Physical Examination - Pulmonary

Question 1

Clinical Skills

What are the major steps of a pulmonary exam?

Answer 1

Observation

Palpation (for fremitus)

Percussion

Auscultation

Question 2

Clinical Skills

How many points should be auscultated in a basic pulmonary exam?

Answer 2

4 on the front (2 bilaterally)

6 on the back (3 bilaterally)

Question 3

Clinical Skills

How does percussion work on pulmonary examination?

Answer 3

Bilateral,

front and back,

in the intercostal space

Question 4

A high-pitched whistle made during inspiration or expiration is termed a _________.

A low-pitched whistle made during inspiration or expiration is termed a _________.

Answer 4

Wheeze;

rhonchi

Question 5

What is another term for crackles?

What are crackles?

What causes them?

Answer 5

Rales;

short, explosive sounds — bubbling, rattling, or clicking;

fluid in the lungs (CHF, pneumonia, COPD, etc.)

Question 6

What is indicated by jugular venous distention (which jugular vein in particular)?

Answer 6

Elevated central venous pressure (internal jugular v.);

Question 7

What test can be used to look for right ventricular failure?

Answer 7

The hepatojugular (abdominojugular) test

Question 8

For what condition is the hepatojugular (abdominojugular) test used to identify?

Answer 8

Right ventricular failure