Lab Material

Question 1

Abnormal result of whisper test

Answer 1

Pt gets 4/6 letters or numbers wrong

Question 2

Weber test: explain

Answer 2

Tuning fork on top of pts head -> if sound lateralizes to one ear, there is some sort of hearing loss

Question 3

Rinne test

Answer 3

Step 1: vibrating tuning fork on mastoid bone
Step 2: when pt can no longer hear sound, place fork close to ear and see how long they can hear that
Results: if bone conduction greater than air conduction -> conductive hearing loss; if air conduction better (nl result), pt may have sensorineural hearing loss in opposite ear

Question 4

Abnormal characteristics of LNs

Answer 4

Large, irregular shape, hard, tender, fixed

Question 5

Other name for Mandibular drainage technique

Answer 5

Galbreath technique

Question 6

How to do submandibular drainage

Answer 6

Place fingers below inferior rim of mandible and perform MFR

Question 7

Middle ear anterior and posterior Chapman pt

Answer 7

Anterior: Medial 1/3 of clavicle
Posterior: occuput, 2cm lateral to midline

Question 8

Sinuses anterior and posterior chapman point

Answer 8

anterior: Inferior medial clavicle, superior border of rib 2
Posterior: below occipitalis, lateral to SP of C2

Question 9

Larynx anterior Chapman point

Answer 9

rib 2 costochondral junction

Question 10

Tonsils anterior Chapman point

Answer 10

Between ribs 1+2, just lateral to manubrium

Question 11

Tongue anterior Chapman point

Answer 11

1st rib junction with sternum

Question 12

Tongue/pharynx/larynx posterior chapman point

Answer 12

Lateral to SP C2

Question 13

Decreased or increased vibrations with tactile fremitus means?

Answer 13

Decreased vibrations: COPD, pleural changes (effusion, fibrosis, tumor)
Increased vibrations: PNA

Question 14

When do use the diaphragmatic excursion test?

Answer 14

When suspecting pleural effusion or high diaphragm

Question 15

Normal diaphragmatic excursion size

Answer 15

3-5.5cm

Question 16

Three transmitted voice sound tests

Answer 16

Bronchophony, pectoriloquy, egophony

Question 17

When to use transmitted voice sound tests

Answer 17

When hearing abnormally located bronchovesicular or bronchial breath sounds

Question 18

Abnormal results for bronchophony, pectoriloquy, and egophony

Answer 18

Bronchophony: sounds are louder
Pectoriloquy: sounds are louder
Egophony: EE sounds like A, has a nasal bleating sound

Question 19

Treatment for inhalation vs exhalation ribs

Answer 19

Inhaled: exaggerate exhalation and resist inhalation on the ribs with SD
Exhaled: treat using muscle group MET/ART