obstructive pulmonary disease (COP
D)  
B)  Asthma
C)  Epiglottitis
D)  Acute bronchitisE) A) and B)
F) B) and D)

Question 6

In patients with severe COPD and hyperinflation, the low, flat diaphragm causes inward movement of the lateral chest walls with inspiration.What is this called?

Accepted Answer

A)  Abdominal paradox
B)  Biot breathing
C)  Hoover sign
D)  Respiratory alternansE) A) and D)
F) C) and D)

Question 7

In a patient's chart, the physician has documented finding tender lymph nodes in the neck region during the physical examination.This problem is consistent with:

Accepted Answer

A)  respiratory infection.
B)  human immunodeficiency virus (HIV)  infection.
C)  lymphoma.
D)  lung cancer.E) A) and D)
F) A) and C)

Question 8

A review of the patient's history of present illness and past clinical history prior to a physical examination is helpful in that it:

Accepted Answer

A)  gives insight into the expected findings during the examination.
B)  suggests examination techniques to emphasize.
C)  helps establish a rapport with the patient.
D)  all of the above.E) All of the above
F) A) and B)

Question 9

Which of the following statements is not true about vesicular or normal breath sounds?

Accepted Answer

A)  They have a minimal expiratory sound.
B)  They are produced somewhat regionally.
C)  They are produced when air enters the alveoli.
D)  They are used to help confirm proper placement of an endotracheal tube.E) B) and C)
F) None of the above

Question 10

The horizontal fissure that separates the right upper lobe from the right middle lobe begins at what rib in the midsternal line?

Accepted Answer

A)  Rib 2
B)  Rib 4
C)  Rib 6
D)  Rib 8E) None of the above
F) A) and B)

Question 11

What problem is associated with cyanosis of the oral mucosa?

Accepted Answer

A)  Low cardiac output
B)  Reduced arterial oxygenation
C)  Hyperventilation
D)  HypoventilationE) All of the above
F) C) and D)

Question 12

Digital clubbing is associated with:

Accepted Answer

A)  COPD.
B)  Cystic fibrosis.
C)  Bronchogenic carcinoma.
D)  All of the above.E) None of the above
F) All of the above

Question 13

Which of the following terms describes an abnormal lateral curvature of the spine?

Accepted Answer

A)  Kyphosis
B)  Scoliosis
C)  Anhidrosis
D)  MyelosisE) C) and D)
F) A) and C)

Question 14

Which of the following mechanisms is believed to be responsible for the normal vesicular breath sound?

Accepted Answer

A)  Air entering the alveoli
B)  Contraction of the inspiratory muscles
C)  Rubbing together of the two layers of the pleurae
D)  Filtration of turbulent flow sounds in the larger airwaysE) C) and D)
F) A) and B)

Question 15

At which of the following sites on the chest wall is the pulmonic valve best auscultated?

Accepted Answer

A)  Second left intercostal space near the sternal border
B)  Fifth intercostal space on the left near the sternal border
C)  Sixth intercostal space on the left at the midaxillary line
D)  First intercostal space on the right at the midclavicular lineE) B) and C)
F) A) and C) A

Question 16

Which of the following clinical disorders will cause decreased resonance to percussion?

Accepted Answer

A)  COPD
B)  Asthma
C)  Pneumonia
D)  PneumothoraxE) A) and C)
F) B) and C)

Question 17

What disease is most likely to cause a prolonged expiratory time?

Accepted Answer

A)  Asthma
B)  Pneumonia
C)  Pneumothorax
D)  Pulmonary fibrosisE) A) and C)
F) B) and D)

Question 18

What is a common cause of hepatomegaly?

Accepted Answer

A)  Chronic right heart failure
B)  Pneumothorax
C)  Pleural effusion
D)  Acute asthma attackE) A) and B)
F) A) and C)

Question 19

Which of the following terms is used to describe an abnormal collection of fluid in the peritoneal cavity?

Accepted Answer

A)  Ascites
B)  Pericarditis
C)  Pancreatitis
D)  HepatomegalyE) C) and D)
F) All of the above A

Question 20

Which of the following mechanisms is responsible for production of an abnormal third heart sound?

Accepted Answer

A)  Forceful opening of the aortic valve
B)  Forceful closure of the pulmonic valve
C)  Rapid filling of the atrium during ventricular systole
D)  Rapid filling of the ventricles immediately after systoleE) All of the above
F) None of the above

Exam 5: Fundamentals of Physical Examination

Which of the following patterns of breathing is associated with a loss in lung volume?

Correct AnswerverifiedShow Answer

Which of the following terms describes the area of the chest wall that overlies the heart?

Correct AnswerverifiedShow Answer

Which of the following physical examination findings is associated with myasthenia gravis?

Correct AnswerverifiedA

Which of the following disorders is associated with a barrel chest?

Correct AnswerverifiedShow Answer

Which of the following diseases is most likely to cause a prolonged inspiratory time?

Correct AnswerverifiedShow Answer

In patients with severe COPD and hyperinflation, the low, flat diaphragm causes inward movement of the lateral chest walls with inspiration.What is this called?

Correct AnswerverifiedShow Answer

In a patient's chart, the physician has documented finding tender lymph nodes in the neck region during the physical examination.This problem is consistent with:

Correct AnswerverifiedShow Answer

A review of the patient's history of present illness and past clinical history prior to a physical examination is helpful in that it:

Correct AnswerverifiedShow Answer

Which of the following statements is not true about vesicular or normal breath sounds?

Correct AnswerverifiedShow Answer

The horizontal fissure that separates the right upper lobe from the right middle lobe begins at what rib in the midsternal line?

Correct AnswerverifiedShow Answer

What problem is associated with cyanosis of the oral mucosa?

Correct AnswerverifiedShow Answer

Digital clubbing is associated with:

Correct AnswerverifiedShow Answer

Which of the following terms describes an abnormal lateral curvature of the spine?

Correct AnswerverifiedShow Answer

Which of the following mechanisms is believed to be responsible for the normal vesicular breath sound?

Correct AnswerverifiedShow Answer

At which of the following sites on the chest wall is the pulmonic valve best auscultated?

Correct AnswerverifiedA

Which of the following clinical disorders will cause decreased resonance to percussion?

Correct AnswerverifiedShow Answer

What disease is most likely to cause a prolonged expiratory time?

Correct AnswerverifiedShow Answer

What is a common cause of hepatomegaly?

Correct AnswerverifiedShow Answer

Which of the following terms is used to describe an abnormal collection of fluid in the peritoneal cavity?

Correct AnswerverifiedA

Which of the following mechanisms is responsible for production of an abnormal third heart sound?

Correct AnswerverifiedShow Answer

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