Breath and Heart Sounds

Question 1

Normal Breathing Sounds

Answer 1

Brochial, Bronchovesicular, and Vesicular

Question 2

Sound added or superimposed over normal breath sounds

Answer 2

Adventitious Sounds

Question 3

Adventitious Lung sound

Answer 3

Wheezes, and Crackles

Question 4

Breath sound
- Pitch : High
- Quality : Harsh or Hollow
- Amplitute : Loud
- Duration : Short during inspiration; Long during expiration
- Location : Trachea and Thorax

Answer 4

Bronchial

Question 5

Breath sound
- Pitch : Moderate
- Quality : Mixed
- Amplitute : Moderate
- Duration : Same during inspiration and expiration
- Location : Over the major Bronchi - Posterior; bet. The Scapulae; Anterior; Around the uppder sternum in the first and scond intercostal spaces

Answer 5

Bronchovesicular

Question 6

Breath sound
- Pitch : Low
- Quality : Breezy
- Amplitute : Soft
- Duration : Long in inspiration; in expiration
- Location : Peripheral lung field

Answer 6

Vesicular

Question 7

Adventitious Breath sounds

Answer 7

Discontinous Sound, Crackles (coarse), Crackles (fine), Continous Sound Pleural Friction Rub, Wheeze (Sibilant), Wheeze (Sonorous)

Question 8

Characteristics : High pitched, Short, Popping sounds heard during inspiration
Source : Inhaled air suddenly opens the small, deflated air passages that are coated with sticky with exudate
Associated Condition - Crackles occuring during inspiration (related to pneumonia and congestive heart failure)

Answer 8

Discontinous Sound

Question 9

Characteristic : Low pitch, bubbling, moist sounds that may persist from early inspiration to early expiration
Source : Inhaled air comes into contact with secretion in the large bronchi and trachea
Associated condition : Pneumonia, Pulmunary Edema, and Pulmunary Fibrosis are heard louder and closer to stethoscope

Answer 9

Crackles (Coarse)

Question 10

Description: 12 - 20 Breaths/min and regular

Answer 10

Normal Breathing

Question 11

More than 24 breaths/min and Shallow

Answer 11

Tachypnea (Description)

Question 12

Less than 10 breaths/min and regular

Answer 12

Bradypnea - Description

Question 13

Increased rate and decreased depth - Description

Answer 13

Hyperventilation

Question 14

Description - Rapid, Deep, Labored

Answer 14

Kissmaul

Question 15

Description - Decreased Rate, Decreased Depth, Irregular pattern

Answer 15

Hypoventilation

Question 16

Description - Regular patterns characterized by alternating periods of deep, rapid breathing followed by period of apnea

Answer 16

Biot’s Respiration

Question 17

Description - Significant disorganization with irregular and varying depths of respiration

Answer 17

Ataxic

Question 18

Description - Increasing difficulty in getting breath out

Answer 18

Air trapping

Question 19

Clinical indication - May be a normal response to fever, anxiety, or exercise. Can occur with respiratory insufficiency, alkalosis, pneumonia, or pleurisy

Answer 19

Tachpnea

Question 20

Clinical Indication - Usually occurs with extreme exercise, deat, or anxiety. Causes ______ includes disorders of the central nervous system, an overdose ofdrug salicylate or Secrete anxiety

Answer 20

Hyperventilation

Question 21

Clinical Indication - May result from severe congestive heart failure, drug overdose, increased intracranial pressure, or renal failure. May be noted in elderly person during sleep not related to any Disease process

Answer 21

Cheyne-stokes respiration

Question 22

Clinical Indication - May be seen with meningitis or severe brain damage

Answer 22

Biot’s respiration

Question 23

Clinical Indication - A more extreme expression of Biot’s respirations indicating respiratory compromise

Answer 23

Ataxic

Question 24

Clinical Indication - In chronic obstructive pumonary disease, air is trapped in the lungs during forced respiration

Answer 24

Air trapping