Assessment Of The Thorax And Lungs Quiz

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Farah Naz, MBBS |

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Farah Naz is a Medical Professional with a Bachelor of Medicine and Bachelor of Surgery (MBBS) from Dow University of Health Sciences. Her academic journey included internships in Radiology, Cardiology, and Neurosurgery. Her contributions to medical research extend to two publications in medical journals, solidifying her position as a promising addition to the field.

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Assessment Of The Thorax And Lungs Quiz - Quiz

Studying the anatomy & physiology of the thoracic cavity & lungs is tough. Try our ' Assessment of the Thorax and Lungs' quiz to test your basic knowledge of the topic. All the questions are given in an MCQ format. You are expected to attempt all the questions. Make sure to read all the questions before attempting carefully. This quiz can be instrumental in your exam preparation; thus, try it carefully.

This quiz provides a valuable learning opportunity. With feedback provided on each question, you'll be able to gauge your understanding, identify areas for improvement, and solidify your grasp on Read morethis essential aspect of human anatomy. Join us in exploring the breath of life with the Thorax and Lungs Quiz. We wish you good luck with your studies. Keep studying!

Thorax And Lungs Questions and Answers

1.

Which of the following terms refers to difficulty breathing in a supine position?
- A.
  
  Dyspnea
- B.
  
  Orthopnea
- C.
  
  Dyspnea nocturia
- D.
  
  None of the above
Correct Answer
B. Orthopnea

Explanation
Orthopnea refers to difficulty breathing in a supine position. This condition is characterized by the inability to breathe comfortably when lying flat, which often leads to the need for propping up with pillows or sitting upright. Dyspnea, on the other hand, refers to difficulty breathing in general, regardless of body position. Dyspnea nocturia is not a recognized medical term. Therefore, the correct answer is orthopnea.

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2.

Which of the following conditions is awakening from sleep with SOB and needing to be upright to achieve comfort? The condition may have cyanosis and diaphoresis present.
- A.
  
  Orthopnea
- B.
  
  Nocturia dyspnea
- C.
  
  Paroxysmal nocturnal dyspnea
- D.
  
  None of the above
Correct Answer
C. Paroxysmal nocturnal dyspnea

Explanation
Paroxysmal nocturnal dyspnea is the correct answer because it is a condition characterized by awakening from sleep with shortness of breath (SOB) and the need to be upright to achieve comfort. This condition may also present with cyanosis (bluish discoloration of the skin) and diaphoresis (excessive sweating). Orthopnea refers to shortness of breath that occurs when lying flat and is relieved by sitting or standing. Nocturia dyspnea is not a recognized medical condition.

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9
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3.

What level should the examiner's thumbs be placed while assessing symmetric expansion?
- A.
  
  T8 T9
- B.
  
  T9 T10
- C.
  
  T11-T12
Correct Answer
B. T9 T10

Explanation
The examiner's thumbs should be placed at the level of T9 and T10 while assessing symmetric expansion. This means that the thumbs should be positioned between the 9th and 10th thoracic vertebrae. This specific level is important because it allows the examiner to accurately evaluate the expansion of the rib cage and determine if it is symmetrical on both sides.

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3
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4.

Which of the following fremitus occurs when anything obstructs transmission of vibrations such as pleural effusion, pneumothorax, and emphysema?
- A.
  
  Decreased
- B.
  
  Increased
- C.
  
  Rhonchal
- D.
  
  None of the above
Correct Answer
A. Decreased

Explanation
When anything obstructs the transmission of vibrations in the lungs, such as pleural effusion, pneumothorax, and emphysema, it leads to a decrease in fremitus. Fremitus refers to the vibrations felt on the chest wall during breathing, and when there is an obstruction, these vibrations are reduced. Therefore, the correct answer is "Decreased."

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5.

Which of the following fremitus occurs with compression or consolidation of lung tissue like lobar pneumonia.
- A.
  
  Decreased
- B.
  
  Increased
- C.
  
  Rhonchal
- D.
  
  None of the above
Correct Answer
B. Increased

Explanation
Increased fremitus occurs with compression or consolidation of lung tissue, such as in lobar pneumonia. Fremitus refers to the vibrations felt on the chest wall when a patient speaks or breathes. When lung tissue is compressed or consolidated, such as in pneumonia, the density of the tissue increases, leading to increased transmission of vibrations through the chest wall. This results in increased fremitus. Therefore, the correct answer is Increased.

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4
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6.

Which of the following fremitus is palpable with thick bronchial secretions?
- A.
  
  Increased
- B.
  
  Rhonchal
- C.
  
  Pleural friction
- D.
  
