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WorksheetsRespiratory System Quiz
Total questions: 20
Worksheet time: 10mins
During general inspection, you note a patient is sitting in a tripod position, using their accessory muscles to breathe, and is unable to speak in full sentences. This constellation of findings is most characteristic of an acute exacerbation of which condition?
Lung cancer
Pleural effusion
Asthma
Asymptomatic rib fracture
When inspecting a patient's hands, you identify finger clubbing with the loss of Schamroth's window. This finding is a classic sign associated with which of the following (select all that apply):
Cystic Fibrosis
Chronic Obstructive Pulmonary Disease
Bronchiectasis
Lung cancer
You ask a patient to hold their arms outstretched and cock their wrists back for 30 seconds. You observe a coarse, flapping tremor. This finding is most indicative of:
Beta-2-agonist overuse
CO₂ retention and Type 2 respiratory failure
Severe hypoxemia from a massive pulmonary embolism
Anxiety-related hyperventilation
While assessing the face, you observe ptosis and miosis of the left eye. This combination of findings should prompt you to suspect pathology in which part of the respiratory system?
The right main bronchus
The left lung apex
The mediastinum
The diaphragmatic pleura
On inspection of the mouth, you see white, curd-like plaques on the buccal mucosa that can be wiped away, revealing an erythematous base. This finding is a common local side effect of medication used to manage which condition?
Tuberculosis
Pulmonary fibrosis
Asthma
Pulmonary hypertension
During your inspection of a patient's hands, you note significant wasting of the dorsal interossei muscles. This finding suggests:
Pulmonary fibrosis
Bronchiectasis
Chronic Obstructive Pulmonary Disease
Lung tumor
During your examination, you find that a patient's trachea is pulled over to the right side. This finding most likely suggests a problem is on which side?
The right side
The left side
Both sides equally
It is not related to a specific side
A patient with a long history of smoking complains that their voice has become consistently hoarse over the last few months. This new hoarseness is suggests which condition?
Laryngitis from a recent cold
Lung cancer
Asthma
Side effect of their blood pressure medication
A patient presents with shortness of breath in distress, you palpate the patient's calves and observe unilateral tenderness, warmth, and swelling. This suggests the following condition:
Cor pulmonale from chronic lung disease
Deep vein thrombosis causing pulmonary embolism
Right ventricular failure causing peripheral edema
Lymphatic obstruction from metastatic cancer
You are palpating for lymphadenopathy and find a single, hard, non-tender node in the left supraclavicular fossa. This finding suggests malignancy originating most likely from:
The lungs
The gastrointestinal tract
The skin of the head and neck
The breast
During inspection, a patient has a "barrel chest." This finding is most typically associated with:
Tension pneumothorax
Lobar pneumonia
Chronic asthma
Large pleural effusion
In a patient with a large right-sided pleural effusion, what would you expect to find when assessing tactile vocal fremitus over the affected area?
Increased fremitus
Normal fremitus
Decreased fremitus
Fremitus is absent on the left side
When assessing chest expansion, you find reduced expansion on the right side. This asymmetrical finding is LEAST likely to be caused by:
Right-sided pneumonia
Left-sided pleural effusion
Right-sided pneumothorax
Pulmonary fibrosis
On percussion of the chest, you elicit a "stony dull" note over the right lower zone. This suggests:
Lobar consolidation
Pleural effusion
Pneumothorax
Pulmonary fibrosis
A hyper-resonant percussion note on one side of the chest is a key finding in:
Pneumonia
Pleural effusion
Pneumothorax
Lobar collapse
During auscultation, you hear bronchial breath sounds over the left lower zone. This suggests:
Normal vesicular sounds
Pneumonia
Pleural effusion
Pneumothorax
You auscultate the chest and hear fine, end-inspiratory crackles that sound like Velcro being separated. This is most characteristic of:
Pulmonary edema
Bronchiectasis
Pulmonary fibrosis
Pneumonia
A patient with a sudden onset of shortness of breath has significantly reduced breath sounds on the right. The trachea is deviated to the left. What is the most likely diagnosis?
Severe asthma attack
Right-sided tension pneumothorax
Right-sided pleural effusion
Left-sided pneumonectomy
A patient with a chronic productive cough is found to have finger clubbing and wheezing throughout the lung fields on examination. This finding strongly suggests which of the following underlying respiratory conditions?
Acute bronchitis
Chronic obstructive pulmonary disease
Bronchiectasis
Uncomplicated asthma
When assessing vocal resonance, you note the patient's voice sounds are louder and clearer over an area of the lung. This indicates:
Pleural effusion
Pneumothorax
Consolidation
Emphysema
