Respiratory Assessment

Question 1

AP to Transverse Diameter

Answer 1

normal is 1:2. abnormal is 1:1 (barrel chest) can indicate COPD

Question 2

Kyphosis

Answer 2

hunch back

Question 3

Scolosis

Answer 3

causes asymmetry

Question 4

Trachea

Answer 4

normal is in midline; abnormal is deviated which can mean lung collapse

Question 5

Kussmaul Breathing

Answer 5

air hungry, hyperventilation, deep and labored breathing, can mean diabetic ketoacidosis or renal kidney failure

Question 6

Cheyenne Stokes

Answer 6

10-20 seconds of apnea, then pick up breathing again, end of life pattern

Question 7

Crepitus

Answer 7

air trapped, crackling sensation

Question 8

Thoracic Expansion

Answer 8

thumbs should move 5-10 cm

Question 9

Tactile Fremitus

Answer 9

tests vibrations of air in chest, have pt say 99, feel for intensity to decrease evenly as we move down

Question 10

If tactile fremitus stronger on one side

Answer 10

consolidation of air

Question 11

If tactile fremitus less on one side

Answer 11

air trapping

Question 12

Resonance

Answer 12

normal, air filled

Question 13

Dull

Answer 13

fluid or tissue filled

Question 14

Tympani

Answer 14

high pitch, hollow air

Question 15

Hyper-resonance

Answer 15

pitch higher than normal; can indicate emphysema

Question 16

Diaphragm Excursion

Answer 16

3-5 cm is normal; percuss anterior back

Question 17

Bronchial

Answer 17

high loud and harsh; heard in trachea

Question 18

Bronchovesicular

Answer 18

middle area, moderate pitch and amplitude

Question 19

Vesicular

Answer 19

bottom, lower pitch, sounds like rustling of leaves

Question 20

Crackles

Answer 20

fluid in lungs, heard in alveoli sacks, can mean HF, Px diuretics

Question 21

Wheezes

Answer 21

in bronchial tubes, sounds like snore, indicates asthma or COPD, Px bronchodilators

Question 22

Strider

Answer 22

sounds like seal, croup, can hear when walking into room, emergency

Question 23

Plural Friction Rub

Answer 23

when pleura lining gets dry and causes rub due to friction, if Pt. holds breath and rub goes away it could mean dehydration

Question 24

Bronchophony

Answer 24

say 99 and we listen to hear faint and muffled sounds

Question 25

Egophony

Answer 25

say E, if sounds like A its abnormal

Question 26

Whisper Pectoriloquy

Answer 26

whisper 123, if you hear words clearly can indicate abnormal lung tissue