Ch. 8 charts

Question 1

Is it air-filled or fluid filled if a lung is predominately vesicular, spoken words are muffled and indistinct, spoken “ee” is heard as “ee”, whispered words are faint, and tactile fremitus is normal?

Answer 1

air-filled

Question 2

Is it air-filled or fluid-filled if a lung has bronchial or bronchovesicular BS over the involved area, spoken words are louder (bronchophony), spoken “ee” is heard as “ay” (egophony), whispered words are louder, and there is increased tactile fremitus?

Answer 2

fluid-filled (such as lobar pneumonia)

Question 3

This type of adventitious BS begins in the first 1/2 of inspiration but must continue into late inspiration. Are often fine, profuse and persist from breath to breath. Causes include interstitial lung dis and early HF.

Answer 3

Late inspiratory crackles

Question 4

This type of adventitious BS appear and end soon after the start of inspiration and are often coarse. Causes include chronic bronchitis and asthma.

Answer 4

Early inspiratory crackles

Question 5

This type of adventitious BS occurs when air flows rapidly thru bronchi that are narrowed nearly to the point of closure. Causes include asthma, chronic bronchitis, COPD, and HF.

Answer 5

Wheezes

Question 6

A wheeze that is predominately inspiratory is called ___. It is often louder in the neck than over the chest wall and indicates what? This demands immediate attn.

Answer 6

stridor, partial obstruction of the larynx or trachea

Question 7

This type of adventitious BS occurs when inflamed and roughened pleural surfaces grate against each other producing creaking sounds, usually during expiration.

Answer 7

pleural friction rub

Question 8

This type of adventitious BS is a series of precordial crackles synchronous w/the heart beat, not w/respiration. D/T mediastinal emphysema.

Answer 8

mediastinal crunch