39: Respiratory System Exam - Kolbinger

Question 1

where are vesicular breath sounds best heard?

Answer 1

over the posterior chest

Question 2

where are bronchial breath sounds best heard?

Answer 2

over the trachea and right apex

Question 3

vesicular sounds _____- is longer than ______-

Answer 3

inspiration;

expiration

Question 4

in bronchial sounds ______ is longer than _______

Answer 4

expiration;

inspiration

Question 5

discontinuous sounds resembling strands of hair rubbing together or pulling apart velcro

Answer 5

crackles - use the diaphragm

can be coarse or fine

Question 6

high pitched continuous musical sound mostly on expiration

Answer 6

wheeze

Question 7

loud, constant pitch that indicates upper airway obstruction confined to inspiration over the neck

Answer 7

stridor

Question 8

loud grating or rubbing sounds predominantly during expiration

Answer 8

pleural rubs

Question 9

differential diagnosis for crackles

Answer 9

• pneumonia
• MI
• pulmonary fibrosis
• elevation of left atrial pressure

Question 10

how much oxygen do you generally give?

Answer 10

4-6 L

monitor saturation with pulse ox

Question 11

wheezing in infants

Answer 11

acute bronchiolitis

Question 12

complication of influenza

Answer 12

pneumonia

Question 13

prolonged severe paroxysmal cough

Answer 13

pertussis

Question 14

pertussis adult treatment

Answer 14

azithromycin or clarithromycin booster of Tdap