Examination of the Chest Flashcards

1
Q

Which ribs articulate with sternum?

A

1-7

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2
Q

Which ribs articulate with costal cartilage?

A

8-10

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3
Q

Which ribs floating

A

11-12

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4
Q

Which lines on front?

A

Midsternal
Midclavicle
Anterior axilary

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5
Q

Which lines on back?

A

Vertebral

Scapular

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6
Q

Horizontal fissure runs from

A

4th rib to 5th rib midaxillary

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7
Q

Clubbed fingers sign of

A

Pulmonary disease

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8
Q

hyperresonance indicates

A

air…emphysema or pneumothorax

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9
Q

Dullness indiates

A

Possible pneumonia, effusion, atelectasis, or tumor

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10
Q

Tactile fremitus is solid in the lung will

A

Increase

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11
Q

Pleural friction fremitis if

A

Pleura is rubbing together

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12
Q

Decreased tactile fremitus from

A

Pneumothorax

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13
Q

Vesicular breath sounds - duration, intensity, pitch, location

A

Inspiration>exp
Softer
Low
Lung fields

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14
Q

Bronchovesicular - duration, intensity, pitch, location

A

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

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15
Q

Bronchial - duration, intensity, pitch, location

A

Inspiration

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16
Q

Tracheal - duration, intensity, pitch, location

A

Inspiration = expiration
Very loud
Relatively high
Sternal notch

17
Q

Continuous sounds

A

Wheezes

Rhonchi

18
Q

Discontinuous sounds

A

crackles

19
Q

Stridor

A

Inspiratory
High pitched
Continuous

20
Q

Wheezes

A

Expiratory
Continuous
Sign of narrow airways
High pitched and musical

21
Q

Rhonchi

A

Expiratory
Continuous rattle
Fluid in airways
Low pitched

22
Q

Crackles

A

Short, popping, sudden inflation of alveoli

23
Q

Early crackles

A

Crackles in consolidation

24
Q

Fine crackles

A

In rheumatoid lung dz

25
Q

Pleural friction rub

A

Grating, leathery

26
Q

Bronchophony

A

Voice sounds are increased and clearly

Hear similar to bronchial sounds

27
Q

Wgispered pectoriloquy

A

Can hear words whispered through the stethoscope

Hear similar to bronchial sounds

28
Q

Egophony

A

EEEEE sounds becomes AAAAA sound

29
Q

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

A
Midline
Resonant
Bronchial, bronchovesicular, vesicular
Normal 
None
30
Q

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

A
Midline 
Resonant/hyperresonant
Normal/distant
Normal/decreased
Wheezing
31
Q

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

A
To involved side 
Dull over involved side 
Bronchial over involved site 
Increased
Late inspiratory crackels
32
Q

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

A
From involved side
Dull to flat over fluid 
Decreased to absent 
Decreased
None (pleural rub)
33
Q

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

A
To involved isde
Hyperresonant, tympanitic over pleural air 
Decreased to absent
Decreased
None (pleural rub)
34
Q

Which side of stethoscope for posterior chest auscultation?

A

Diaphragm