Examination of the Chest

Question 1

Which ribs articulate with sternum?

Answer 1

1-7

Question 2

Which ribs articulate with costal cartilage?

Answer 2

8-10

Question 3

Which ribs floating

Answer 3

11-12

Question 4

Which lines on front?

Answer 4

Midsternal
Midclavicle
Anterior axilary

Question 5

Which lines on back?

Answer 5

Vertebral

Scapular

Question 6

Horizontal fissure runs from

Answer 6

4th rib to 5th rib midaxillary

Question 7

Clubbed fingers sign of

Answer 7

Pulmonary disease

Question 8

hyperresonance indicates

Answer 8

air…emphysema or pneumothorax

Question 9

Dullness indiates

Answer 9

Possible pneumonia, effusion, atelectasis, or tumor

Question 10

Tactile fremitus is solid in the lung will

Answer 10

Increase

Question 11

Pleural friction fremitis if

Answer 11

Pleura is rubbing together

Question 12

Decreased tactile fremitus from

Answer 12

Pneumothorax

Question 13

Vesicular breath sounds - duration, intensity, pitch, location

Answer 13

Inspiration>exp
Softer
Low
Lung fields

Question 14

Bronchovesicular - duration, intensity, pitch, location

Answer 14

Inspiration = exp
Intermediate
Intermediate
Between 1st and 2nd spaces anteriorly and between scap

Question 15

Bronchial - duration, intensity, pitch, location

Answer 15

Inspiration

Question 16

Tracheal - duration, intensity, pitch, location

Answer 16

Inspiration = expiration
Very loud
Relatively high
Sternal notch

Question 17

Continuous sounds

Answer 17

Wheezes

Rhonchi

Question 18

Discontinuous sounds

Answer 18

crackles

Question 19

Stridor

Answer 19

Inspiratory
High pitched
Continuous

Question 20

Wheezes

Answer 20

Expiratory
Continuous
Sign of narrow airways
High pitched and musical

Question 21

Rhonchi

Answer 21

Expiratory
Continuous rattle
Fluid in airways
Low pitched

Question 22

Crackles

Answer 22

Short, popping, sudden inflation of alveoli

Question 23

Early crackles

Answer 23

Crackles in consolidation

Question 24

Fine crackles

Answer 24

In rheumatoid lung dz

Question 25

Pleural friction rub

Answer 25

Grating, leathery

Question 26

Bronchophony

Answer 26

Voice sounds are increased and clearly | Hear similar to bronchial sounds

Question 27

Wgispered pectoriloquy

Answer 27

Can hear words whispered through the stethoscope | Hear similar to bronchial sounds

Question 28

Egophony

Answer 28

EEEEE sounds becomes AAAAA sound

Question 29

Normal - trachea, percussion note, breath sounds, tactile fremitus, adventitial sounds

Answer 29

``` Midline Resonant Bronchial, bronchovesicular, vesicular Normal None ```

Question 30

Obstructive lung dz - trachea, percussion note, breath sounds, tactile fremitus, adventitial sounds

Answer 30

``` Midline Resonant/hyperresonant Normal/distant Normal/decreased Wheezing ```

Question 31

Lobar consolidation - trachea, percussion note, breath sounds, tactile fremitus, adventitial sounds

Answer 31

``` To involved side Dull over involved side Bronchial over involved site Increased Late inspiratory crackels ```

Question 32

Pleural effusion - trachea, percussion note, breath sounds, tactile fremitus, adventitial sounds

Answer 32

``` From involved side Dull to flat over fluid Decreased to absent Decreased None (pleural rub) ```

Question 33

Pneumothorax - trachea, percussion note, breath sounds, tactile fremitus, adventitial sounds

Answer 33

``` To involved isde Hyperresonant, tympanitic over pleural air Decreased to absent Decreased None (pleural rub) ```

Question 34

Which side of stethoscope for posterior chest auscultation?

Answer 34

Diaphragm