Heart and Lungs ClinCorr

Question 1

Where can you locate the transverse fissure?

Answer 1

4th rib

Question 2

Where can the lower lobe of the lung be found?

Answer 2

mostly posterior - can be found by having the patient lift their arm over their head and following the medial border of the scapula as the oblique fissure

Question 3

What are the boundaries in lung percussion?

Answer 3

Dullness ABOVE any of these landmarks is abnormal:

1. 5th rib in midclavicular line
2. 7th rib in midaxillary line
3. 9th rib midscapular line

Question 4

What are the borders of the stomach bubble?

Answer 4

• 6th rib medially
• 9th rib laterally
• bottom of ribs
• left side

Question 5

What sound is heard in the stomach bubble?

Answer 5

tympany

Question 6

What are the surface anatomy boundaries of the heart?

Answer 6

Auricle of LA - Rib 2 (directly behind sterum)
Right Atrium - Rib 3 (right edge of sterum)
Right anterior coronary sulcus - Rib 6 (right edge of sternum)
Apex of LV - 5th intercostal at midclavicular line

Question 7

Where should you listen to pulmonary sounds?

Answer 7

Rib 2 left edge of sternum

Question 8

Where should you listen to aortic sounds?

Answer 8

Rib 3 to the right edge of the sternum

Question 9

Where should you listen to the tricuspid?

Answer 9

Rib 6 LEFT edge of sternum

Question 10

Where should you listen to the mitral?

Answer 10

rib 5 midclavicular line

Question 11

What happens to lung at rib 2 midsagital line?

Answer 11

lungs get very close

Question 12

Where can the apex of the lung be found?

Answer 12

~2 cm above the clavicle

Question 13

What happens to lung at rib 4 midsagital line?

Answer 13

Transverse fissure starts in R lung

notching for the heart in the L lung

Question 14

What happens at the 6th rib midsagital line?

Answer 14

• end of cardiac notch (note: the lingula is in this area)

Question 15

Where are the lung and pleura located at the midclavicular line?

Answer 15

6th intercostal

8th intercostal

Question 16

Where are the lung and pleura located at the midaxillary line?

Answer 16

Rib 8

Rib 10

Question 17

Where are the lung and pleura located at the spinal cord?

Answer 17

Rib 10

Rib 12

Question 18

Describe vesicular breath sounds?

Answer 18

Inspiration Dominant:

• insp. longer than exp.
• insp. louder than exp.

No gap between inspiration and expiration

Question 19

When should you hear vesicular sounds?

Answer 19

anytime you aren’t listening to proximal airways

Question 20

When would you hear bronchial breath sounds not in a proximal airway?

Answer 20

• consolidated lung pneumonia
• pulmonary mass
• atelectasis

Question 21

What are the characteristics of bronchial breath sounds?

Answer 21

SAME:
- loudness in inspiration and expiration
- duration in inspiration and expiration 
GAP in inspiration 
Louder than vesicular sounds