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Question 1. 1. Which of the following percussion notes would you obtain over the gastric bubble? (Points : 2) Resonance * Tympany Hyperresonance Flatness Question 2. 2. Which of the following anatomic landmark associations is correct? (Points : 2) *Second intercostal space for needle insertion in tension pneumothorax T6 for lower margin of endotracheal tube Sternal angle marks the fourth rib Fifth intercostal space for chest tube insertion Question 3. 3. Which of the following is consistent with good percussion technique? (Points : 2) Allow all of the fingers to touch the chest while performing percussion. Maintain a stiff wrist and hand. Leave the plexor finger on the pleximeter after each strike. *Strike the pleximeter over the distal interphalangeal joint. Question 4. 4. A mother brings her infant to you because of a “rattle†in his chest with breathing. Which of the following would you hear if there is a problem in the upper airway? (Points : 12) Different sounds from the nose and the chest Asymmetric sounds *Inspiratory sounds Sounds louder in the lower chest Question 5. 5. Which of the following conditions would produce a hyperresonant percussion note? (Points : 2) *Large pneumothorax Lobar pneumonia Pleural effusion Empyema Question 6. 6. On examination of a young child you notice that he or she has a noisy breathing, barking, "seallike" cough. What would your diagnosis be? (Points : 2) Asthma *Croup Bronchitis Pneumonia Question 7. 7. A patient complains of shortness of breath for the past few days. On examination, you note late inspiratory crackles in the lower third of the chest that were not present a week ago. What is the most likely explanation for these? (Points : 2) Asthma COPD Bronchiectasis *Heart failure Question 8. 8. Which lung sound possesses the characteristics of being louder and higher in pitch, with a short silence between inspiration and expiration and with expiration being longer than inspiration? (Points : 2) Bronchovesicular Vesicular *Bronchial Tracheal Question 9. 9. A sixty-year-old baker presents to your clinic, complaining of increasing shortness of breath and nonproductive cough over the last month. She feels like she can’t do as much activity as she used to do without becoming tired. She even has to sleep upright in her recliner at night to be able
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