Percussion and Auscultation

Question 1

Percussion

Answer 1

compare both sides

start over the clavicles move down anterior chest, ensure to percuss over lateral chest

Question 2

Long, loud, low pitched, hollow

Answer 2

Resonant

Question 3

Normal Lung sounds

Answer 3

Resonant

Question 4

Medium in intensity and pitch, moderate length

Answer 4

dullness

Question 5

areas of increased density/decreased air (consolidation, collapse, fibrosis, abscess, neoplasm)

Answer 5

Dullness

Question 6

Thudlike

Answer 6

Stony dull

Question 7

unique for pleural effusion (percussion)

Answer 7

Stony dull

Question 8

Very loud, low pitched

Answer 8

Hyper resonant

Question 9

areas of decreased density-increased air (pneumothorax)

Answer 9

Hyper resonant

Question 10

often described as rustling.

Answer 10

Normal or “vesicular”

Question 11

effusion, tumor, pneumothorax, pneumonia or collapse. global = COPD or asthma (life threatening) (sound)

Answer 11

Reduced

Question 12

breathing has a hollow blowing quality = consolidation, abscess, fibrosis, upper edge effusion. Exp sounds longer than inspiratory

Answer 12

Bronchial

Question 13

No sound can be auscultated

Answer 13

absent

Question 14

whistling from narrowing of the airways. Polyphonic = asthma and COPD. Monophonic = foreign body, carcinoma. Inspiratory and expiratory

Answer 14

Wheeze

Question 15

asthma and COPD.kind of wheezing

Answer 15

Polyphonic

Question 16

foreign body, carcinoma. Inspiratory and expiratory

Answer 16

Monophonic

Question 17

air entering collapsed airway.
Coarse =fluid or infection.
Fine = fluid, infection, fibrosis

Answer 17

Crackles

Question 18

fluid or infection.
(lung sound)

Answer 18

Coarse

Question 19

fluid, infection, fibrosis
(lung sound)

Answer 19

Fine

Question 20

heard at end of inspiration frominflamedpleural surfaces = pneumonia

Answer 20

Rub

Question 21

inspiratory, musical, very loud, monophonic wheeze (crowing sound). Caused by laryngeal spasm and mucosal swelling which contracts the vocal cords and narrows the airways – usually occurs with upper airway infection / obstruction.

Answer 21

Stridor