Heart and Lung Sounds_Check Off

Question 1

Identify the abnormal sound: pt. says E, ausculate A

Answer 1

Egophony

Question 2

Heart sound: start of systole, AV valves close

Answer 2

S1, lub (low pitched)

Question 3

How many areas are ausculated on the anterior, posterior, and lateral lung?

Answer 3

Anterior: 10 spots (5 each side)

Posterior: 12 spots (6 each side)

Laterally: 4 spots

** look at diagram

Question 4

Describe the pitch and intensity of vesicular and bronchial breath sounds

Answer 4

Vesicular: low pitch, soft intensity

Bronchial: high ptich, loud intensity

Question 5

Identify the abnormal sound: pt. says 99, you hear clear 99

Answer 5

Bronchophony

Question 6

Location: aortic valve

Answer 6

R 2nd intercostal space

Question 7

Location: Tricuspid/Right AV valve

Answer 7

L 4th intercostal space

Question 8

List the order of timing of S1, S2, and carotid pulse

Answer 8

S1, pulse, S2

Question 9

How many lobes does the left lung have? How many fissures?

Answer 9

2 lobes (superior, inferior)

1 fissure (oblique)

Question 10

Heart sound: at atrial contraction (atrial kick), due to accelerated rush of blood in the ventricles

Answer 10

S4

Question 11

Name the breath sound: long on inhalation, short on expiration

Answer 11

Vesicular (over lung fields)

Question 12

Name the following breath sound: heard over entire lung, except beneath manubrium and interscapular region

Answer 12

Vesicular (over lung fields)

Question 13

What causes S1?

Answer 13

Closure of AV valves; ventricular pressure > atrial pressure

Question 14

Identify the abnormal sound: fine, noncontinuous rattling, high pitched, sound like rice crispies, heard on inhale (sometimes exhale), due to fluid in alveoli/bronchioles

Answer 14

Rales or Crackles

Question 15

Why does the left lung have less lobes than the right?

Answer 15

Due to the space taken up by the heart on the left

Question 16

Name the following breath sound: result from consolidation/compression of pulmonary tissue that assists in transmission of sound from the bronchial tree

Answer 16

Bronchial (tubular, over trachea)

Question 17

Heart sound: end of systole, aortic/pulmonic valves close

Answer 17

S2, dub (loud)

Question 18

Identify the abnormal sound: you ausculate clear whisper

Answer 18

Whispering pectoriloquy

Question 19

T/F: S3 and S4 are normal heart sounds.

Answer 19

False: abnormal, seen with heart failure

Question 20

Name the following breath sound: short on inspiration, long on expiration

Answer 20

Bronchial (tubular, over trachea)

** or equal on inspiration/expiration

Question 21

Location: Mitral/Bicuspid/Left AV valve

Answer 21

L 5th intercostal space

Question 22

Location: pulmonic valve

Answer 22

L 2nd intercostal space

Question 23

Which breath sounds are louder?

Answer 23

Bronchial

Question 24

Identify the abnormal sound: muscial sounds like high pitched clarinet notes, produced on inhale, due to constriction/obstruction

Answer 24

Wheeze

Question 25

How many lobes does the right lung have? How many fissures?

Answer 25

3 lobes (superior, middle, inferior)

2 fissures (horizontal and oblique)

Question 26

What instructions should you give your pt. prior to auscultation?

Answer 26

• sit up
• lean forward
• deep breaths
• turn your head away from me

Question 27

Identify the abnormal sound: coarse rattling on exhale, very clear, low pitched, due to mucus in bronchi

Answer 27

Rhonchi

Question 28

What causes S2?

Answer 28

closure of aortic/pulmonic valves; due to vessel pressure > ventricular pressure

Question 29

Identify the abnormal sound: stratchy sounds produced by movement of pleural surfaces; “walking on fresh snow”

Answer 29

Pleural friction rub

Question 30

Heart sound: as ventricles fill, due to vibration on ventricular wall

Answer 30

S3