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Physical Diagnosis 1 > Thorax and Lungs Kate > Flashcards

Thorax and Lungs Kate Flashcards

0
Q

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

A

T3 spinous process to 6th rib at midclavicular line

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1
Q

lower border of the lung in three planes?

A

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

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2
Q

Resonance is found with the?

A

Lungs

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3
Q

Tympanic sounds are found with?

A

abdomen

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4
Q

Percuss and auscultate how many levels? (all orientations)

A

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

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5
Q

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

A

Compare bilaterally

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6
Q

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

A

tracheal breath sounds

bronch-vesicular breath sounds

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7
Q

breath sounds loud in intensity (2)

A

tracheal and bronchial

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8
Q

relatively high-pitched breath sounds

A

tracheal

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9
Q

breath sounds located over the trachea and neck

A

tracheal

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10
Q

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

A

tracheal breath sounds

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11
Q

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

A

bronchial breath sounds

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12
Q

duration of expiration longer than inspiration

A

bronchial breath sounds

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13
Q

breath sounds located over the manubrium

A

bronchial breath sounds

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14
Q

breath sounds with moderate intensity

A

broncho-vesicular breath sounds

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15
Q

breath sounds with moderate pitch

A

broncho-vesicular breath sounds

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16
Q

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

A

broncho-vesicular breath sounds

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17
Q

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

A

broncho-vesicular breath sounds

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18
Q

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

A

vesicular breath sounds

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19
Q

duration of inspiration is longer than expiration

A

vesicular breath sounds

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20
Q

soft intensity of breath sounds

A

vesicular breath sounds

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21
Q

relatively low pitched breath sounds

A

vesicular breath sounds

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22
Q

breath sounds located in most of both lung fields

A

vesicular breath sounds

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23
Q

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

A

hyper-resonant tone

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24
Q

Percussion tone with very loud intensity

A

hyper-resonant tone

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25
Q

Percussion tone with low pitch (2)

A

hyper-resonant tone

resonant tone

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26
Q

Percussion tone with long duration (2)

A

hyper-resonant tone

resonant tone

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27
Q

Percussion tone with loud intensity, low pitch, long duration

A

resonant tone

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28
Q

Percussion tone with loud intensity, high pitch, moderate duration

A

tympanic tone

29
Q

Percussion tone with loud intensity (2)

A

resonant tone, tympanic tone

30
Q

Percussion tone with high pitch (2)

A

tympanic tone

flat tone

31
Q

Percussion tone with moderate duration (2)

A

tympanic tone

dull tone

32
Q

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

A

dull tone

33
Q

Percussion tone with soft-moderate intensity

A

dull tone

34
Q

Percussion tone with moderate-high pitch

A

dull tone

35
Q

Percussion tone with soft intensity, high pitch, short duration

A

flat tone

36
Q

Percussion tone with soft intensity

A

flat tone

37
Q

Percussion tone with short duration

A

flat tone

38
Q

Percussive tone associated with erythematous lungs, pnuemothorax

A

hyper-resonant tone

39
Q

Percussive tone associated with healthy lungs

A

resonant tone

40
Q

Percussive tone associated with a gastric bubble

A

tympanic tone

41
Q

Percussive tone associated with liver

A

dull tone

42
Q

percussive tone associated with muscle

A

flat tone

43
Q

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

A

“barrel chest,” kyphosis

44
Q

bulging anterior chest

A

pectus carinatum

45
Q

depression in anterior chest

A

pectus excavatum

46
Q

accessory mm. in use, prominent ribs could signify?

A

emphysema

COPD

47
Q

tracheal deviation to the right signifies?

A

lung tumor

48
Q

apnea is?

A

absence of breathing

49
Q

irregular breating w/ long periods of apnea

A

Biot’s

50
Q

Biot’s is associated with? (3)

A 
increased intracranial pressure
drug-induced respiratory depression
brain damage (usually at the medullary level)
51
Q

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

A

Cheyne-Stokes

52
Q

Cheyne-Stokes is associated with? (3)

A

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

53
Q

fast and deep breathing pattern

A

Kussmaul’s

54
Q

Kussmaul’s is associated with

A

metabolic acidosis

55
Q

bradypnea is?

A

<14 breaths/min

56
Q

tachypnea is?

A

> 20 breaths/min

57
Q

vibrations felt through bronchopulmonary tree

A

tactile fremitus

58
Q

disorders associated with decreased fremitus (5)

A 
obstructed bronchus
COPD
effusion
fibrosis
pneumothorax
59
Q

associated with increased fremitus

A

consolidated pneumonia

consolidation conducts sound better

60
Q

crackles are…

A

discontinuous sounds

61
Q

sonorous wheeze, snoring quality. low-pitched, continuous

A

rhonchi

62
Q

high-pitched, continuous, whistle-like

A

wheeze

63
Q

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

A

Mediastinal crunch (Hamman sign)

64
Q

Mediastinal crunch is caused by

A

mediastinal emphysema

65
Q

a wheeze that is high-pitched and largely inspiratory

A

stridor

66
Q

stridor indicates?

A

laryngeal/upper airway obstruction

67
Q

increased bronchophony, egophony, and whispered petriloquy indicate?

A

presence of fluid or solid tissue in alveoli

pneumonia, atelectasis, tumors

68
Q

crackles, rhonchi, wheezes

Normal tactile fremitus & resonance to percussion

A

acute bronchitis

69
Q

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

A

pneumonia

70
Q

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

A

atelectasis

Physical Diagnosis 1 (19 decks)

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