Topic 19 - Alterations of the normal respiratory sounds.

Question 1

Normal respiration, how doe the abdomen and chest move:

Answer 1

both the abdomen and chest move in and out together, allowing maximum expansion of the lungs.

Question 2

Normal respiration, how doe the diaphragm move:

Answer 2

The diaphragm normally moves
downwards during inspiration and upwards during expiration

Question 3

Name alterations for normal respiratory sounds:

Answer 3

1. Weaker than normal
2. Missing
3. Louder than normal
4. Bronchial respiratory sound
5. Paradoxical breathing

Question 4

How can we see/hear that there is a weaker respiratory sound?

Answer 4

Decreased airflow/conduction
Shallow breathing

Question 5

How can we see/hear that there is a louder respiratory sound?

Answer 5

Increased airflow/conduction

Question 6

How can we see/hear that there is a missing respiratory sound?

Answer 6

There is no conduction

Question 7

Cause of weaker respiratory sound:

Answer 7

Thickened chest wall, decreased elasticity of the lung, hampered expansion of the lung

Question 8

Cause of louder respiratory sound:

Answer 8

Exercise, dyspnea bronchitis, thin chest wall

Question 9

Cause of missing respiratory sound:

Answer 9

Pleural adhesion or fluid accumulation, obstruction of pr. br., atelectasia of the lung

Question 10

When is a bronchial respiratory sound normal?

Answer 10

During inhalation

Question 11

Name some abnormal situations when we can hear bronchial respiratiry sounds:

Answer 11

• During exhalation
• During rapid respiration
• When peribronchal lung tissue contains less air

Question 12

In thin and small animals, where can we localise the bronchial respiratory sound?

Answer 12

Over the large cranial bronchi

Question 13

What is paradoxical respiration:

Answer 13

the diaphragm moves opposite to the normal directions of its movements

Question 14

How can we see on the chest that there might be paradoxical respiratory?

Answer 14

movementis restricted, not able to expand properly

Question 15

Paradoxical breathing, reason for chest disfunction:

Answer 15

Due to increased negative pressure the intercostal muscles collapsed

Question 16

How can we see on the abdominal wall that there might be paradoxical respiratory?

Answer 16

It move in the opposite direction to what is expected

Question 17

Paradoxical breathing, reason for abdominal wall disfunction:

Answer 17

Pleural fluid
Pneumothorax
Diaphragm paralysis
Broken rib