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Respiratory System Quiz

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

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?

a)

Lung cancer

b)

Pleural effusion

c)

Asthma

d)

Asymptomatic rib fracture

2.

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):

a)

Cystic Fibrosis

b)

Chronic Obstructive Pulmonary Disease

c)

Bronchiectasis

d)

Lung cancer

3.

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:

a)

Beta-2-agonist overuse

b)

CO₂ retention and Type 2 respiratory failure

c)

Severe hypoxemia from a massive pulmonary embolism

d)

Anxiety-related hyperventilation

4.

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?

a)

The right main bronchus

b)

The left lung apex

c)

The mediastinum

d)

The diaphragmatic pleura

5.

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?

a)

Tuberculosis

b)

Pulmonary fibrosis

c)

Asthma

d)

Pulmonary hypertension

6.

During your inspection of a patient's hands, you note significant wasting of the dorsal interossei muscles. This finding suggests:

a)

Pulmonary fibrosis

b)

Bronchiectasis

c)

Chronic Obstructive Pulmonary Disease

d)

Lung tumor

7.

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?

a)

The right side

b)

The left side

c)

Both sides equally

d)

It is not related to a specific side

8.

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?

a)

Laryngitis from a recent cold

b)

Lung cancer

c)

Asthma

d)

Side effect of their blood pressure medication

9.

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:

a)

Cor pulmonale from chronic lung disease

b)

Deep vein thrombosis causing pulmonary embolism

c)

Right ventricular failure causing peripheral edema

d)

Lymphatic obstruction from metastatic cancer

10.

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:

a)

The lungs

b)

The gastrointestinal tract

c)

The skin of the head and neck

d)

The breast

11.

During inspection, a patient has a "barrel chest." This finding is most typically associated with:

a)

Tension pneumothorax

b)

Lobar pneumonia

c)

Chronic asthma

d)

Large pleural effusion

12.

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?

a)

Increased fremitus

b)

Normal fremitus

c)

Decreased fremitus

d)

Fremitus is absent on the left side

13.

When assessing chest expansion, you find reduced expansion on the right side. This asymmetrical finding is LEAST likely to be caused by:

a)

Right-sided pneumonia

b)

Left-sided pleural effusion

c)

Right-sided pneumothorax

d)

Pulmonary fibrosis

14.

On percussion of the chest, you elicit a "stony dull" note over the right lower zone. This suggests:

a)

Lobar consolidation

b)

Pleural effusion

c)

Pneumothorax

d)

Pulmonary fibrosis

15.

A hyper-resonant percussion note on one side of the chest is a key finding in:

a)

Pneumonia

b)

Pleural effusion

c)

Pneumothorax

d)

Lobar collapse

16.

During auscultation, you hear bronchial breath sounds over the left lower zone. This suggests:

a)

Normal vesicular sounds

b)

Pneumonia

c)

Pleural effusion

d)

Pneumothorax

17.

You auscultate the chest and hear fine, end-inspiratory crackles that sound like Velcro being separated. This is most characteristic of:

a)

Pulmonary edema

b)

Bronchiectasis

c)

Pulmonary fibrosis

d)

Pneumonia

18.

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?

a)

Severe asthma attack

b)

Right-sided tension pneumothorax

c)

Right-sided pleural effusion

d)

Left-sided pneumonectomy

19.

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?

a)

Acute bronchitis

b)

Chronic obstructive pulmonary disease

c)

Bronchiectasis

d)

Uncomplicated asthma

20.

When assessing vocal resonance, you note the patient's voice sounds are louder and clearer over an area of the lung. This indicates:

a)

Pleural effusion

b)

Pneumothorax

c)

Consolidation

d)

Emphysema