Week 8

Question 1

Which of the following conditions is on the differential diagnosis for a patient who has asymmetric chest expansion?

a. angina
b. pleural effusion
c. congenital heart disease Incorrect

Answer 1

b. pleural effusion

Question 2

Would you expect increased or decreased tactile fremitus in a patient with a pneumothorax?

Answer 2

decreased

Question 3

During percussion, in order to transmit the vibrations through your hand into the chest wall, it is best to strike at your:

Answer 3

DIP

Question 4

What is the normal sound you would expect to hear over healthy lung tissue?

Answer 4

resonant

Question 5

Which condition is caused by accumulation of fluid and blood cells in the alveoli and leads to dullness over the affected area on percussion?

a. pneumothorax
b. COPD
c. lobar pneumonia

Answer 5

c. lobar pneumonia

Question 6

Auscultating the lungs over clothing or even chest hair may cause crackling sounds.

Answer 6

True

Question 7

If you ask a patient to say “ee” and instead it sounds like “A” over a portion of the lung fields this abnormality is called egophony. Which condition is this suggestive of?

Answer 7

b. lobar pneumonia

Question 8

What is the name for normal breath sounds that are heard over the majority of the lung fields?

Answer 8

vesicular

Question 9

Which adventitious lung sound is described as intermittent, non-musical, brief dots in time (or like opening velcro)?

a. wheezing
b. rhonchi
c. crackles

Answer 9

c. crackles

Question 10

Which adventitious lung sound is high pitched and caused by a partially obstructed airway?

Answer 10

a. wheezing