Examination Of Respiration Flashcards

1
Q

What was crackles formly known as?

A

Rales

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2
Q

Describe Crackles.

A

Rattling, bubbling sounds which may be due to secretions in lungs

Typically heard during inspiration

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3
Q

Wet crackles is describe as?

A

Movement of fluid or secretions during inspiration

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4
Q

Dry crackles is described as?

A

Sudden opening and closed airways

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5
Q

Crackles during the latter half of inspiration typically is indicative of what pathologies?

A
  1. Atelectasis
  2. Fibrosis
  3. Pulmonary edema
  4. Plural effusion
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6
Q

Where are crackles typically heard?

A

Base of the lungs

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7
Q

Describe pleural friction rub

A

Dry, crackling sound heard during inspiration and epieariton

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8
Q

When does pleural friction rub occur?

A

When inflamed visceral and parietal pleural rub together

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9
Q

Where is the pleural rub typically heard?

A

Over the spot where the patient feels pleuritic pain

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10
Q

Describe rhonchi sounds

A

Continuous low-pitched sounds, “snoring” or “gurgling” quality

Heard on inspiration and expiration

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11
Q

What is rhonchi caused by?

A

Caused by air passing through a airway which is obstructed by inflammatory secretion or liquid, bronchial spasm or neoplasms in the small (sibilant) or larger airways (sonorous rhonchi)

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12
Q

Describe a stridor sound.

A

Continuous high-pitched wheeze heard with inspiration or expiration

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13
Q

What does a stridor indicate?

A

An upper airway obstruction

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14
Q

What does wheezing arise from?

A

Turbulent airflow and the vibrations of the walls of small airways due to narrowing by bronchospasm, edema, collapse, secretions, neoplasm or foreign bodies

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15
Q

what pathology may produce bronchial breath sounds?

A

Pneumonia

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16
Q

What do deceased or finished sounds indicate?

A
  1. Severe congestion
  2. Emphysema
  3. Hypoventilation
17
Q

what do absent breath sounds indicate?

A

Pneumothorax or lung collapse

18
Q

Describe typical voice sounds in a health person.

A

Spoken word = muffled

Whispered words = faint

Syllables - not distinct (unless over main bronchi)

19
Q

Loudness and distinctness of voice sounds indicates what?

A

Indicates consolidation, atelectasis or fibrosis which improve transmission of vibrations through lung tissue

20
Q

Increased vocal resonance with greater clarity and loudness of spoken words is known as?

A

Bronchophony

Say “99”

21
Q

A form of bronchophony in which the spoken long “E” sound changes to a long, nasal- sounding “A”

A

Egophony

22
Q

Recognition of whispered words “1,2,3” is known as ?

A

Whispered pectoriloquy