respiratory tests

Question 1

tactile fremitus

Answer 1

the vibration of the chest wall felt when patient says “ninety-nine”; normal=buzzing sensation

Question 2

thoracic expansion

Answer 2

bring thumbs to midline of posterior back. pt slowly takes a deep breath and let thumbs move with the respiration

Question 3

normal thoracic expansion?

Answer 3

5-10 cm

Question 4

diaphragmatic excursion

Answer 4

ask pt to exhale and hold. percuss down the back until you hear a sound change

Question 5

normal diaphragmatic excursion?

Answer 5

3-5 cm

Question 6

bronchophony test

Answer 6

pt says “ninety-nine” each time you auscultate lung sounds

Question 7

positive bronchophony test

Answer 7

“ninety-nine” is clear, possible consolidation of the lung

Question 8

egophony test

Answer 8

pt says “eeee” each time you auscultate lung sounds

Question 9

positive egophony test

Answer 9

the “eeee” sounds like “aaayyyy”

Question 10

whispered pectoriloquy test

Answer 10

pt whispers a phrase each time you auscultate lung sounds

Question 11

abnormal whispered pectoriloquy test

Answer 11

consolidation makes voice clear