Respiratory Exam

Question 1

decreased fremitus

Answer 1

pleural effusion
thickened chest wall
pneumothorax
emphysema
COPD

Question 2

increased fremitus

Answer 2

consolidation of lung tissue
pneumonia
tumor
fibrosis

Question 3

crepitus with fremitus

Answer 3

subq emphysema

Question 4

dull to percussion

Answer 4

diaphragm
masses
fluid

Question 5

hyperresonance

Answer 5

hyperinflated lung

Question 6

normal diaphragmatic excursion

Answer 6

3-5.5 cm

Question 7

normal breath sounds in order of volume

Answer 7

traceal>broncial>bronchovesicular>vesicular

Question 8

Ronchi

Answer 8

low pitched snoring denotes secretions and fluid in airways

Question 9

stridor

Answer 9

high pitch on inspiration

usually above sternal notch, denotes obstruction either intrinsic or extrinsic

Question 10

wheezes

Answer 10

relatively high pitch suggest lower airway obstruction

Question 11

bronchophony

Answer 11

99 should be soft and muffled but is loud and clear and could be lung consolidation

anterior chest

Question 12

egophony

Answer 12

eeee should be soft and muffled

aaaaa is heard then lung consolidation

Question 13

whispered pectoriloquy

Answer 13

performed when bronchophony is abnormal

1,2,3 sound should be faint and muffled

is clear with consolidation