Quiz 3 Thorax and Lungs extras

Question 1

High Pitch

Loud

During inspiration and expiration

Harsh, hollow tubular

around trachea and larynx

Answer 1

Normal breath sound

Bronchial (Tracheal)

Question 2

moderate pitch

moderate amplitude

during inspiration and expiration

mixed quality

heard over major bronchi where fewer alveoli are located

Answer 2

Normal Breath Sound

Bronchovesicular

Question 3

Low pitch

soft amplitude

heard during inspiration and expiration

rusting, like the sound of the wind in the trees

heard over the peripheral lung fields where air flows through smaller bronchioles and alveoli

Answer 3

Normal Breath Sound

Vesicular

Question 4

discontinuous, high pitched, short crackling, popping sounds heard during inspiration that are not cleared by coughing

Answer 4

Crackles- fine

Rales

Question 5

Loud, low pitched, bubbling and gurgling sounds that start in early inspiration and may be present in expiration; may decrease somewhat by suctioning or coughing

Answer 5

Crackles - course

Rales

Question 6

fine crackles that do not last and are not pathologic, disappear after first few breaths. Will go away, sacs are collapsed

Answer 6

Atelectatic crackles

Atelectactic rales

Question 7

Superficial sound that is course and low pitched

sounds like leather being rubbed together, caused when pleurae become inflammed and lose their normal lubricating fluid

Answer 7

Pleural friction rub

Question 8

High pitched, musical squeaking sounds that sound polymonic

Answer 8

Wheeze

Question 9

low pitched monophonic single note, musical snoring, moanind sounds: they are heard throughout the cycle

Answer 9

low pitched wheeze

Question 10

High pitched, monophonic, inspiratory, crowing sound, louder in neck than over chest wall

originates in larynx or trachea, upper airway obstruction from swollen, inflamed tissues or lodged foreign body

Answer 10

Stridor

Question 11

“99”

normal voice transmission is soft, muffled, and indistinct; can hear sound through stethoscope, but can not distinguish what exactly is being said

Abnormal finding if you can hear “99” clearly

Answer 11

Bronchophony

Question 12

Goat voice

ee-ee-ee-ee

sounds like eeeee if normal

if sounds like long aaaaa, abnormal

Answer 12

Egophony

Question 13

whisper one, two, three as you ascultate

normal if faint and almost non audible

if you can hear the whisper, abnormal

abnormal finding indicates solidation

Answer 13

Whispered Pectoriloquy

Question 14

forced expiration of 6 sec or more occurs with obstructive lung disease

Answer 14

obstructive lung disease

Question 15

The thorax has an elliptical shape whit and anteroposterior-to-transverse diameter of 1:2 or 5:7

Answer 15

Normal Adult (for comparsion)

Question 16

Equal anteroposterior-to-transverse diameter and that ribs are horizontal instead of the normal downward slope..Associated with who

a. barrel chest
b. pectus carinatum
c. pectus excavatum
d. normal adult

Answer 16

barrel

Question 17

A markedly sunken sternum and adjacent cartilages (also called funnel breast). Depresson begins at second intercostal space, becoming depressed most at junction of xiphoid with body of sternum. More noticeable with inspiration

a. barrel chest
b. pectus carninatum
c. pectus excavatum
d. normal adult

Answer 17

Pectus Excavatum

Question 18

A forward protrusion of the sternum, with ribs sloping back at either side and vertical depression along costochondrqal junctions (pigeon breast).
a barrel ches
b pectus carninatum
c pectus excavatum
d normal adult

Answer 18

Pectus Carinatum

Question 19

An exaggerated posterior curvature of the thoracic spine (humpback) that causes significant back pain and limited mobility. Severe deformities impair cardiopulmonary function.

Answer 19

kyphosis

Question 20

Normal adult Respiratory (for comparison)
Rate
Depth
pattern
The ratio of pulse to respiration is fairly constat at
Depth

Answer 20

R–10 to 10 breaths per min
D– 500-800 mL
P– even
Ratio–4:1 Valuses increase w/ exercise, fear, or fever
D–air moving in and out with each respiration

Question 21

Occur with restrictive disease;: pneumonia, heart failure, and interstitial fibrosis
Which Adventitious Lung sound
a Late inspiratory crackles
b early inspiratory crackles
c posturally induced crackles

Answer 21

late inspiratory crackles

Question 22

occur with obstructive disease: chronic bronchitis, asthma, and emphysema
Which adventitious lung sound
a late inspiratory crackles
b early inspiratory crackles
c posturally induced crackles

Answer 22

early inspiratory crackles

Question 23

Fine crackles that appear with change from sitting to the supine position or with a change from supine to supine with legs elevated
Which adventitious lung sound
a late inspiratory crackles
b early inspiratory crackles
c posturally induced crackles

Answer 23

posturally induced crackles

Question 24

Pulmonary edema, pneumonia, pulmonary fibrosis, adn the terminally ill who have a depressed cough reflex
Which advetitious lung sound
a. wheeze 
b stridor
c, pleural friction
d. crackles-coarse

Answer 24

d crackles (coarse rales)

Question 25

In aging adults, in bedridden persons, or in person just aroused from sleep
Which adventitious lung sound
a wheeze
b stridor
c atelectatic crackles 
d pleural friction rub

Answer 25

c atelectatic crackles (atelectatic rales)

Question 26

Diffuse airway obstruction from acute asthma or chronic emphysema
Whic Adventitious lung sound
a. wheeze–high-pitched (sibilant)
b. wheeze–low-pitched (sonorous rhonchi)
c atelectatic crackles
d. pleural friction rub

Answer 26

a wheeze–high pitched (sibilant)

Question 27

bronchitis, single bronchus obstruction from airway tumor
Which adventitious lung sound
a. wheeze high pitched (sibilant)\
b. wheeze low pitched (sonorous rhonchi)
c atelectatic crackles
d. pleural friction rub

Answer 27

b. wheeze low pitched (sonorous rhonchi)

Question 28

Croup and acute epiglottis in children, and foreign inhalation, obstructed airway may be life threatening
Which adventitious lung sound
a. stridor
b crackles
c. atelectatatic 
d. Pleural effusion

Answer 28

a. Stridor

Question 29

Ateroposterior

Answer 29

normal

Question 30

Cough. Lag on expansion on affected side.  Increased respiratory rate and pulse. Possible cyanosis
W/ assess inspect
a. atelectasis
b. lobar pneumonia
c. emphysema
d bronchitis

Answer 30

Atelectasis