Respiratory Assessment Findings

Question 1

Where do you feel the strongest vibrations for fremitus?

Answer 1

• between the scapulae and around the sternum

- dec. as you go further down

Question 2

Decreased fremitus indicates?

Answer 2

• pleural effusion

- COPD

Question 3

Increased fremitus occurs when ____

Answer 3

• compression or consolidation of lung tissue

- pneumonia

Question 4

Crepitus

Answer 4

• coarse crackling (palpable)

- occurs in subcutaneous emphysema

Question 5

Resonance

Answer 5

long, loud, low pitched

• normal lung
• hollow structures

Question 6

Hyper-resonance

Answer 6

lower pitched, booming sound

• too much air is present
• emphysema/ pneumothorax

Question 7

Dullness

Answer 7

soft/muddled thud

• over solid organ (liver)
• abnormal density
• pneumonia, pleural effusion, atelectasis

Question 8

Where is dullness normally heard?

Answer 8

liver or visceral

Question 9

What percussion sound over scapula?

Answer 9

flat

Question 10

Flatness

Answer 10

soft intensity

- over bone or muscle

Question 11

Tympany

Answer 11

loud, drum-like, high pitched

stomach, gastric bubble

Question 12

Bronchial location?

Answer 12

trachea and larynx

- anterior only

Question 13

Broncho-vesicular location?

Answer 13

anterior = 1st and 2nd intercostal space
posterior = between scapulae (esp. right)

Question 14

Vesicular

Answer 14

peripheral lung fields

Question 15

Pneumonia sound?

Answer 15

coarse crackles

Question 16

Stridor

Answer 16

• high pitched
• inspiration
• airway obstruction

Question 17

Spiridor

Answer 17

• both inhale and exhale

Question 18

Croupe in children

Answer 18

wheezing = expiration