Basic and Clinical Sciences (BCSE) Practice Exam

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During a breathing assessment, what is checked by palpation?

  1. Respiratory rhythm

  2. Emphysema or deformities

  3. Lung sounds

  4. Skin temperature

The correct answer is: Emphysema or deformities

Palpation is a physical examination technique often used in clinical assessments to feel or touch specific areas of the body. In the context of a breathing assessment, palpation is particularly effective for assessing structural abnormalities that may influence respiration, such as emphysema or other thoracic deformities. When a clinician palpates the chest, they can detect abnormal shapes or movements of the thoracic wall. Emphysema, for instance, can cause hyperinflation of the lungs which may impact the position and movement of the chest wall during respiration. Deformities like scoliosis or kyphosis can also be evaluated through palpation, as they may alter the mechanics of breathing. The other options involve assessments that rely on different methods: respiratory rhythm is best analyzed through observation and counting breaths, lung sounds are evaluated through auscultation with a stethoscope, and skin temperature is measured using touch, but not directly correlated to the breathing function itself. Therefore, palpation is specifically useful for identifying conditions that affect lung capacity and thoracic structure, making the assessment of emphysema or deformities the correct focus for this type of examination.