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Question
question 29 (2 points) which of the following would most likely present with bilateral decreased breath sounds? pleural effusion copd lobar collapse pneumonia question 30 (2 points) the order of the abdominal physical exam is: inspection → percussion → palpation → auscultation inspection → palpation → percussion → auscultation auscultation → palpation → inspection → percussion inspection → auscultation → percussion → palpation
For the first question, COPD (Chronic Obstructive Pulmonary Disease) often causes bilateral decreased breath sounds due to airway obstruction and hyperinflation of the lungs. Pleural effusion may cause decreased breath sounds on the affected side, lobar collapse affects a single lobe and pneumonia typically has localized findings. For the second question, the correct order of an abdominal physical exam is inspection first to look for any visible abnormalities, then auscultation before percussion and palpation as these latter two can alter bowel sounds.
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Question 29: COPD
Question 30: Inspection → Auscultation → Percussion → Palpation