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mski > S1_L5_Obj - 7-8 > Flashcards

S1_L5_Obj - 7-8 Flashcards

1
Q

part of stethoscope: for low pitch sounds

A

bell

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2
Q

part of stethoscope: for high pitch sounds

A

diaphragm

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3
Q

t or f Listening to breath sounds through the pt gown or clothing is
the right way

A

f, Place bell/diaphragm directly against the chest wall

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4
Q

t or f Keep tubing free from contact from any objects

A

t, note: common error is tube rubbing against bed rails or other objects

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5
Q

t or f Eliminate noise from the environment while taking heart sounds

A

t, note: common error is auscultation in a noisy room

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6
Q

t or f do not wet the chest hair if thick

A

f, wet the chest hair bc chest hair can be interpreted as adventitious sound

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7
Q

t or f Ask pt to sit, if possible; or roll comatose pt to one side

A

t, common error is acceessing onlt convenient areas

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8
Q

HEART SOUNDS: found in what valves (5)

A

Aortic valve
Pulmonary valve
Erb’s point
Tricuspid valve
Mitral valve

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9
Q

Concentration of the 4 valves is found at _

A

erb’s point

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10
Q

t or f Apical pulse is similar to the location of the tricuspid valve

A

f, Apical pulse is similar to the location of the “mitral valve”

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11
Q

Aortic Valve landmark

A

2nd (R) ICS; sternal border

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12
Q

Pulmonic valve landmark

A

2nd (L) ICS; sternal border

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13
Q

tricuspid Valve landmark

A

4th (L) ICS; sternal border

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14
Q

erb’s point landmark

A

3rd (L) ICS; sternal border

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15
Q

mitral valve landmark

A

5th (L) ICS; midclavicular line

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16
Q

cardiac apex landmark

A

5th (L) ICS; midclavicular line

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17
Q

Normal Heart Sounds:

A

(“Lub-dub”)

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18
Q

Normal Heart Sounds:

A

s1, s2

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19
Q

abnormal heart sounds

A

s3, s4

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20
Q

First Heart Sound (S1) heard when _

A

Closing of AV valves; onset of ventricular systole

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21
Q

Duration of S1

A

0.10 seconds

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22
Q

Second Heart Sound (S2) heard when

A

Closing of semilunar valves; start of ventricular
diastole

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23
Q

Duration. of s2

A

<30 milliseconds

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24
Q

During inspiration, splitting of S2 is audible
(physiologic split) in what heart sound

A

s2

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25
Q

During _, splitting of S2 is audible
(physiologic split)

A

inspiration

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26
Q

splitting of s2 is called

A

physiologic split

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27
Q

abnormal heart sounds are also called

A

gallops

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28
Q

S3 also called as

A

ventricular gallop

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29
Q

S4 also called as _

A

atrial gallop

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30
Q

Faint, low-frequency heart sound

A

s3

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31
Q

s3 reflects _

A

early diastolic ventricular filling after AV
valves open

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32
Q

if there is s3, what is the possible condition

A

Possible CHF indicative of ventricular dysfunction

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33
Q

S4 signifies __

A

rapid ventricular filling that occurs after
atrial contraction

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34
Q

s4 heard at _ just before _

A

late diastole, S1

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35
Q

Vibrations resulting from turbulent blood flow

A

murmurs

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36
Q

murmurs heard using

A

stethoscope

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37
Q

murmurs description based on:

A

■ Position in cardiac cycle: systole or diastole
■ Duration
■ Loudness

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38
Q

Systolic murmurs heard between _ and _

A

s1, s2

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39
Q

Diastolic murmurs heard between _ and _

A

s2, s1

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40
Q

grading of heart sounds: faint

A

Grade I

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41
Q

grading of heart sounds: faint, audible immediately

A

Grade II

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42
Q

grading of heart sounds: louder than II

A

Grade III

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43
Q

grading of heart sounds: loud

A

Grade IV

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44
Q

grading of heart sounds: very loud

A

Grade V

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45
Q

grading of heart sounds: audible w/o stethoscope

A

Grade VI

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46
Q

BREATH SOUNDS (4)

A

bronchial
vesicular
bronchovesicular
tracheal

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47
Q

breath sound below the suprasternal notch

A

Bronchial

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48
Q

breath sound heard over the lung field

A

vesicular

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49
Q

breath sound heard on proximal body of the sternum

A

bronchovesicular

50
Q

Landmarks for breath sounds

A

T2, T6, T10/Axilla, Nipple, Subcostal

51
Q

Follow the 2 and S pattern, what is this

A

■ 2 is anterior
■ S is posterior

52
Q

Not specific to Lung Segments

A

landmarks
2 and S pattern

53
Q

Specific to Lung Segments, Make sure to never auscultate
over the scapula, but by the ribs in anterior upper lobe t or f

A

f, Make sure to never auscultate over the scapula, but by the ribs in posterior upper lobe

54
Q

Make sure to never auscultate over the scapula, but by
the ribs in _

A

posterior upper lobe

55
Q

lobes in lungs (3)

A

upper lobe
middle lobe
lower lobe

56
Q

segments of upper lobe (3)

A

apical
anterior
posterior

57
Q

segments of middle lobe (2)

A

lateral
medial

58
Q

segments of lower lobe (5)

A

superior basal
anterior basal
posterior basal
lateral basal
medial basal

59
Q

where will u find the right and left apical upper lobe

A

Above/Below the clavicle (ant)
lateral and below C7 (post)

