Exam 2 WTF Chest Exam

Question 1

what is normal chest excursion

Answer 1

2-3 inches

Question 2

this is what you should feel when your hands are on the chest, and you feel vibrations with talking

Answer 2

tactile fremitus

Question 3

how does fremitus change with consolidation and with pleural effusion

Answer 3

consolidation, fremitus increases

pleural effusion it decreases

Question 4

what does normal percussion sound like

Answer 4

resonant, like tapping a table

Question 5

what does increased and decreased density sound like when you are percussing

Answer 5

increasing density, sounds like banging on the quad.(consolidations and atelectasis)
decreased, sounds like tapping on puffed cheeks (emphysema)

Question 6

what is purulent, yellow green and dirty sputum mean

Answer 6

inflammation of the cells in the airway, infection. like pneumonia

Question 7

what does stringy mucoid mean

Answer 7

increased mucus plugs, like asthma

Question 8

what does bloody streaked sputum mean

Answer 8

inhalation in the nose, gums, larynx, bronchi.

Question 9

what does frothy pink sputum mean

Answer 9

alveoli and respiratory bronchioles are filled with fluid from the capillaries, like pulmonary edema

Question 10

what does the sputum look like when you have pulmonary edema

Answer 10

frothy and pink

Question 11

when do you have the most positive and negative pressures

Answer 11

positive: MEP
negative: MIP

Question 12

what can affect pulse ox readings,

Answer 12

nails, bright light, nail polish, skin color, low perfusion, hypoxemia, CO poisoning,

Question 13

when can’t you do spirometry

Answer 13

coughing blood, pneumothorax, unstable cardiovascular, eye surgery, vomiting

Question 14

do you hear more inspiration or expiration in tracheal sounds

Answer 14

expiration

Question 15

do you hear more inspiration or expiration in vesicular sounds

Answer 15

inspiration

Question 16

what are some instances that you might hear absent or decreased breath sounds

Answer 16

with air or fluid in the lungs, overinflation, decreased flow or fat, thick walls

Question 17

in what kind of sound will you hear increased sound in first? last?

Answer 17

vesicular, then bronchovesicular then bronchial

Question 18

what is it called when you hear this: on inspiration, you hear Velcro, popping or the opening.closing of alveoli with compression by fluid

Answer 18

crackles

Question 19

what are the types of cardiogenic and non-cardiogenic causes of crackers

Answer 19

cardiogenic: pulmonary edema from HF
Non: pneumonia and atelectasis

Question 20

how are cardiogenic and noncardiogenic sounds resolved

Answer 20

cardiogenic with S/L

non with coughing

Question 21

what happens when you hear things on expiration, like forcing air through narrow and collapsed airways

Answer 21

rhonchi (wheezes)

Question 22

what is a wheeze like sound called that is caused by blockages or obstructions

Answer 22

stridor

Question 23

foreign bodies and lesions and post nasal drip would cause what kind of sounds

Answer 23

stridor

Question 24

asthma, mucus, inflammation, tumor or obstructing bodies cause what noises

Answer 24

wheezes Rhonchi

Question 25

what happens when you hear a coarse leathery grating sound like rubbing a ballon in late inspiration and early expiration

Answer 25

plural rub

Question 26

if there are unclear borders on the heart, both r and left sides, what can this mean

Answer 26

right side; middle lobe consolidation

left side: lingual

Question 27

what happens if the right diaphragm is below the 6th rib

Answer 27

hyperinflation

Question 28

when there is a menisci sign, there is…

Answer 28

fluid

Question 29

what might bat wings on an x-ray be indicative of

Answer 29

from the hilum, pulmonary edema, HF, fluid overload, blood transfusion

Question 30

which hilum should be higher the right or left

Answer 30

the left

Question 31

how would pulmonary edema and pleural effusion differ with how they look on an x-ray

Answer 31

pulmonary edema would be Bilateral

Pleural effusion would be one lung.