Clinical Assessment Study Set 1

Medicine

Quiz 3 :
Cardiopulmonary Symptoms

Quiz 3 :
Cardiopulmonary Symptoms

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Which of the following sequences of events best describes the cough mechanism?
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Answer:

A
1. Inspiratory phase: Reflex opening of the glottis and contraction of the diaphragm and the thoracic and abdominal muscles cause a deep inspiration with a concomitant increase in lung volume accompanied by an increase in the caliber and length of the bronchi.
2. Compression phase: Closure of the glottis and relaxation of the diaphragm while the expiratory muscles contract against the closed glottis can generate very high intrathoracic pressures and narrowing of the trachea and bronchi.
3. Expiratory phase: Opening of the glottis and explosive release of trapped intrathoracic air occur, along with vibration of the vocal cords and of the mucosal lining of the posterior laryngeal wall, which shakes secretions loose from the larynx and moves undesired material out of the respiratory tract.

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Which of the following mechanisms does explain why patients with chronic obstructive pulmonary disease (COPD) may have a poor cough? 1) Weak muscles of breathing 2) Increased elastic recoil 3) Airway obstruction 4) Decreased lung compliance
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Answer:

A

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Which of the following clinical conditions most commonly causes a chronic cough?
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Answer:

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Which of the following are considered complications of forceful coughing? 1) Rib fracture 2) Pneumothorax 3) Pleural effusion 4) Torn chest muscle
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Which of the following is the best definition of sputum?
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What term is used to describe secretions strictly from the lungs and lower airways?
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Excessive sputum production is associated with which of the following conditions? 1) Pneumothorax 2) Cigarette smoking 3) Airway infection 4) Pleural infection
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Which of the following terms best describes foul-smelling sputum?
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A patient presents in the emergency department with blood-tinged sputum. The term associated with such sputum is:
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Which of the following conditions is believed to be the most common cause of hemoptysis?
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Which of the following definitions is consistent with massive hemoptysis?
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Hemoptysis in a patient with sudden onset of chest pain who is at risk for venostasis is suggestive of which of the following conditions?
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In the presence of nausea and vomiting, a history of cirrhosis of the liver suggests which of the following organs as the source of hematemesis?
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Dyspnea is defined as:
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Which of the following grading systems is useful in qualifying the degree of dyspnea?
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Dyspnea tends to occur when which of the following is present?
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Breathing at a rate and depth in excess of the body's metabolic need is known as:
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Which of the following conditions are least likely to be associated with acute dyspnea in children?
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Which of the following diseases is one of the most common causes of chronic dyspnea in adults?
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Paroxysmal nocturnal dyspnea is associated commonly with which of the following conditions?
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