Thorax and Lungs Kate

Question 0

Boundaries of the major (oblique) fissure of the lung?

Answer 0

T3 spinous process to 6th rib at midclavicular line

Question 1

lower border of the lung in three planes?

Answer 1

6th rib in midclavicular line
8th rib midaxillary line
T10 posteriorly

Question 2

Resonance is found with the?

Answer 2

Lungs

Question 3

Tympanic sounds are found with?

Answer 3

abdomen

Question 4

Percuss and auscultate how many levels? (all orientations)

Answer 4

3 levels anteriorly
4 levels posteriorly
1 lateral site on each side

Question 5

when percussing and auscultating, how do you analyze the sounds?

Answer 5

Compare bilaterally

Question 6

equal duration of inspiration and expiration on breath sounds (2)

Answer 6

tracheal breath sounds

bronch-vesicular breath sounds

Question 7

breath sounds loud in intensity (2)

Answer 7

tracheal and bronchial

Question 8

relatively high-pitched breath sounds

Answer 8

tracheal

Question 9

breath sounds located over the trachea and neck

Answer 9

tracheal

Question 10

duration of expiration and inspiration is about equal, loud in intensity, relatively high-pitched, located over the trachea in the neck

Answer 10

tracheal breath sounds

Question 11

duration of expiration is longer than inspiration, loud intensity, relatively high pitched, located over the manubrium

Answer 11

bronchial breath sounds

Question 12

duration of expiration longer than inspiration

Answer 12

bronchial breath sounds

Question 13

breath sounds located over the manubrium

Answer 13

bronchial breath sounds

Question 14

breath sounds with moderate intensity

Answer 14

broncho-vesicular breath sounds

Question 15

breath sounds with moderate pitch

Answer 15

broncho-vesicular breath sounds

Question 16

breath sounds located in 1st and 2nd interspaces anteriorly and interscapular posteriorly

Answer 16

broncho-vesicular breath sounds

Question 17

duration of inspiration and expiration about equal, moderate intensity, moderate pitch, located in 1st and 2nd interspaces anteriorly & interscapular posteriorly

Answer 17

broncho-vesicular breath sounds

Question 18

duration of inspiration is longer than inspiration, soft intensity, relatively low pitch, located in most of both lung fields

Answer 18

vesicular breath sounds

Question 19

duration of inspiration is longer than expiration

Answer 19

vesicular breath sounds

Question 20

soft intensity of breath sounds

Answer 20

vesicular breath sounds

Question 21

relatively low pitched breath sounds

Answer 21

vesicular breath sounds

Question 22

breath sounds located in most of both lung fields

Answer 22

vesicular breath sounds

Question 23

Percussion tone with very loud intensity, low pitch, long duration

Answer 23

hyper-resonant tone

Question 24

Percussion tone with very loud intensity

Answer 24

hyper-resonant tone

Question 25

Percussion tone with low pitch (2)

Answer 25

hyper-resonant tone | resonant tone

Question 26

Percussion tone with long duration (2)

Answer 26

hyper-resonant tone | resonant tone

Question 27

Percussion tone with loud intensity, low pitch, long duration

Answer 27

resonant tone

Question 28

Percussion tone with loud intensity, high pitch, moderate duration

Answer 28

tympanic tone

Question 29

Percussion tone with loud intensity (2)

Answer 29

resonant tone, tympanic tone

Question 30

Percussion tone with high pitch (2)

Answer 30

tympanic tone | flat tone

Question 31

Percussion tone with moderate duration (2)

Answer 31

tympanic tone | dull tone

Question 32

Percussion tone with soft-moderate intensity, moderate-high pitch, moderate duration

Answer 32

dull tone

Question 33

Percussion tone with soft-moderate intensity

Answer 33

dull tone

Question 34

Percussion tone with moderate-high pitch

Answer 34

dull tone

Question 35

Percussion tone with soft intensity, high pitch, short duration

Answer 35

flat tone

Question 36

Percussion tone with soft intensity

Answer 36

flat tone

Question 37

Percussion tone with short duration

Answer 37

flat tone

Question 38

Percussive tone associated with erythematous lungs, pnuemothorax

Answer 38

hyper-resonant tone

Question 39

Percussive tone associated with healthy lungs

Answer 39

resonant tone

Question 40

Percussive tone associated with a gastric bubble

Answer 40

tympanic tone

Question 41

Percussive tone associated with liver

Answer 41

dull tone

Question 42

percussive tone associated with muscle

Answer 42

flat tone

Question 43

conditions resulting in increased A-P diameter? (2)

Answer 43

"barrel chest," kyphosis

Question 44

bulging anterior chest

Answer 44

pectus carinatum

Question 45

depression in anterior chest

Answer 45

pectus excavatum

Question 46

accessory mm. in use, prominent ribs could signify?

Answer 46

emphysema | COPD

Question 47

tracheal deviation to the right signifies?

Answer 47

lung tumor

Question 48

apnea is?

Answer 48

absence of breathing

Question 49

irregular breating w/ long periods of apnea

Answer 49

Biot's

Question 50

Biot's is associated with? (3)

Answer 50

``` increased intracranial pressure drug-induced respiratory depression brain damage (usually at the medullary level) ```

Question 51

irregular breathing with intermittent periods of increased and decreased breathing rates and depths of breaths, alternating with periods of apnea

Answer 51

Cheyne-Stokes

Question 52

Cheyne-Stokes is associated with? (3)

Answer 52

drug-induced respiratory depression congestive heart failure brain damage (cerebral level)

Question 53

fast and deep breathing pattern

Answer 53

Kussmaul's

Question 54

Kussmaul's is associated with

Answer 54

metabolic acidosis

Question 55

bradypnea is?

Answer 55

<14 breaths/min

Question 56

tachypnea is?

Answer 56

>20 breaths/min

Question 57

vibrations felt through bronchopulmonary tree

Answer 57

tactile fremitus

Question 58

disorders associated with decreased fremitus (5)

Answer 58

``` obstructed bronchus COPD effusion fibrosis pneumothorax ```

Question 59

associated with increased fremitus

Answer 59

consolidated pneumonia | consolidation conducts sound better

Question 60

crackles are...

Answer 60

discontinuous sounds

Question 61

sonorous wheeze, snoring quality. low-pitched, continuous

Answer 61

rhonchi

Question 62

high-pitched, continuous, whistle-like

Answer 62

wheeze

Question 63

crackles, clicks, and gurgling sounds. Synchronized with heart beat

Answer 63

Mediastinal crunch (Hamman sign)

Question 64

Mediastinal crunch is caused by

Answer 64

mediastinal emphysema

Question 65

a wheeze that is high-pitched and largely inspiratory

Answer 65

stridor

Question 66

stridor indicates?

Answer 66

laryngeal/upper airway obstruction

Question 67

increased bronchophony, egophony, and whispered petriloquy indicate?

Answer 67

presence of fluid or solid tissue in alveoli | pneumonia, atelectasis, tumors

Question 68

crackles, rhonchi, wheezes | Normal tactile fremitus & resonance to percussion

Answer 68

acute bronchitis

Question 69

Dyspnea, crackles, tachypnea, decreased breath sounds, dullness to percussion increased bronchophony, egophony, and whispered petriloquy

Answer 69

pneumonia

Question 70

loss of air from lung or collapse of lung tissue w/ reduced lung tissue

Answer 70

atelectasis