pulmo. auscultation table + mediastinum 03-11 (2)

Question 1

Normal. breath sounds?

Answer 1

bronchovesicular (hilar)
vesicular (peripheral)

Question 2

Normal. tactile fremitus?

Answer 2

normal

Question 3

Normal. percussion?

Answer 3

resonance

Question 4

Normal. mediastinal shift?

Answer 4

none

Question 5

Consolidation (eg lobar pneumonia). breath sounds?

Answer 5

increased (crackles and egophony present)

Question 6

Consolidation (eg lobar pneumonia). tactile fremitus?

Answer 6

increased

Question 7

Consolidation (eg lobar pneumonia). percussion?

Answer 7

dullness

Question 8

Consolidation (eg lobar pneumonia). mediastinal shift?

Answer 8

none

Question 9

Pleural effusion. breath sounds?

Answer 9

decreased or absent

Question 10

Pleural effusion. tactile fremitus?

Answer 10

decreased

Question 11

Pleural effusion. percussion?

Answer 11

dullness

Question 12

Pleural effusion. mediastinal shift?

Answer 12

away from effusion (if large)

Question 13

Pneumothorax. breath sounds?

Answer 13

decreased or absent

Question 14

Pneumothorax. tactile fremitus?

Answer 14

decreased

Question 15

Pneumothorax. percussion?

Answer 15

hyperresonant

Question 16

Pneumothorax. mediastinal shift?

Answer 16

away from tension pneumothorax

Question 17

Emphysema. breath sounds?

Answer 17

decreased

Question 18

Emphysema. tactile fremitus?

Answer 18

decreased

Question 19

Emphysema. percussion?

Answer 19

hyperresonant

Question 20

Emphysema. mediastinal shift?

Answer 20

none

Question 21

Atelectasis (eg mucus plugging). breath sounds?

Answer 21

decreased or absent

Question 22

Atelectasis (eg mucus plugging). tactile fremitus?

Answer 22

decreased

Question 23

Atelectasis (eg mucus plugging). percussion?

Answer 23

dullness

Question 24

Atelectasis (eg mucus plugging). mediastinal shift?

Answer 24

toward atelectasis (if large)

Question 25

anterior. structures? 2

Answer 25

thymus, lymph nodes

Question 26

middle. structures?

Answer 26

pericardium
heart and great vessels
trachea and main bronchi
esophagus
lymph nodes

Question 27

posterior. structures?

Answer 27

neural tissue
vertebrae
lymph nodes

Question 28

anterior. masses?

Answer 28

Thymic neuplasm
lymphoma
germ cell tumors (teratomas, seminomas, nonseminomas)
thyroid tissue - ectopic, substernal goiter

Question 29

middle. masses?

Answer 29

Lymphadenopathy (eg sarcoidosis, lung cancer), lymphoma

Benign cystic mases (eg pericardial cyst, bronchogenic cyst)

vascular masses

esophageal turmors

Question 30

posterior. masses?

Answer 30

neurogenic tumors (eg schwannoma, neurofibroma), meningocele

spinal mases (eg metastases)

lymphoma

Question 31

Thymic neuplasm
lymphoma
germ cell tumors (teratomas, seminomas, nonseminomas)
thyroid tissue - ectopic, substernal goiter

where?

Answer 31

anterior

Question 32

Lymphadenopathy (eg sarcoidosis, lung cancer), lymphoma

Benign cystic mases (eg pericardial cyst, bronchogenic cyst)

vascular masses

esophageal turmors

where?

Answer 32

middle

Question 33

neurogenic tumors (eg schwannoma, neurofibroma), meningocele

spinal mases (eg metastases)

lymphoma

where?

Answer 33

posterior

Question 34

thymus, lymph nodes, where?

Answer 34

anterior

Question 35

pericardium
heart and great vessels
trachea and main bronchi
esophagus
lymph nodes

where?

Answer 35

middle

Question 36

neural tissue, vertebrae, lymph nodes

where?

Answer 36

posterior