Question 1

What term is used to describe an abnormal anteroposterior curvature of the spine?

Accepted Answer

A)  Scoliosis 
B)  Pectus excavatum 
C)  Kyphosis 
D)  Pectus carinatum 
A)  Scoliosis 
B)  Pectus excavatum 
C)  Kyphosis 
D)  Pectus carinatum

Question 2

What breathing pattern is associated with diabetic ketoacidosis?

Accepted Answer

A)  Kussmaul breathing 
B)  Apneustic breathing 
C)  Biot's breathing 
D)  Apnea 
A)  Kussmaul breathing 
B)  Apneustic breathing 
C)  Biot's breathing 
D)  Apnea

Question 3

What change in the patient's respiratory breathing pattern is commonly seen with significant fever?

Accepted Answer

A)  Slower rate 
B)  More rapid rate 
C)  More prolonged expiratory time 
D)  More prolonged inspiratory time 
A)  Slower rate 
B)  More rapid rate 
C)  More prolonged expiratory time 
D)  More prolonged inspiratory time

Question 4

Which of the following conditions is most likely to cause a dry, nonproductive cough?

Accepted Answer

A)  Chronic bronchitis 
B)  Cystic fibrosis 
C)  Pulmonary fibrosis 
D)  Chronic obstructive pulmonary disease 
A)  Chronic bronchitis 
B)  Cystic fibrosis 
C)  Pulmonary fibrosis 
D)  Chronic obstructive pulmonary disease

Question 5

Which of the following may cause the trachea to shift to the right?

Accepted Answer

A)  Right-sided tension pneumothorax 
B)  Right-sided large pleural effusion 
C)  Right upper lobe atelectasis 
D)  Left lower lobe pneumonia 
A)  Right-sided tension pneumothorax 
B)  Right-sided large pleural effusion 
C)  Right upper lobe atelectasis 
D)  Left lower lobe pneumonia

Question 6

What term is used to describe the breathing pattern seen in COPD patients in whom the lower costal margins of the chest wall draw inward with each inspiration?

Accepted Answer

A)  Hoover's sign 
B)  Kussmaul's sign 
C)  Abdominal paradox sign 
D)  Respiratory alternans sign 
A)  Hoover's sign 
B)  Kussmaul's sign 
C)  Abdominal paradox sign 
D)  Respiratory alternans sign

Question 7

What is the most common cause of jugular venous distention (JVD)?

Accepted Answer

A)  Right-sided heart failure 
B)  Arterial hypoxemia 
C)  Tension pneumothorax 
D)  Acute systemic hypertension 
A)  Right-sided heart failure 
B)  Arterial hypoxemia 
C)  Tension pneumothorax 
D)  Acute systemic hypertension

Question 8

Where is the normal apical impulse (point of maximal impulse [PMI]) usually identified?

Accepted Answer

A)  Third right intercostal space, left sternal border 
B)  Fifth left intercostal space, midclavicular line 
C)  Third left intercostal space, anterior axillary line 
D)  Fifth right intercostal space, midclavicular line 
A)  Third right intercostal space, left sternal border 
B)  Fifth left intercostal space, midclavicular line 
C)  Third left intercostal space, anterior axillary line 
D)  Fifth right intercostal space, midclavicular line

Question 9

What breathing pattern is associated with severe atelectasis?

Accepted Answer

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

Question 10

In which of the following disorders is digital clubbing a common physical sign?
1) Congenital heart disease
2) Lung cancer
3) Chronic obstructive pulmonary disease
4) Pancreatic cancer

Accepted Answer

A) 3 only 
B) 1, 3 and 4 only 
C) 1, 2, and 4 only 
D) 1, 2, and 3 only 
A) 3 only 
B) 1, 3 and 4 only 
C) 1, 2, and 4 only 
D) 1, 2, and 3 only

Question 11

What is the normal range for diastolic blood pressure in the adult patient?

Accepted Answer

A)  40 to 80 mm Hg 
B)  60 to 90 mm Hg 
C)  80 to 110 mm Hg 
D)  60 to 110 mm Hg 
A)  40 to 80 mm Hg 
B)  60 to 90 mm Hg 
C)  80 to 110 mm Hg 
D)  60 to 110 mm Hg

Question 12

What disease is associated with a barrel chest?

Accepted Answer

A)  Emphysema 
B)  Heart failure 
C)  Pneumonia 
D)  Pleural effusions 
A)  Emphysema 
B)  Heart failure 
C)  Pneumonia 
D)  Pleural effusions

Question 13

What is the advantage of COPD patients breathing through pursed lips during exhalation?

