CHAPTER 19 LUNGS

Question 1

Type of respirations

Answer 1

diaphragm or chest

Question 2

What is COPD?

Answer 2

Chronic obstructive pulmonary disease

Question 3

ex of COPD

Answer 3

(Emphysema & Bronchitis)

Question 4

pigeon chest, protrusion

Answer 4

Carinatum

Question 5

funnel chest, inward

Answer 5

Excavatum

Question 6

pattern of respiration for men Men & Children

Answer 6

Diaphragmatic

Question 7

Pattern of Respirations for women

Answer 7

Thoracic or costal

Question 8

RR more than 20

Answer 8

Tachypnea

Question 9

RR less than 12

Answer 9

Bradypnea

Question 10

Alternating tachypnea and Apnea

Answer 10

Cheyne-Stokes

Question 11

Irregular pattern of normal resp. and apnea

Answer 11

Biot’s respiration

Question 12

Awakening from sleep with SOB

Answer 12

Paroxysmal nocturnal dyspnea (PND)

Question 13

Deep rapid and laborious

Answer 13

Kussmaul

Question 14

Marks the site of tracheal bifurcation, and the upper border of the atria of the heart

Answer 14

Angle of Louis/Manubriosternal angle

Question 15

Air that has escaped into the SQ tissues
Cellophane paper crackling

Answer 15

Crepitus

Question 16

consolidation, tumors, pneumonia indicate what vibration of the tactile fremitus

Answer 16

Increased vibration

Question 17

pneumothorax, pleural effusion, emphysema, atelectasis, obstruction indicate what vibration

Answer 17

Decreased vibration

Question 18

normal breath sounds

Answer 18

Vesicular
bronchiovesicular
bronchial

Question 19

Found over the trachea and above manubrium.
Loud, harsh, high pitched, blowing sound.

Answer 19

Bronchial

Question 20

Found on either side of sternum and between scapula on back. Moderate intensity.
Inspiration = Expiration

Answer 20

Bronchovesicular

Question 21

Found over lung periphery. Low pitched, soft breezy sound.
Inspiration > Expiration by 2 ½ times.

Answer 21

Vesicular

Question 22

indicate serous secretions in the distal bronchioles

Answer 22

Crackles

Question 23

2 types of crackles

Answer 23

Fine
Coarse

Question 24

• high pitched, popping sound, like rubbing of hair.
• Heard during inspiration.
• Does not clear with coughing.

-Heard with obstructive diseases.

Answer 24

Fine crackles

Question 25

-low pitched, crumpling cellophane paper sound.

-Heard throughout inspiration,
maybe expiration Heard with pneumonia,

-pulmonary edema

Answer 25

Coarse crackles

Question 26

heard in lower part of chest, anterolateral surface.
Coarse rubbing or grating sound. Does not clear with coughing.

Answer 26

Pleural Friction Rub

Question 27

hi pitched, musical. Heard during inspiration

Heard with asthma, emphysema, and other obstructive lung dx

Answer 27

Sibilant (rhonchi)

Question 28

2 types of wheezes

Answer 28

SIBILANT & SONOROUS

Question 29

low pitched, snoring sound. Clears with coughing.

partial obstruction from secretions, tumor, bronchitis.

Answer 29

Sonorous (rhonchi)

Question 30

Hi pitched, crowing sound. Heard with croup, obstructed airway

Answer 30

stridor

Question 31

this is the Auscultation of the posterior chest. 99 should be soft and muffled, if loud and clear, consider lung consolidation.

Answer 31

Bronchophony

Question 32

this is the evaluating the intensity of spoken voice; eee soft ; aaa lung consideration

Answer 32

Egophony

Question 33

this is performed when a positive bronchophony is auscultated ; whisper 1, 2, 3

Answer 33

Whispered pectoriloquy