Breath Sounds

Answer 1

normal vesicular

Answer 2

bronchial

hollow sounds
abnormal if heard anywhere other than the manubrium and trachea

Answer 3

Crackles

crepitations; rales

inspiration sounds;
fine (high pitched, very brief) OR course (low pitched, less brief)

Answer 4

Wheezes

high pitch sounds upon expiration

Answer 5

Egophony

e sounds like a due to increased resonance; compressed lung tissue due to pleural effusion, or consolidation due to pulmonary infection (pneumonia) or tumor

Answer 6

Bronchophony

“99” is very clear and loud due to shit in the alveoli

Answer 7

Lobar Pneumonia

Answer 8

Pulmonary Edema

bronchial breath sounds and end-inspiratory crackles

Answer 9

Pulmonary Edema

fine crackles; fluid in alveoli

Question 10

cyclic fluctuation of respiratory rate and
depth. From periods of brief apnea, patients breathe progressively faster and deeper then slower and shallower until they become apneic and repeat the cycle. death breathing
Caused by HF, neuro disorder - CVS or dementia, or drugs

Answer 10

Cheyne-Stokes Respirations

Question 11

Deep, regular respirations; set rate.
Caused by metabolic acidosis, DKA

Answer 11

Kussmaul Respirations

Question 12

uncommon variant of Cheyne-Stokes respiration in which irregular periods of apnea alternate with periods in which 4 or 5 deep, equal breaths are taken
Caused from CNS injury or disorders such as meningitis

Answer 12

Biot Respirations

Question 13

Kussmaul Breathing is compensatory breathing for _______ ________

Answer 13

Metabolic Acidosis

Question 14

Vesicular breath sounds

Answer 14

Low pitched, low intensity sounds heard over healthy lung tissue (inspiratory sounds last longer than expiratory sounds)

Question 15

Bronchial breath sounds

Answer 15

High pitched, high intensity over manubrium (expiratory sounds longer than inspiratory)

Question 16

Tracheal breath sounds

Answer 16

Darth vader breathing heard of trachea

Question 17

Low pitched rattling lung sounds that can be heard during inspiration or expiration. (Ex COPD, pneumonia, bronchiectasis, CF)

Answer 17

Ronchi

Question 18

Whistling, musical breath sounds that are worse during expiration and involve narrowing of small airways (usually associated with dyspnea, COPD, asthma, bronchitis)

Answer 18

Wheezes

Question 19

High-pitched inspiratory sound produced by turbulent airflow through narrowed airway around subglottis/trachea. Louder than wheezing.

Answer 19

Stridor

Question 20

Stridor triggers a concern for which life-threatening upper airway obstructions?

Answer 20

Croup, epiglottitis, severe tonsilitis-abscess (kissing tonsils), tracheal swelling

Question 21

Decreased breath sounds signify what?

Answer 21

Poor air mvmnt through airways (ex. COPD, asthma). Breath sounds may also be decreased with pleural effusions, pneumothorax, or obstructing endobronchial lesion

Question 22

Discontinuous fine crackles that are short, high pitched sounds or coarse crackles that are longer lasting, low-pitched sounds.

Sounds to me like ppl moving things in apartment upstairs

Answer 22

Crackles (used to be called rales)

Question 23

Crackles occur most commonly with ____ lung disease

Answer 23

Interstitial (PF, atelectasis, pulm edema).

Question 24

Crackles signify what?

Answer 24

Opening of collapses airways or alveoli

Question 25

Breath sounds like wet skin in a car w/leather seats

Answer 25

Friction rubs

Question 26

Friction rubs are a sign of

Answer 26

Pleural inflammation (pleurisy/pleuritis). May occur with PE, severe pneumonia

Question 27

Rice krispies. A grating, crunching sound in center of anterior chest.

Answer 27

Mediastinal crunch

Question 28

Mediastinal crunch signifies

Answer 28

Presence of free air in mediastinum (Pneumomediastinum)

Question 29

Pts whispered voice is heard clearly through chest wall due to alveolar consolidation

Answer 29

Bronchophony and whispered pectoriloquy