Auscultation & Percussion

Question 1

Vesicular

Answer 1

Quality
- Soft, low pitched

Location normally heard
- Most lung fields especially peripheral aspects

Question 2

Bronchovesicular

Answer 2

Quality
- Combination of vesicular and bronchial

Location normally heard
- Over manubrium or main stem bronchi

Question 3

Bronchial

Answer 3

Quality:
Harsh, high-pitched

Location normally heard
Over trachea or manubrium

Question 4

Fine Crackles (rales)

Answer 4

Sound type: Discontinuous, high-pitched

Condition:
- Atelectasis
- interstitial pulmonary fibrosis

Question 5

Course Crackles (rales)

Answer 5

Sound type: Discontinuous, med/low-pitched

Condition:
- Retained secretions (e.g. pneumonia, pulmonary edema)

Question 6

High/Medium pitched Wheeze (rhonchi)

Answer 6

Sound type: Continuous

Examples:
- Bronchospasm (e.g. asthma, COPD)

Question 7

Low pitched Wheeze (rhonchi)

Answer 7

Sound type: Continous

Examples:
- Retained secretions in larger airways (e.g. bronchitis)

Question 8

Bronchial breath sound

Answer 8

Examples:
- Consolidated pneumonia
- lobar collapse
- atelectasis

Question 9

Decreased or absent

Answer 9

Examples:
- Over pleural effusion
- hemothorax, pneumothorax
- emphysema
- contused lung
- obese
- elderly

Question 10

Percussion: Dull

Answer 10

Examples:
- consolidation (e.g. pneumonia, atelectasis)
- pleural effusion
- pulmonary edema

Question 11

Percussion: Hyper-resonant

Answer 11

Examples:
- hyperinflation (e.g. COPD, acute asthma attack)
- pneumothorax