Week 8 - Pulmonary Flashcards
Which of the following conditions is on the differential diagnosis for a patient who has asymmetric chest expansion?
Select one:
a. angina
b. pleural effusion
c. congenital heart disease
b. pleural effusion
Would you expect increased or decreased tactile fremitus in a patient with a pneumothorax?
Select one:
a. increased
b. decreased
b. decreased
During percussion, in order to transmit the vibrations through your hand into the chest wall, it is best to strike at your:
Select one:
a. fingernail
b. DIP
c. PIP
b. DIP
What is the normal sound you would expect to hear over healthy lung tissue?
Select one:
a. flat
b. dull
c. resonant
d. hyperresonant
e. tympanitic
c. resonant
Which condition is caused by accumulation of fluid and blood cells in the alveoli and leads to dullness over the affected area on percussion?
Select one:
a. pneumothorax
b. COPD
c. lobar pneumonia
c. lobar pneumonia
Auscultating the lungs over clothing or even chest hair may cause crackling sounds.
True
Make sure to press firmly against the chest wall (and does not listen over clothing) to minimize the chances of hearing crackles due to poor technique.
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?
Select one:
a. congestive heart failure
b. lobar pneumonia
c. COPD
d. asthma
b. lobar pneumonia
What is the name for normal breath sounds that are heard over the majority of the lung fields?
Select one:
a. vesicular
b. bronchial
c. tracheal
d. adventitious
a. vesicular
Which adventitious lung sound is described as intermittent, non-musical, brief dots in time (or like opening velcro)?
Select one:
a. wheezing
b. rhonchi
c. crackles
c. crackles
Which adventitious lung sound is high pitched and caused by a partially obstructed airway?
Select one:
a. wheezing
b. rhonchi
c. crackles
a. wheezing
