Breath Sounds

Question 1

Tracheal

Answer 1

Very loud, heard over trachea

E = I

Question 2

Bronchial

Answer 2

Loud, heard over manibrium; E>I

Question 3

Broncho-vesicular

Answer 3

I = V; intermediate, heard between scapulae and 1st and 2nd IC (anterior))

Question 4

Vesicular

Answer 4

Soft, heard over lungs

I>E

Question 5

Rhonchi

Answer 5

Low-pitched (snoring)

Air passing through obstructed airway (COPD conditions)

Question 6

Wheeze

Answer 6

High-pitched sound (whistling) in expiration

Due to narrowing of airway

Question 7

Crackles

Answer 7

Popping sounds high-pitched (movement of secretions) during inspiration

Asthma, COPD, pleural effusion, pulmonary edema

Question 8

Pleural rub

Answer 8

Sand paper rubbing during inspiration and expiration

Inflamed pleura

Question 9

Stridor

Answer 9

Continuous high pitched wheeze with inspiration or expiration (upper airway obstruction)

Question 10

Bronchophony

Answer 10

Increased vocal resonance with greater clarity and loudness of spoken words (“99”)

Question 11

Egophony

Answer 11

Form of bronchophony which spoken long “E” sounds changes to a long, nasal sounding “A”

Question 12

Whispered Pectoriliquy

Answer 12

Increased loudness of whispering

Recognition of whispered words “1,2,3”