Respiratory

Question 1

Ribs 1-4

Answer 1

Upper lobe

Question 2

Ribs 5-9

Answer 2

Lower lobe

Question 3

Vesicular sounds

Answer 3

Soft, blowing, rustling
Heard over most of lung field
Longer inspiration to expiration 3:1

Question 4

Normal tracheal

Answer 4

Heard over anterior 1-2 intercostal spaces
Intermediate between bronchial and vesicular
Louder and higher pitched than vesicular

Question 5

Bronchial sounds

Answer 5

Heard over tracheobronchial tree
Quieter and more hollow than tracheal
Can be heard over other regions if- pneumonia, tumour, pneumothorax

Question 6

Resp exam

Answer 6

Sit at 45
Check pulse
Normal resp- 12-18
Feel carotid
Trachea deviation? Away= pneumothorax, pleural effusion. Towards= pneumonectomy (removed)
Breathing pattern- hand son chest, deep breath, distance between thumbs should inc by 5cm and symmetrical
Chest percussion- resonant is good
Chest auscultations
Palapte glands in neck

Question 7

Importance of knowing breath sounds

Answer 7

Need to differentiate and be able to tell difference between diff sounds in diff anatomical locations to identify sounds are normal