60
Q

where will u find the right and left anterior upper lobe

A

Between the clavicle and nipple

61
Q

where will u find the right posterior upper lobe

A

Root of the spine of right scapula

62
Q

where will u find the left posterior upper lobe

A

None

63
Q

where will u find the right lateral middle lobe

A

Lateral to right nipple

64
Q

where will u find the right medial middle lobe

A

Medial to right nipple

65
Q

where will u find the left medial middle lobe

A

Inf: below the left nipple

66
Q

where will u find the left lateral middle lobe

A

Sup: above the left nipple

67
Q

where will u find the right and left superior basal lower lobe

A

Medial to scapula, between the root of the scapular spine & inferior angle

68
Q

where will u find the right and left anterior basal lower lobe

A

Lateral and below the nipples; above the subcostal margin

69
Q

where will u find the right and left posterior basal lower lobe

A

Medial and below the inferior angle of scapula

70
Q

where will u find the right and left lateral basal lower lobe

A

Midaxillary line, level just below the inferior angle of scapula

71
Q

where will u find the right and left medial basal lower lobe

A

Cannot be auscultated, too deep

72
Q

abnormalities for bronchial breath sound:

A

tubular breath sounds on peripheral lung tissues

73
Q

non-bronchial sounds on a bronchial area is normal sometimes t or f

A

f, non-bronchial sounds on a bronchial area is abnormal

74
Q

Absent breath sound may be d/t”

A

hyperinflation caused by
emphysema,
chest deformities,
pain on chest wall,
chest tumors,
neuromuscular weakness

75
Q

Adventitious Breath Sounds (5)

A

rales/crackles
rhonchi
stridor
wheeze
friction rubs

76
Q

crackles sound like _

A

crumpling plastic

77
Q

snore sound

A

rhonchi

78
Q

high pitch wheeze heard in inspiration

A

stridor

79
Q

friction rubs are like _ rubbing together

A

2 rubbers

80
Q

Fine, crackling during inspiration

A

rales or crackles

81
Q

Continuous, low-pitched, sonorous
breath sounds, heard more on expiration

A

Rhonchi

82
Q

Inspiratory wheeze

A

stridor

83
Q

Continuous sounds, high-pitched, musical; Heard more on expiration

A

wheeze

84
Q

Coarse grating sounds
Heard on inspiration or expiration

A

friction rubs

85
Q

VOICE SOUNDS (3)

A

Bronchophony
Whispered Pectoriloquy
Egophony

86
Q

whisper “99” or any words several times

A

Whispered Pectoriloquy:

87
Q

say “99” several times

A

Bronchophony:

88
Q

say “ee” continuously

A

egophony

89
Q

Abnormal in egophony:

A

muffled & if “ee” is heard as “ay”

90
Q

abnormal in whispered pectoriloquy

A

faint or no sound at all

91
Q

abnormal in bronchophony

A

loud or muffled

92
Q

produces sputum

A

productive cough

93
Q

Grade for cough ax

A

F, WF, NF, 0

94
Q

Normal, Strong, crisp explosive cough
and can clear secretions

A

functional

95
Q

decreased strength and labored cough,
weaker

A

weak functional

96
Q

No secretions expelled, attempting to cough
but not full coughing

A

nonfunctional

97
Q

t or f in NF there is sputum but not productive

A

t

98
Q

cough is absent

A

0

99
Q

Sputum Assessment: what to assess

A

color
odor
amount
texture or consistency

100
Q

red sputum suggests

A

blood; Tuberculosis, hemoptysis

101
Q

pink sputum suggests

A

pulmonary edema

102
Q

yelllow sputum suggests

A

infection start to celar

103
Q

green sputum suggests

A

acute infection; COPD except emphysema

104
Q

Rust sputum suggests

A

pneumonia

105
Q

Flecked sputum suggests

A

Carbon particles
Asbestosis, pneumoconiosis

106
Q

Purple sputum suggests

A

Neoplasia

107
Q

Gray sputum suggests

A

Emphysema, abscess

108
Q

You assess the odor by smelling their breath t or f

A

f, You assess the odor by asking the patient what
they smell

109
Q

Fetid texture suggests

A

Foul-smelling; Anaerobic infection,
bronchiectasis, lung abscess, cystic fibrosis

110
Q

frothy texture suggests

A

White, pink, foamy thin; Pulmonary edema

111
Q

hemptysis texture suggests

A

Bloody; Massive hemorrhage

112
Q

mucoid texture suggests

A

White, clear; Chronic cough

113
Q

mucopurulent texture suggests

A

Mixture, yellow to pale green; Start or end of infection

114
Q

purulent texture suggests

A

Copious, thick. Yellow, green; Pus, infection

115
Q

tenacious texture suggests

A

Thick, sticky; Bronchial asthma

116
Q

t or f CHEST SYMMETRY AND MOBILITY also applies
to palp

A

t

117
Q

in chest symmetry, palpate the posterior of a female t or f

A

t

118
Q

At least have how many cycle of deep inspiration/expiration
per level of the chest wall

A

one cycle of deep inspiration/expiration
per level of the chest wall

119
Q

Levels to assesss in chest symmetry and mobility

A

Upper chest wall: from 4th rib above; anterior
Middle chest wall: level of axilla; anterior
Lower chest wall: just below the scapula; posterior

120
Q

Upper chest wall

A

from 4th rib above; anterior

121
Q

Lower chest wall:

A

just below the scapula; posterior

122
Q

Middle chest wall:

A

level of axilla; anterior

mski (28 decks)

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