Auscultation

Question 1

What is brochiol breathing

Answer 1

Air stuck in airways and can’t get to alveoli

Inspiration and expiration are same length

Question 2

What might be the cause of quiet breath sounds

Answer 2

Broken ribs

Pathology of lung

Question 3

What might a patient’s chest sound like

Answer 3

Wheeze
Stridor
Crackles
Pleural rub

Question 4

What is Stridor

Answer 4

Straining

Something stuck in airways or airways about to collapse

Question 5

What are crackles

Answer 5

Airways popping open

Question 6

Types of crackles

Answer 6

Early or late
Fine or coarse
Inspiratory or expiratory

Question 7

What do fine inspiratory end crackles suggest

Answer 7

Atelectesis

Question 8

Pulmonary oedema and crackles- crackles and sputum?

Answer 8

Fine inspiratory end crackles

Sputum looks like egg whites

Question 9

Coarse crackles usually with what pathology

Answer 9

COPD

Smokers

Question 10

What does pleural rub sound like

Answer 10

Boots walking in snow

Question 11

Wheezes common in what pathology

Answer 11

Asthma

COPD

Question 12

Why do we auscultate?

Answer 12

To diagnose respiratory disorders

To distinguish normal respiratory sounds from abnormal

Question 13

How can you compare in auscultation?

Answer 13

Compare left to right

Question 14

Position of the ear buds

Answer 14

Earbuds face forward

Question 15

Where do you listen?

What are the areas called that you listen to?

Answer 15

Bases, apices

Question 16

What are some checks you should undertake?

Answer 16

With secretions, ask patient to cough and clear prior to auscultation
Ensure direct contact on skin as listening through hair or clothes can imitate crackles