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AHN 568 Exam 2- Questions & Answers

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AHN 568 Exam 2- Questions & Answers

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  • November 11, 2024
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  • Exam (elaborations)
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AHN 568 Exam 2- Questions & Answers
Brochovesciular breath sounds? Correct Ans-1st and 2nd intercostal spaces anteriorly and
between the scapula posteriorly.



Bronchial breath sounds? Correct Ans-Heard over manubrium. Lound and higher pitched.



Tracheal sounds? Correct Ans-Relatively high pitched. Very loud over trachea.



Silent gap between breath sounds? Correct Ans-Bronchial breath sounds.



Fine, late inspiratory crackles lasting breath to breath? Correct Ans-Abnormal lung tissue.



Crackles, wheezes, or ronchi that clear after cough or change in position? Correct Ans-Thick
secretions. Think bronchitis or atelectasis.



Crackles vs ronchi/wheezes? Correct Ans-Crackles are shorter, discontinuous. Very brief.



E sounds like A? Correct Ans-E to A change. Lobar consolidation. Think pneumonia.



What do you have to displace to percuss for pneumonia? Correct Ans-Right breast. Right
middle lobe pneumonia occurs behind the right breast.



COPD and diaphragmatic percussion dullness? Correct Ans-Lung displaces top of liver
downward.



Peripheral arterial disease? Correct Ans-Stenotc, occlusive, and aneurysmal disease of the
aorta.

,Leg cramps during exertion that are relieved by rest within 10 minutes? Correct Ans-
Intermittent claudication.



Pain with walking of prolonged standing from spinal area into butt, legs, or feet? Correct Ans-
Neurogenic claudication.



Abdominal pain after meals and food fear? Correct Ans-Peripheral artery disease warning
signs.



Aortoiliac ischemia? Correct Ans-Butt and hip pain.



Iliac-pudendal ischemia? Correct Ans-Erectile dysfunction.



Common femoral or aortoiliac ischemia? Correct Ans-Thigh pain.



Superficial femoral ischemia? Correct Ans-Upper calf pain.



Popliteal ischemia? Correct Ans-Lower calf pain.



Tibial or peroneal ischemia? Correct Ans-Foot pain.



Celiac, superior, or inferior mesenteric artery ischemia? Correct Ans-Abdominal pain, food
fear, weight loss.



Doppler systolic pressure in arms and pedal pulses? Correct Ans-Ankle brachial index.
Peripheral artery disease screen.

, Hypertension in someone less than 30 years old? Correct Ans-Suspicious for renal artery
disease.



You prescribe angiotensin converting enzyme inhibitor and renal function declines? Correct
Ans-Think renal artery disease.



Severe hypertension in patient older than 55? Correct Ans-Renal artery disease.



Sudden pulmonary edema with bad renal function? Correct Ans-Renal artery disease.



Infrarenal aortic diameter greater than 3 cm? Correct Ans-Abdominal aortic aneurysm.


What are the odds of an abdominal aortic aneurysm happening in an older male
smoker? Correct Ans-50 percent.



Aortic diameter greater than 5.5 cm? Correct Ans-High risk of fatal abdominal aortic
aneurysm.



When should screening for abdominal aortic aneurysm happen? Correct Ans-Once, for males
between 65 and 75 years old and smoked more than 100 cigarettes in their lifetime.



When can you palpate aorta? Correct Ans-Greater than 4 cm.



Should women and non smokers be screened for abdominal aortic aneurysm? Correct Ans-
No



Why is peripheral artery disease so dangerous? Correct Ans-Undiagnosed and asymptomatic.
Needs screening.

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