Clinical Audio Flashcards: Littmann Library's Lungs Sounds

Question 1

1) Identify this lung sound

Answer 1

Bronchial

Listening Tips:
Hollow, tubular sounds that are higher pitched. Considered abnormal if heard over the peripheral lung fields. Distinct pause in the sound between inspiration and expiration. Inspiration to expiration ratio of 1:2 or 1:3.

http://www.3m.com/healthcare/littmann/pn76.html

Question 2

2) Bronchophony Test: normal or abnormal?

Answer 2

Bronchophony - Normal

Listening Tips

Ask patient to say “99” several times. Auscultate chest walls. Over healthy lung areas “99” is not understandable.

(Compare this sound to the Bronchophony - Abnormal recording)

http://www.3m.com/healthcare/littmann/pn139.html

Question 3

3) Bronchophony Test: normal or abnormal?

Answer 3

Bronchophony - Abnormal

Listening Tips:

Ask patient to say “99” several times. Auscultate chest walls. Over consolidated areas “99” is understandable.

For example, pneumonia in the upper lobes, both posterior and anterior.

(Compare to the Bronchophony - Healthy recording).

http://www.3m.com/healthcare/littmann/pn152.html

Question 4

4) Identify this lung sound.

Answer 4

Bronchovesicular

Listening Tips:
Inspiration to expiration periods are equal.

http://www.3m.com/healthcare/littmann/pn136.html

Question 5

5) Identify this lung sound.

Answer 5

Crackles - Coarse (Rales)

Listening Tips:

Discontinuous, brief, popping sounds. Similar to the sound of a hook and loop fastener being pulled apart. They have also been described as a bubbling sound. More common during inspiration.

http://www.3m.com/healthcare/littmann/pn73.html

Question 6

6) Identify this lung sound.

Answer 6

Crackles - Fine (Rales)

Listening Tips:

Brief, discontinuous, popping sounds that are high-pitched. Similar to wood burning in a fireplace. More commonly heard during inspiration.

http://www.3m.com/healthcare/littmann/pn72.html

Question 7

7) Egophony Test: Normal or Abnormal?

Answer 7

Abnormal

Egophony - a

Listening Tips

Ask patient to say “Eeee” several times. Auscultate the chest walls. Over consolidated lung areas, the sound is heard as an “A” (aaay).

http://www.3m.com/healthcare/littmann/pn150.html

Question 8

8) Egophony Test: Normal or Abnormal?

Answer 8

Normal

Egophony - e

Listening Tips:

Ask patient to say “Eeee” several times. Auscultate over chest walls. Over healthy lung areas, the sound is understandable as an “E”.

http://www.3m.com/healthcare/littmann/pn137.html

Question 9

9) Identify this lung sound.

Answer 9

Pleural Rubs

Listening Tips:

These are creaking or grating sounds that have been described as being similar to walking on fresh snow or a leather-on-leather type of sound. Pleural rubs stop when the patient holds a breath.

http://www.3m.com/healthcare/littmann/pn77.html

Question 10

10) Identify this lung sound.

Answer 10

Rhonchi - Low Pitched Wheezes

Listening Tips:

Continuous, low pitched sounds with a gurgling or rattle-like quality. More common during expiration.

http://www.3m.com/healthcare/littmann/pn75.html

Question 11

11) Identify this lung sound

Answer 11

Stridor

Listening Tips:

A loud, high-pitched sound wheezing sound heard during inspiration but may also occur throughout the respiratory cycle. Often heard without a stethoscope.

http://www.3m.com/healthcare/littmann/pn140.html

Question 12

12) Identify this lung sound.

Answer 12

Vesicular - Normal

Listening Tips
Soft and low pitched with a rustling quality during inspiration and even softer during expiration. Inspiration to expiration ratio of 3:1 or 4:1.

http://www.3m.com/healthcare/littmann/pn74.html

Question 13

13) Identify this lung sound.

Answer 13

Wheezes - Expiratory

Listening Tips

Loud, musical and continuous sounds occuring in expiration. Heard over anterior, posterior and lateral chest walls.

http://www.3m.com/healthcare/littmann/pn143.html

Question 14

14) Identify this lung sound.

Answer 14

Wheezes - Monophonic

Listening Tips:

Loud, continuous sounds occuring throughout the respiratory cycle. Expiration period is frequently longer. Heard over anterior, posterior and lateral chest walls.

http://www.3m.com/healthcare/littmann/pn145.html

Question 15

15) Whispered Pectoriloquy Test: Normal or Abnormal?

Answer 15

Whispered Pectoriloquy - Abnormal

Listening Tips

Ask patient to whisper 1-2-3 several times. Auscultate across chest walls. Abnormal if 1-2-3 sound is understood.

http://www.3m.com/healthcare/littmann/pn151.html

Question 16

(16) Whispered Pectoriloquy Test: Normal or Abnormal?

Answer 16

Whispered Pectoriloquy - Normal

Listening Tips

Ask patient to whisper 1-2-3 several times. Auscultate chest walls. Over healthly lung areas, ‘1-2-3’ is unintelligible.

http://www.3m.com/healthcare/littmann/pn138.html