Lung Auscultations

Question 1

Vesicular

Answer 1

Periphery of lungs
Soft, low pitch
Inspiration longer, no pause

Question 2

Bronchial

Answer 2

Sternum
Louder, higher pitch
Expiration longer, with pause

Question 3

Tracheal

Answer 3

Trachea
Loud, harsh
Expiration slightly longer, similar loudness

Question 4

Adventitious sounds

Answer 4

Crackles
Wheeze
Rhonchi
Stridor

Question 5

Crackles

Answer 5

Soft, high pitch
Hair rubbing together
Early inspiration: bronchitis, emphysema, asthma
Late inspiration: ILD, PE

Question 6

Wheeze

Answer 6

Constricted airway
Hugh pitch, continuous, musical
Expiration: asthma, COPD, HF, PE

Question 7

Rhonchi

Answer 7

Over large airways
Low pitch, snoring
Suggests secretions

Question 8

Stridor

Answer 8

Medical emergency
High pitch wheeze
Severe upper airway obstruction

Question 9

Normal breath sounds

Answer 9

Vesicular
Bronchial
Tracheal

Question 10

Plural Rub

Answer 10

Lateral chest
Plural inflammation
Leather or sandpaper rubbing together
With both inspiration and expiration