Where is the normal apical impulse (point of maximal impulse PMI) ...

[jrubin]

Where is the normal apical impulse (point of maximal impulse PMI) usually identified?
 
  a. Third right intercostal space, left sternal border
  b. Fifth left intercostal space, midclavicular line
  c. Third left intercostal space, anterior axil-lary line
  d. Fifth right intercostal space, midclavicular line

Question 2

In which of the following conditions would late-inspiratory crackles be most likely to occur? 1. Emphysema 2. Pulmonary fibrosis 3. Pneumonia 4. Pulmonary edema
 
  a. 2, 3, and 4 only
  b. 1, 3, and 4 only
  c. 3 and 4 only
  d. 1 and 2 only

[Sammyo]

Answer to Question 1

ANS: B
In healthy individuals who are not obese or overly muscular, the PMI can be felt and visualized near the left midclavicular line in the fifth intercostal space.

Answer to Question 2

ANS: A
Late-inspiratory crackles are most common in patients with respiratory disorders that reduce lung volume. These disorders include atelectasis, pneumonia, pulmonary edema, and pulmonary fibro-sis (Table 16-4).