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SECTION 1: CARDIOPULMONARY

You are presenting an in-service on lung pathology in which the plan is to discuss lung volumes. What is the definition of a low-expiratory reserve volume?

A. The amount of air expired after a resting expiration is low

B. The volume of air forcefully expired after a forceful inspiration is low

C. The volume of air in a breath during normal breathing is low

D. The volume of air remaining in the lungs after a full expiration is low

The answer is A. Choice D is residual volume; choice C is tidal volume; choice B is vital capacity.

You are about to perform a postural drainage technique on a patient using percussions. Which of the following is not an indication for postural drainage with percussion?

A. To loosen and mobilize secretions

B. To utilize the shape and direction of the lung segments in order to help with drainage

C. To safely apply forces over bony prominences such as the scapula, spinous processes, and clavicles

D. To help clear airways in conditions such as cystic fibrosis

The answer is C. Percussion techniques should not be performed over bony prominences such as the scapula, spinous processes, and clavicles.

A patient recently diagnosed with a deep venous thrombophlebitis is placed on heparin. The primary side effect associated with heparin is:

A. Hypotension

B. Hypertension

C. Excessive anticoagulation

D. Increased sweating

The answer is C. Heparin is an anticoagulant.

You are examining a patient who underwent abdominal surgery 24 hours prior. The patient demonstrates a positive Homan sign. This may indicate a potentially developing:

A. Thrombophlebitis

B. Cardiac arrest

C. Epileptic seizure

D. Constipation

The answer is A. The Homan sign may predict the presence of thrombophlebitis, which in turn can lead to an embolism.

Your patient is a 52-year-old man with a history of angina pectoris with limited physical activity. He is participating in a group exercise class and ...

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