1.4.1 Normal and Abnormal Respiratory Exam

Question 1

What can unilateral chest expansion be a sign for?

Answer 1

Pneumonia or the patient could be post intubation

Question 2

When inspecting a patient during a lung exam what are you looking for?

Answer 2

Question 3

What are two important features to look for in regards to the lips and hands?

Answer 3

Lips - pursed lips or cyanosis

Hands - clubbing

Question 4

What is the difference between these two images?

Answer 4

Left - normal

Right - clubbing

Question 5

What can clubbing of the fingers be a sign of?

Answer 5

Respiratory disorders

Heart disease

69-80% of CF patients have clubbing

Question 6

Patients using sternocleidomastoid and scalene muscles for breathing are likely to have?

Answer 6

COPD

Question 7

What is tactile fremitus and what can it show?

Answer 7

Question 8

What is the difference in percussive sounds of resonance, tympany and dullness?

Answer 8

Question 9

Comparative percussion can help in detecting?

Answer 9

Question 10

Upon ausculatation what does breath sound intensity and unilateral breath sounds after intubation correlate with?

Answer 10

Question 11

What are rales an rhonchi?

Answer 11

Question 12

What is stridor and what is wheezing?

Answer 12

Question 13

What are crackles?

Answer 13

Question 14

What is a pleural rub and a squawk?

Answer 14

Question 15

What are egophony or whispered pectoriloquy?

Answer 15

Question 16

What can an increased AP/thoracic ratio predict?

Answer 16

Barrel chest - indicative of COPD