An alert and cooperative 38-year-old woman with no prior history of lung disease or smoking underwent a total hysterectomy 16 hours ago. Her x-ray currently is clear. Which of the following approaches to preventing atelectasis would you recommend for this patient?

How can the transpulmonary pressure gradient be increased? I.        Increasing alveolar pressure II.  Decreasing pleural pressure III. Decreasing transthoracic pressure

  The airway clearance technique that uses a pneumatic device to deliver compressed gas minibursts to the airway at rates above 100/min best describes which of the following?

A patient is positioned on her left side with the foot of the bed raised 18 inches. She would be draining which lung segment?

Which of the following should be considered when selecting a bronchial hygiene strategy? Patient’s goals, motivation, and preferences Effectiveness and limitations of technique or method Patient’s age, ability to learn, tendency to fatigue Need for assistants, equipment, and cost

A 77-year-old man presents with a 3-month history of progressively worsening right hip pain that now intermittently radiates into the lateral thigh and down to the foot. The patient’s referral is for right hip pain, with radiographs showing no fracture but moderate joint space narrowing. He reports the pain began as a deep ache in the hip but has recently been accompanied by intermittent numbness along the dorsum of the foot. He also feels weaker when stepping up onto curbs. Although he remains active with woodworking and gardening, he has begun avoiding lifting and prolonged walking due to his symptoms. On examination, his low back pain is reproduced with lumbar active range of motion. Right foot tingling increases with repeated lumbar extension and is relieved with lumbar flexion. He has a positive slump bilaterally, with decreased motion on the right compared to the left. He also reports concordant right hip pain during passive hip flexion, internal rotation, and external rotation. You defer the FADIR test because its component motions are already provoked. Knee active range of motion with overpressure is full and pain-free. Which region should be further investigated during your tests and measures to help clarify the diagnosis and guide your interventions?

 The Vest is used to :

A 77-year-old man presents with a 3-month history of progressively worsening right hip pain that now intermittently radiates into the lateral thigh and down to the foot. The patient’s referral is for right hip pain, with radiographs showing no fracture but moderate joint space narrowing. He reports the pain began as a deep ache in the hip but has recently been accompanied by intermittent numbness along the dorsum of the foot. He also feels weaker when stepping up onto curbs. Although he remains active with woodworking and gardening, he has begun avoiding lifting and prolonged walking due to his symptoms. On examination, his low back pain is reproduced with lumbar active range of motion. Right foot tingling increases with repeated lumbar extension and is relieved with lumbar flexion. He has a positive slump bilaterally, with decreased motion on the right compared to the left. He also reports concordant right hip pain during passive hip flexion, internal rotation, and external rotation. You defer the FADIR test because its component motions are already provoked. Knee active range of motion with overpressure is full and pain-free. Which region should be further investigated during your tests and measures to help clarify the diagnosis and guide your interventions?

An 85-year-old female presents to your clinic with a primary complaint of right hip pain. She has been referred from her primary care physician. She has had no recent trauma or falls. She takes anti-hypertensive medication and has diet controlled diabetes but is otherwise self-reported as “healthy as a horse.” Her hip pain has been present for many years but has recently gotten worse. She reports that it has begun to interfere with her ability to clean her house, go on walks with her dog, and volunteer at the soup kitchen where she loads the shelves with donated canned goods. Her only other report, during your thorough questioning, is that she used to play competitive baseball and was a “star pitcher” with The Rockford Peaches in The All American Girls Professional Baseball League from 1952-1954. Lumbar screening as part of systems review for this patient includes:

 The Vest is used to :