Lung Sounds

Question 1

Crackle Associations

Answer 1

-Wet crackles (secretion movement) vs Dry crackles (opening of closed airways)
-Occur typically with INSPIRATION
Associated with restrictive/obstructive pulmonary diseases, atelectasis, fibrosis, pulmonary edema, or pleural effusion

Question 2

Pleural Friction Rub

Answer 2

• Dry crackling heard during inspiration AND expiration over place the pt feels pleuritic pain
• Inflamed visceral and parietal pleurae rubbing toether

Question 3

Rhonchi

Answer 3

-“snoring” or “gurgling” heard with inspiration AND expiration by an airway obstructed by inflammatory secretions/liquid, bronchial spasm, or neoplasms

Question 4

Stridor

Answer 4

• High-pitched wheeze with inspiration OR expiration

- Indicates upper airway obstruction

Question 5

Wheeze

Answer 5

• Musical/whistling sound inconsistent from minute to minute and area to area
• From vibration of small airway walls due to narrowing from bronchospasm, edema, collapse, neoplasm, or foreign body

Question 6

Bronchial sounds indication

Answer 6

Pneumonia

Question 7

Decreased/diminished breath sounds indications

Answer 7

Severe congestion
Emphysema
Hypoventilation

Question 8

Increased voice sounds (in lungs) indications

Answer 8

Consolidation
Fibrosis
Atelectasis