PA Chest and Lungs

Question 1

Percussion - Diaphragmatic excursion

Answer 1

Female - 3-5 cm

Male - 5-6 cm

Question 2

Auscultate lungs

Answer 2

normal breath sounds

Question 3

Breath sounds

Answer 3

Tracheal, Bronchial, Brochovesicular, Vesicular

Question 4

Tracheal

Answer 4

Normal location - over trachea

loud, high pitched, pause between inspiratory and expiratory, expiration longer than inspiration

Question 5

Bronchial

Answer 5

Nl location - over central airways

harsh, high-pitched; approx equal inspiration and expiration

Question 6

Bronchovesicular

Answer 6

Nl location - over airway just distal to central airways

Softer/lower pitched, equal inspiration and expiration

Question 7

Vesicular

Answer 7

Nl location - distal airways

Soft, mostly inspiratory

Question 8

Wheezes

Answer 8

continuous, high-pitched, associated with asthma, COPD…

Question 9

Stridor

Answer 9

continuous, upper airway constriction, croup

Question 10

Crackles

Answer 10

discontinuous, crackling bubbling, bronchits, asthma, pneumonia

Question 11

Egophony

Answer 11

voice sounds, “e”, fluid in lung e–> a

Question 12

Decreased vocal resonance

Answer 12

speak, transmitted sounds are muffled, collapsed lung, inc air –> dec sound