Chest & Lung

Question 1

Yellow-green sputum

Answer 1

Bacterial Infexn

Question 2

White-Clear sputum

Answer 2

Cold, Viral Infexn

Question 3

Pink-Frothy sputum

Answer 3

Pulmonary Edema

Question 4

Bloody/Rust Color sputum

Answer 4

Tuberculosis

Question 5

The chest should be __ wide as it is deep.

Answer 5

2x

Question 6

Using accessory muscles to breathe is normal. T/F?

Answer 6

False. Abnormal

Question 7

Fremitus is greater…

Answer 7

Closer to the bronchi

Question 8

Increased fremitus suggests:

Answer 8

Consolidation of tissue, such as pneumonia, fibrosis or collapsed lung.

Question 9

Decreased fremitus suggests:

Answer 9

Ephysema, Asthma

Question 10

Unequal chest expansion suggests:

Answer 10

Collapsed lung, pneumonia or trauma

Question 11

When percussing lungs, start posteriorly at:

Answer 11

The top of apices of scapulae

Question 12

When percussing anteriorly, start at:

Answer 12

Just above clavicles, work down interspaces

Question 13

Dullness in percussing suggests:

Answer 13

Consolidation = pneumonia or tumor

Question 14

Hyperresonance in percussing suggests:

Answer 14

Emphysema, trapped air

Question 15

Diaphragm descent can be impaired by 3:

Answer 15

1- Pregnancy
2- Ascites
3- Tumors

Question 16

Unequal diaphragm descent suggests:

Answer 16

Unilateral pneumonia or enlarged liver

Question 17

What are the 3 normal lung sounds?

Answer 17

Vesicular
Bronchial
Bronchovesicular

Question 18

These are low pitched, soft & breezy:

Answer 18

Vesicular - over lung fields

Question 19

These are high pitched & hollow

Answer 19

Bronchial - over trachea

Question 20

These are medium pitched, breezy sounds:

Answer 20

Bronchovesicular - sternal, between scapulae

Question 21

Any of these sounds heard over other areas is abnormal. T/F?

Answer 21

True

Question 22

Sounds other than normal breathing are…

Answer 22

Adventitious sounds

Question 23

Adventitious sounds are caused by: (2)

Answer 23

Air coming in contact w/ secretions

Sudden opening of deflated airway

Question 24

Popping, crackling sounds heard on inspiration are:

Answer 24

Fine Crackles

Question 25

Fine crackles are cleared by coughing T/F

Answer 25

False. Not cleared by coughing

Question 26

Fine crackles are caused by…

Answer 26

Sudden opening of small airspaces coated with sticky exudate.

Question 27

Fine crackles are associated with:

Answer 27

Bronchitis, Pneumonia, Congestive Heart Failure.

Question 28

Low pitched bubbling sounds on inspiration are:

Answer 28

Coarse Crackles

Question 29

Coarse crackles are caused by:

Answer 29

Air coming into contact with secretions.

Question 30

Coarse crackles are associated with:

Answer 30

Pneumonia, Pulmonary Edema & Fibrosis

Question 31

Coarse crackles are affected by coughing. T/F?

Answer 31

False. Not affected by coughing.

Question 32

Low pitched grating sound on inspiration & expiration:

Answer 32

Pleural Friction Rub

Question 33

Pleural Friction Rub is caused by:

Answer 33

Pleuritis. Painful.

Question 34

These are continuous musical sounds produced by a narrowing of an airway by spasm, inflammation, secretion or tumor.

Answer 34

Wheezes.

Question 35

Wheezes may be cleared by coughing. T/F?

Answer 35

True

Question 36

Two types of wheezes:

Answer 36

Sibilant & Sonorous

Question 37

High pitched wheeze, produced by narrow airway passages:

Answer 37

Sibilant.

Question 38

Sibilant wheezes are associated with:

Answer 38

Emphysema, Asthma

Question 39

Low pitched, snoring or moaning sounds:

Answer 39

Sonorous

Question 40

Sonorous are associated with:

Answer 40

Bronchitis

Question 41

Broncophony

Answer 41

“99” - if heard suggests consolidation such as pneumonia, tumor.

Question 42

Egophony

Answer 42

If “E” comes out “A” suggests consolidation.

Question 43

Whispered Pectoriloquy

Answer 43

“One, two, three” If distinct = consolidation.