Respiratory

Question 1

The left or Right lung has no middle lobe
The anterior L Or R chest contains mostly upper and middle lobe with little lower lobe
The anteriror or posterior chest contains almost all lower lobe

Answer 1

Left
Right
Posterier

Question 2

P
Q
R
S
T
U

Answer 2

Provocative
Quality/quantity
Region/radiation
Severity
Timing
U (patient’s perception)

Question 3

For respiratory exam should you check the posterior checl or anterior chest first

Answer 3

Posteiror

Question 4

When your are palpating the chest P chest I am checking ? and what do I have the patient say?
Use palmar base of the fingers or ulnar edge of one hand

LUL or Tactile Fremitus

Answer 4

Tactile Fremitus
99
both

Question 5

Affects Fremitus
Location of ? to chest wall
Chest wall ?
Pitch/intensity of ?

thickness, bronchi, voice

Answer 5

Bronchi
Thickness
Voice

Question 6

Percussive technique
Short or Long wrist movement
Percuss at interspaces or outerspaces 
Patient sitting or laying  for posterior chest
Avoid or Hit bony scapulae
?-to-side and top-to-?

Answer 6

Short
interspaces
sitting
Avoid
Side
Bottom

Question 7

Percussive Notes
?– air within tissue, low pitch -Thorax
? – most dense tissue, high-pitch, no resonance - scapula
? – soft muffled thud, low-amplitude, no resonance
? – ABNORMAL – large air pockets, lower-pitched booming sound

Dull, Flat , Resonance, Hyper resonance

Answer 7

Resonance
Flat
Dull
Hyper resonance

Question 8

At least 1 respiratory cycle = ? + ?

Answer 8

inspiration + experation

Question 9

Types of Breath Sounds
? – harsh, loud, high-pitched, over the trachea
? – loud, high-pitched, over the manubrium
? – mixture of bronchial and vesicular, between scapulae posteriorly and 1st/2nd intercostal spaces anteriorly
? – soft, low-pitched, over most lung fields

Bronchovesicular, Bronchial , Tracheal, Vesicular

Answer 9

Tracheal
Bronchial
Bronchovesicular
Vesicular

Question 10

Bronchial- ? louder and longer

Expiration or Inspiration

Answer 10

Expiration

Question 11

Vesicular - ? much longer

Expiration or Inspiration

Answer 11

Inspiration

Question 12

?Short discontinuous sounds heard inspiration may or may not be cleared by coughing?
?Low pitched bubbling and gurling sounds
?High pitched short popping sound cleared by coughing.
?Continuous musical high pitch squeaking sound?
?Fine crackles heard in axillae and bases that are not pathologic dissapear in few breaths?
?Grating course low pitched sounds both in ex and in

Actelectatic crackle, Wheeze, Crackle, Fine crackle, Pleural Rub, Course Crackling

Answer 12

Crackle
Fine crackle
Course Crackling
Wheeze
Actelectatic crackle
Pleural Rub,

Question 13

Barrel Chest Infants/Child 
Inspection
-Barrel chest up to age ? years 
Prominent ?
-Obligate nose breathing up to age ?months

3,2, kyphotic, ribs/xiphoid

Answer 13

2
Ribs/xiphoid
3

Question 14

Barrel Chest Infants/Child 
Percussion
-Hyperresonance or Resonace ?
Auscultation
-BV breath sounds in peripheral lung fields up to age ? – ?years

4,5,6,7,

Answer 14

Hyperresonance

5 to 6

Question 15

Barrel Chest Aging Adults
inspect
_Barrel or ? chests in some cases
_Decreased or Increase chest expansion

kyphotic, ribs/xiphoid

Answer 15

kyphotic

Decrease

Question 16

Barrel Chest Aging Adults
Auscultation
-Diminished or Normal breath sounds
-Adventitious or Normal crackles

Answer 16

Diminished

Adventitious