  None of the above
Correct Answer
B. Rhonchal

Explanation
Rhonchal fremitus is palpable with thick bronchial secretions. Rhonchal fremitus refers to the vibration felt upon palpation of the chest caused by the movement of thick secretions in the bronchial tubes. This can be a sign of respiratory conditions such as bronchitis or pneumonia. Increased fremitus may also be palpable in these conditions, but the specific mention of thick bronchial secretions suggests that Rhonchal fremitus is the most appropriate answer. Pleural friction fremitus refers to the vibration felt upon palpation of the chest caused by the rubbing of inflamed pleural surfaces, while "none of the above" is not correct as Rhonchal fremitus is indeed palpable with thick bronchial secretions.

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2
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7.

Which of the following fremitus is palpable with inflammation of the pleura
- A.
  
  Increased
- B.
  
  Rhonchal
- C.
  
  Pleural friction
- D.
  
  None of the above
Correct Answer
C. Pleural friction

Explanation
Inflammation of the pleura can cause pleural friction, which is the rubbing together of the inflamed pleural layers. This rubbing creates a palpable sensation known as pleural friction fremitus. Increased fremitus refers to a heightened vibration felt during palpation, which is not directly related to inflammation of the pleura. Rhonchal fremitus is associated with the presence of bronchial secretions, not pleural inflammation. Therefore, the correct answer is pleural friction.

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8.

Assessing a patient with subcutaneous emphysema, the nurse observes a coarse crackling sensation palpable over the skin surface. Which of the following terms refers to this>
- A.
  
  Crepitus
- B.
  
  Pleural friction rub
- C.
  
  Rhonchal fremitus
- D.
  
  None of the above
Correct Answer
A. Crepitus

Explanation
Crepitus refers to the coarse crackling sensation that can be felt or heard when air escapes into the subcutaneous tissue. It is commonly associated with subcutaneous emphysema, a condition where air becomes trapped under the skin. This can occur due to various reasons such as trauma, infection, or a lung condition. Pleural friction rub refers to a grating or rubbing sound caused by the inflamed pleural surfaces rubbing against each other. Rhonchal fremitus refers to the vibration felt when a patient speaks or coughs, indicating the presence of thick secretions in the larger airways.

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6
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9.

The nurse is percussing over the lungs of a patient with pneumonia. The nurse knows that percussion over an area of atelectasis in the lungs will reveal:
- A.
  
  Tympany
- B.
  
  Resonance
- C.
  
  Crackles
- D.
  
  Dullness
Correct Answer
D. Dullness

Explanation
When percussing over an area of atelectasis in the lungs, the nurse would expect to hear dullness. Atelectasis refers to the collapse or closure of a part or all of the lung, which can be caused by various factors including pneumonia. Dullness on percussion indicates that there is increased density or fluid in the area being assessed, which is consistent with the presence of atelectasis. This finding is in contrast to normal lung tissue, which produces resonance on percussion. Tympany is a sound produced when percussing over air-filled structures, while crackles are abnormal lung sounds that may be heard on auscultation.

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10.

When inspecting the anterior chest of an adult, the nurse should include which assessment?
- A.
  
  Diaphragmatic excursion
- B.
  
  Symmetric chest expansion
- C.
  
  Shape and configuration of the chest wall
- D.
  
  Presence of breath sounds
Correct Answer
C. Shape and configuration of the chest wall

Explanation
When inspecting the anterior chest of an adult, the nurse should include the assessment of the shape and configuration of the chest wall. This assessment helps in identifying any abnormalities or deformities in the chest wall, such as barrel chest or pectus excavatum, which could indicate underlying respiratory or musculoskeletal issues. It also provides information about the overall chest symmetry and alignment.

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Farah Naz |MBBS |

Medical Writer

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Assessment Of The Thorax And Lungs Quiz

Thorax And Lungs Questions and Answers

Which of the following terms refers to difficulty breathing in a supine position?

Which of the following conditions is awakening from sleep with SOB and needing to be upright to achieve comfort? The condition may have cyanosis and diaphoresis present.

What level should the examiner's thumbs be placed while assessing symmetric expansion?

Which of the following fremitus occurs when anything obstructs transmission of vibrations such as pleural effusion, pneumothorax, and emphysema?

Which of the following fremitus occurs with compression or consolidation of lung tissue like lobar pneumonia.

Which of the following fremitus is palpable with thick bronchial secretions?

Which of the following fremitus is palpable with inflammation of the pleura

Assessing a patient with subcutaneous emphysema, the nurse observes a coarse crackling sensation palpable over the skin surface. Which of the following terms refers to this>

The nurse is percussing over the lungs of a patient with pneumonia. The nurse knows that percussion over an area of atelectasis in the lungs will reveal:

When inspecting the anterior chest of an adult, the nurse should include which assessment?