[Lab] Respiratory Exam

Question 1

What is Cheyne-Stoke breathing?

Answer 1

Cyclic crescendo-decrescendo respiratory effort (rate/volume) followed by periods of apnea

Question 2

What is characteristic of obstructive breathing?

Answer 2

Prolonged expiratory phase iv

Question 3

What is Kussmaul breathing?

Answer 3

Deep breathing w/ metabolic acidosis

May be fast, slow, or normal

Question 4

What is ataxic breathing?

Answer 4

Irregular/unpredictable breathing which may be shallow or deep

May stop for periods of time

Question 5

Cyanosis in the lips, frenulum, and buccal mucosa is known as what?

Answer 5

Central cyanosis

Question 6

Cyanosis in the fingers, toes, ears, and nose, is known as what?

Answer 6

Peripheral cyanosis

Question 7

Flail chest, paradoxical movement of the ribs, and abnormal spine curvatures may be signs of what?

Answer 7

Respiratory distress

Question 8

What pulmonary disorders cause mediastinal shift? Which directions?

Answer 8

Pleural effusion - AWAY from effusion

Lobar collapse - TOWARDS collapse

Tension Pneumothorax

Question 9

What does crepitus on pulmonary palpation indicate?

Answer 9

Subcutaneous emphysema

Crackling sensation over the skin surface during tactile fremitus

Question 10

What normal breath sounds are heard over most of both lungs?

Answer 10

Vesicular

Expiration longer than inspiration, quieter than bronchial, tracheal

Question 11

When would you consider lung consolidation with transmitted voice sounds?

Answer 11

Bronchophony - loud and clear “99” rather than soft and muffled

Egophony - “aaa” heard rather than “eee” with spoken voice

Whispered pectoriloquy - (+) bronchophony and loud and clear “1,2,3” rather than faint and muffled