7. Chapter 14 - Chest/Lungs

Question 1

Laryngeal obstruction would elicit what sounds

Answer 1

stridor

Question 2

Grating sound in left lower lobe

Answer 2

Rubs/grating sound-pleural or pericardial effusion-have them hold their breath!
Pleuritic chest pain

Question 3

Epiglotis has frequently been associated with infection by which organism

Answer 3

Caused by H. influenza B or Beta hemolytic strep

Muffled voice, drooling, high fever very ill-appearing very dangerous for airway obstruction

Question 4

how tactile fremitus is assessed

Answer 4

Palpation of skin and assessing tactile fremitus
Palmar surface of the hand is most sensitive-have patient say “99”
Decrease tactile fremitus may be indicative of COPD (excess air in lungs)
Increase tactile fremitus may indicate pneumonia (solid mass or fluids)
Thoracic expansion-symmetry

Question 5

vocal resonance transmits sounds through lung fields. if egophony is present, indicative of lung consolidation, the examiner would note

Answer 5

Say “e”- if “e” is heard this is normal finding if ”a” is heard possible lung consolidation or pneumonia

Question 6

barky cough

Answer 6

croup

Question 7

Barrel chest of an older adult indicates

Answer 7

normal aging or COPD

Question 8

diaphragm of stethoscope is better than bell for auscultation of lungs because

Answer 8

Diaphragm of stethoscope- high-pitched sounds-broader area of sound can be heard

Bell of stethoscope-low-pitched sounds- carotid arteries

Question 9

Both pleural effusion and lobar pneumonia are characterized by ____ percussion

Answer 9

DULLNESS on percussion could be indicative of pneumonia or effusion

Question 10

when performing direct percussion the provider..

Answer 10

Done with the ulnar surface of the hand all lung fields

Question 11

COPD umbrella

Answer 11

COPD- OBSTRUCTIVE disease, over-inflated lungs, barrel-shaped chest
Includes emphysema, chronic bronchitis, bronchiectasis