Auscultation - Breath Sounds

Question 1

Vesicular

Answer 1

Peripheral lungs

Insp:exp –> 2:1

Question 2

Bronchial

Answer 2

Over sternum

Expiration longer and louder than inspiration c a pause before inhalation

Question 3

Bronchovesicular

Answer 3

1, 2 ICS between the scapulae

Inspiration and expiration are equal length

Question 4

Tracheal

Answer 4

Over trachea

Expiration longer than inspiration and very loud - not a typical auscultation site

Question 5

Crackles (rales)

Answer 5

Adventitious
Loud and low-pitched
Discontinuous and explosive sounds
Sounds like rubbing a piece of hair between two fingers
Heard on INSpiration
Alveoli opening and closing abnormally (underinflated)
Pleural effusion

Question 6

Wheezing (rhonci)

Answer 6

Continuous and high-pitched
Constricted airways
Musical sounding
Heard on expiration OR inspiration 
Obstruction or asthma

Question 7

Egophony

Answer 7

Transmitted voice sound
“E” heard as “A” when spoken by Pt.
Consolidated lung tissue - air not moving well (something denser than air in that part of the lung)

Question 8

Whispered pectoriloquy

Answer 8

Transmitted voice sound
Whisper “1-2-3” heard clearly during auscultation
Consolidated lung tissue
High-pitched
Heard anywhere A/P where consolidation is
Atelectasis