3, NSG 520, Thorax Lung Latest Update -

3, NSG 520, Thorax & Lung Latest Update -

Correct Answers Guaranteed A+ Approved by the Professor

A 55 y/o female presents for her annual exam. In order to examine her breasts, you ask her first to place her arms over her head, and then place her hands against her hips, and, finally, to lean forward. While in the "leaning forward" position, you notice that she has asymmetry and there is retraction in the left nipple and areola. This finding makes you suspicious for which clinical condition?

• Breast cancer
• Acanthosis nigricans
• Mastitis

D) Fibrocystic breast disease - CORRECT ANSWER: A

Bronchophony - CORRECT ANSWER: Normal: the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue

Increased volume over one area --> consolidation or effusion

bronchophony, egophony, whispered pectoriloquy - CORRECT ANSWER: Vocal

resonance is tested via these three things

crackles - CORRECT ANSWER: fine, or course crackling sounds made as air moves

through wet secretions in the lungs.

• atelectasis, bronchiectasis, CHF, pulmonary fibrosis
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diaphragmatic excursion - CORRECT ANSWER: distance that the diaphragm moves

downward with inhalation

Normal = 3-5.5cm

Egophony - CORRECT ANSWER: Normal: the voice sound of "eeeeee" heard through the stethoscope

if EEEE sounds like AAAA, that is a (+) egophony and could indicate consolidation

friction rub - CORRECT ANSWER: a coarse, grating, adventitious lung sound heard

when the pleurae are inflamed, PNA, malignancy, or pleuritis

In a healthy adult, the estimated extent of diaphragmatic excursion is:

• 10 to 12.5 cm
• 3 to 5.5 cm
• 1 to 2.5 cm

D) 7 to 8.5 cm - CORRECT ANSWER: B

In a healthy adult, the respiratory rate is how many breaths per minute (bpm):

• 14 to 16 bpm
• 26 to 40 bpm
• 14 to 20 bpm

D) 4 to 14 bpm - CORRECT ANSWER: C

kyphosis - CORRECT ANSWER: excessive outward curvature of the spine, causing

hunching of the back.

lower respiratory system - CORRECT ANSWER: larynx, trachea, bronchi, lungs

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