Accepted Answer

A)  Helps the patient focus on breathing. 
B)  Promotes more complete emptying of the lungs. 
C)  Reduces the patient's anxiety level. 
D)  Improves arterial pH levels. 
A)  Helps the patient focus on breathing. 
B)  Promotes more complete emptying of the lungs. 
C)  Reduces the patient's anxiety level. 
D)  Improves arterial pH levels.

Question 14

What term best describes a loud, high-pitched continuous sound heard (often with the unaided ear) primarily over the larynx or trachea during inhalation in patients with upper airway obstruction?

Accepted Answer

A)  Stridor 
B)  Rhonchi 
C)  Crackles 
D)  Wheeze 
A)  Stridor 
B)  Rhonchi 
C)  Crackles 
D)  Wheeze

Question 15

What is the normal range for systolic blood pressure in the adult patient?

Accepted Answer

A)  90 to 140 mm Hg 
B)  80 to 100 mm Hg 
C)  75 to 100 mm Hg 
D)  60 to 100 mm Hg 
A)  90 to 140 mm Hg 
B)  80 to 100 mm Hg 
C)  75 to 100 mm Hg 
D)  60 to 100 mm Hg

Question 16

During auscultation of a patient's chest, you hear coarse crackles throughout both inspiration and expiration. These sounds clear when the patient coughs. Which of the following is the most likely cause of these adventitious sounds?

Accepted Answer

A)  Opening of closed smaller airways or alveoli 
B)  Opening of collapsed large, proximal airways 
C)  Variable obstruction to flow in the upper airway 
D)  Movement of excessive secretions in the airways 
A)  Opening of closed smaller airways or alveoli 
B)  Opening of collapsed large, proximal airways 
C)  Variable obstruction to flow in the upper airway 
D)  Movement of excessive secretions in the airways

Question 17

Which of the following pulmonary disorders is most likely to result in hepatomegaly?

Accepted Answer

A)  Pulmonary atelectasis 
B)  Acute viral infections 
C)  Cor pulmonale 
D)  Acute asthma 
A)  Pulmonary atelectasis 
B)  Acute viral infections 
C)  Cor pulmonale 
D)  Acute asthma

Question 18

Which of the following is the least likely cause of lymphadenopathy in the neck?

Accepted Answer

A)  Lymphoma 
B)  Pulmonary infection 
C)  Congestive heart failure 
D)  Lung cancer 
A)  Lymphoma 
B)  Pulmonary infection 
C)  Congestive heart failure 
D)  Lung cancer

Question 19

What term is used to describe sputum that has pus in it?

Accepted Answer

A)  Fetid 
B)  Mucoid 
C)  Purulent 
D)  Tenacious 
A)  Fetid 
B)  Mucoid 
C)  Purulent 
D)  Tenacious

Question 20

Your patient has an abnormal sensorium. Which of the following is most likely true?

Accepted Answer

A)  The patient knows his or her name. 
B)  The patient is confused about where he or she is. 
C)  The patient is aware of the correct day. 
D)  The patient knows the name of the hospital he or she has been taken to. 
A)  The patient knows his or her name. 
B)  The patient is confused about where he or she is. 
C)  The patient is aware of the correct day. 
D)  The patient knows the name of the hospital he or she has been taken to.

Exam 16: Bedside Assessment of the Patient

What term is used to describe an abnormal anteroposterior curvature of the spine?

What breathing pattern is associated with diabetic ketoacidosis?

What change in the patient's respiratory breathing pattern is commonly seen with significant fever?

Which of the following conditions is most likely to cause a dry, nonproductive cough?

Which of the following may cause the trachea to shift to the right?

What term is used to describe the breathing pattern seen in COPD patients in whom the lower costal margins of the chest wall draw inward with each inspiration?

What is the most common cause of jugular venous distention (JVD)?

Where is the normal apical impulse (point of maximal impulse [PMI]) usually identified?

What breathing pattern is associated with severe atelectasis?

In which of the following disorders is digital clubbing a common physical sign? 1) Congenital heart disease 2) Lung cancer 3) Chronic obstructive pulmonary disease 4) Pancreatic cancer

What is the normal range for diastolic blood pressure in the adult patient?

What disease is associated with a barrel chest?

What is the advantage of COPD patients breathing through pursed lips during exhalation?

What term best describes a loud, high-pitched continuous sound heard (often with the unaided ear) primarily over the larynx or trachea during inhalation in patients with upper airway obstruction?

What is the normal range for systolic blood pressure in the adult patient?

During auscultation of a patient's chest, you hear coarse crackles throughout both inspiration and expiration. These sounds clear when the patient coughs. Which of the following is the most likely cause of these adventitious sounds?

Which of the following pulmonary disorders is most likely to result in hepatomegaly?

Which of the following is the least likely cause of lymphadenopathy in the neck?

What term is used to describe sputum that has pus in it?

Your patient has an abnormal sensorium. Which of the following is most likely true?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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