PDF download · Respiratory TMC

Free Respiratory TMC Practice Test PDF

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Free sample · Respiratory TMCQ1
Coarse, low-pitched bubbling sounds heard over the large airways that often clear with coughing are best described as:
Correct — B. Coarse crackles, sometimes called rhonchi, arise from secretions in larger airways and frequently change or clear after the patient coughs.
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The PDF includes 30 Respiratory TMC questions with answers and explanations.

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  1. Q1Coarse, low-pitched bubbling sounds heard over the large airways that often clear with coughing are best described as:

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    ✓ Correct answer: Coarse crackles (rhonchi)

    Coarse crackles, sometimes called rhonchi, arise from secretions in larger airways and frequently change or clear after the patient coughs.

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  2. Q2A high-pitched, musical, continuous sound heard on expiration is most consistent with:

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    ✓ Correct answer: Wheezing

    Wheezes are continuous, high-pitched musical sounds produced by airflow through narrowed airways, classically heard in bronchospasm.

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  3. Q3A harsh, high-pitched sound heard over the upper airway during inspiration in a patient recently extubated suggests:

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    ✓ Correct answer: Upper airway obstruction (stridor)

    Inspiratory stridor after extubation indicates upper-airway narrowing, commonly from laryngeal edema, and warrants prompt evaluation.

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  4. Q4A bluish discoloration of the lips and oral mucosa indicating reduced oxygenation is termed:

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    ✓ Correct answer: Central cyanosis

    Central cyanosis reflects desaturated hemoglobin in mucous membranes and signals significant hypoxemia, unlike peripheral cyanosis from poor perfusion.

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  5. Q5Clubbing of the fingers in a patient with chronic lung disease most directly reflects:

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    ✓ Correct answer: Chronic hypoxemia

    Digital clubbing develops with long-standing hypoxemia and chronic conditions such as bronchiectasis, interstitial fibrosis, and cyanotic heart disease.

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  6. Q6Increased tactile fremitus over a region of the chest most likely indicates:

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    ✓ Correct answer: Lung consolidation (pneumonia)

    Consolidated lung transmits vibration better than air-filled lung, so fremitus increases; air or fluid between the lung and chest wall decreases it.

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