Ch 19 Lungs And Thorax

Question 1

Atelectacic crackles vs crackles

Answer 1

Crackles are heard when sections of alveoli are expanded by a few deep breaths and generally don’t disappear during inspiration

Atelectacic crackles are short, popping, crackling sounds that last only a few breaths

Question 2

Barrel chest

Answer 2

Ribs are horizontal instead of downward slope

Normal with aging

Also associated with chronic emphysema and asthma

Question 3

Bronchophony

Answer 3

Ask person to repeat ninety nine while you listen over the chest wall

Normal transmission is soft, muffled and indistinct

Question 4

Fremitus

Answer 4

A palpable vibration from the spoken voice felt over the chest wall

Question 5

Wheeze

Answer 5

High-pitched, musical, squeaking adventitious lung sound

Question 6

Pleural friction rub

Answer 6

Very superficial sound that is coarse and low pitched

Sounds just like crackles, but close to the ear

Question 7

Stridor

Answer 7

High pitched, monophonic inspiratory crowing sound

Question 8

Egophony

Answer 8

Auscultate the chest while person phonates a long “ee-ee-ee-ee” sound

Question 9

Hemoptysis

Answer 9

Coughing up blood from the lungs or bronchials

Question 10

Kyphosis

Answer 10

An exaggerated posterior curvature of the thoracic spine that causes significant back pain and limited mobility

Question 11

Orthopnea

Answer 11

Difficulty breathing when supine

Question 12

Tactile fremitus

Answer 12

Palpating over the lung apices in the supraclavicular areas

Question 13

Cheyne-stokes

Answer 13

A cycle in which respirations gradually wax and wane in a regular pattern

Question 14

Whispered pectoriloquy

Answer 14

Ask the person to whisper a phrase such as one two three as you auscultate

The normal response is faint, muffled, and almost inaudible