Respiratory Exam

Question 1

Fine crackles (location, inspiratory/expiratory, clear with cough, continuous/discontinuous)

Answer 1

High-pitched, lower airway, inspiration, no, discontinuous.

Question 2

Coarse crackles (location, inspiratory/expiratory, clear with cough, continuous/discontinuous)

Answer 2

Loud bubbly, lower airway, inspiration, no, discontinuous.

Question 3

Wheezes (location, inspiratory/expiratory, clear with cough, continuous/discontinuous)

Answer 3

Musical, lower airway, expiration more than inspiration, no, continuous

Question 4

Stridor (location, inspiratory/expiratory, clear with cough, continuous/discontinuous)

Answer 4

Goose, upper airway, inspiration, no, continuous.

Question 5

Rhoncus (location, inspiratory/expiratory, clear with cough, continuous/discontinuous)

Answer 5

Snore, upper airway, both, yes, continuous.

Question 6

Barrel chest

Answer 6

Increased A/P diameter of chest, often with some kyphosis.

Question 7

Flail chest

Answer 7

Flapping, unfixed chest wall - paradoxial movement might be seen.

Question 8

Scoliosis

Answer 8

Lateral curvature of spine

Question 9

Kyphosis

Answer 9

Increased convex curvature of thoracic spine

Question 10

Gibbus

Answer 10

Anterior angular deformity of lower back.

Question 11

Lordosis

Answer 11

Accentuation of lumbar curvature of spine

Question 12

Pectis carinatum

Answer 12

Forward protussion of sternum

Question 13

Pectis excavatum

Answer 13

Depression of sternum

Question 14

Cough

Answer 14

Forceful release of air from lungs; cleans irritants, secretions.

Question 15

Sputum production

Answer 15

Mucous material from lungs that is brought up or produced by coughing

Question 16

Hemoptysis

Answer 16

Coughing up blood

Question 17

Dyspnea

Answer 17

Difficult or labored breathing

Question 18

Shortness of breath

Answer 18

Difficult or labored breathing

Question 19

Tachypnea

Answer 19

Rapid, usually shallow breathing

Question 20

Bradypnea

Answer 20

Slow, usualy deep breathing

Question 21

Eupnea

Answer 21

Normal quite breathing (12-20/min)

Question 22

Pleural rub

Answer 22

Dry, rubbing, or grating sound heard on auscultation. Caused by friction between parietal and visceral pleurae.

Question 23

Cyanosis

Answer 23

Bluish color of skin and mucous membranes due to insufficient oxgen levels in blood.

Question 24

Chest pain

Answer 24

Complaint requires immediate diagnosis and evaluation