Lungs and Thorax

Question 1

exam technique order

Answer 1

Inspection, palpation, percussion, auscultation

Question 2

How do you measure Diaphragmatic excursion

Answer 2

checking chest expansion by placing thumbs close to pts spine @ level of the 10th ribs and spread fingers across lateral thorax, ask pt to inhale and exhale deeply

Question 3

supraclavicular

Answer 3

above clavicle

Question 4

infraclavicular

Answer 4

below clavicle

Question 5

interscapular

Answer 5

inbetween the scapule

Question 6

infrascapular

Answer 6

below the scapule

Question 7

parietal pleura

Answer 7

lines inside the chest wall

Question 8

Visceral pleura

Answer 8

covers surface of lungs

Question 9

when feeling for tactile fremitus, how many points are you inspecting

Answer 9

4

Question 10

How many areas on the posterior lungs do you percuss?

Answer 10

7

Question 11

percussion sound on thigh

Answer 11

flat, short duration

Question 12

percussion sound on liver

Answer 12

dull, medium duration

Question 13

percussion sound on healthy lungs

Answer 13

resonant, long duration

Question 14

percussion sound on COPDers

Answer 14

hyperresonant, longer duration

Question 15

percussion sound of gastric bubble

Answer 15

tympanitic, longer duration

Question 16

4 kinds of breath sounds

Answer 16

tracheal, vesicular, bronchial, bronchovesicular

Question 17

tracheal I:E ratio, quality and location

Answer 17

I=E, Inspiratory sounds last same as expiratory sounds, harsh, high pitched, hollow, loud, heard over trachea

Question 18

Vesicular I:E ratio. quality and location

Answer 18

I>E, Inspiratiory sounds lasts longer that expiratory sounds, soft, low pitched, heard over most lung fields

Question 19

Bronchial I:E ratio, quality and location

Answer 19

I

Question 20

Bronchovesicular I:E ratio, quality and location

Answer 20

I=E, Inspiratory sounds last same as expiratory sounds, louder and harsher than vesicular, heard over 2nd ICS anterior and T4 posterior

Question 21

Continuous adventitious breath sounds

Answer 21

wheezes and Rhonchi

Question 22

Discontinous adventitious breath sounds

Answer 22

crackles

Question 23

normal forced expiration

Answer 23

3-4 seconds

Question 24

Egophony

Answer 24

“ee” turns into “aa” which means there is consolidation

Question 25

Bronchophony

Answer 25

patients say "99" which will come through louder d/t airless tissue

Question 26

Whispered pectoriloqury

Answer 26

patients whisper "1,2,3" which will sound louder

Question 27

Dyspnea occurs when?

Answer 27

when youre hypoxic

Question 28

10 P's of dyspnea rapid onset

Answer 28

``` Pna Pneumothorax Pulmonary constriction (asthma) Pulmonary embolism Peanut or other foreign body Pericardial tamponade Pump failure Peak seekers (high altitude) Psychogenic Poisons (ASA) ```

Question 29

Where is the apex of each lung?

Answer 29

2-3cm above the 3rd clavicle

Question 30

anterior axillary line is located where?

Answer 30

Far left or right of chest

Question 31

which muscles are the accessory muscles?

Answer 31

supraclavicular and scalenes