Chest Exam

Question 1

Where do you hear bronchial/tracheal sounds?

Answer 1

Trachea

Question 2

How do bronchial/tracheal sounds sound?

Answer 2

Loud, high pitch, tubular (1:2 ratio)

Question 3

Where do you hear broncovesicular sounds?

Answer 3

Manubrium and upper interstellar region

Question 4

What do broncovesicular sounds sound like?

Answer 4

Moderately loud, medium pitch, and rustling (1:1 ratio)

Question 5

Where are vesicular sounds heard?

Answer 5

Peripheral lung fields

Question 6

How do vesicular sounds sound?

Answer 6

Soft, low pitched (2:1 ratio)

Question 7

What may not be heard in the vesicular sound?

Answer 7

Expiration phase

Question 8

What does it mean if there are absent or decreased breath sounds?

Answer 8

Air or fluid in or around lungs

Over inflation

Reduced airflow to part of the lungs

Increased chest wall thickness

Question 9

What could air or fluid in or around the lungs mean?

Answer 9

Pneumonia, heart failure, or pleural effusion

Question 10

What could over inflation of the lungs mean?

Answer 10

Emphysema

Question 11

What could reduced airflow to parts of the lungs mean?

Answer 11

Rib fracture or pneumothorax

Question 12

What are normal breath sounds in the peripheral field?

Answer 12

Vesicular

Question 13

What does bronchovesicular breath sounds in the peripheral field indicate?

Answer 13

Pulmonary consolidation or compression transmitting airway sounds with increased efficiency

Question 14

What causes breath sounds to be bronchial in nature?

Answer 14

If compression or consolidation increases

Question 15

What do crackles (rales) sounds result from?

Answer 15

Opening and closing of alveoli compressed by fluid (Velcro sound)

Question 16

When is the best time to hear crackles (rales)?

Answer 16

Inspiration

Question 17

What is a non cardiogenic lung disease that presents with crackles (rales)?

Answer 17

Atelectasis

Question 18

Where is crackles (rales) present in atelectasis?

Answer 18

One lung

Question 19

How can crackles (rales) in atelectasis be resolved?

Answer 19

Coughing or deep breaths

Question 20

What is the cardiogenic lung disease that has crackles (rales)?

Answer 20

Pulmonary edema

Question 21

Where is crackles (rales) present in pulmonary edema?

Answer 21

Both lungs

Question 22

How can you resolve crackles (rales) in pulmonary edema?

Answer 22

Sidelying position

Question 23

Why is rhonchi (wheezes) typically considered an expiratory sound?

Answer 23

Due to forcing airflow through narrow or collapsed airways

Question 24

When may rhonchi (wheezes) occur in asthma?

Answer 24

During both inspiration and expiration

Question 25

What is a stridor (quick wheeze) usually due to?

Answer 25

Blockage of airflow in trachea or in back of the throat

Question 26

When do you most likely hear stridor (quick wheeze)?

Answer 26

During inspiration over the neck

Question 27

What does a pleural rub sound like?

Answer 27

Coarse, grating, or leathery sounding

Question 28

When is a pleural rub heard?

Answer 28

Late in inspiration and early in expiration

Question 29

Where is the location that the pleural rub heard at?

Answer 29

Posterior lung bases or lower axilla

Question 30

What is the cause of hearing a pleural rub?

Answer 30

Increased friction due to inflammation of the pleural linings

Question 31

What do whispered words sound like in normal lung segments?

Answer 31

Faint or not heard at all

Question 32

What can voice sounds be more useful than breath sounds in detecting?

Answer 32

Pulmonary consolidation and atelectasis

Question 33

What do whisper sounds like in abnormal lung segments?

Answer 33

Clear and distinct

Question 34

What is tactile fremitus?

Answer 34

Feeling both lungs at the same time while patient speaks to see if there is any difference in vibration

Question 35

What is mediate percussion used to test?

Answer 35

Side to side differences in lung density