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Flashcards in Pulmonary Phys Exam Deck (42):
1

Normal breath sounds are called _____, meaning soft and low pitched.

vesicular

1

What is another name for crackles?

rales

1

Stridor represents pathology in _____.

the upper airway

2

What causes resonance to percussion?

increased air in the lung

3

______ and _______ breath sounds are abnormal when heard over the peripheral lung tissue.

Bronchovesicular; bronchial

4

What causes the trachea to be pulled towards one side?

  • volume loss due to focal scarring/fibrosis
  • atelectasis

4

Normal breath sounds are called vesicular, meaning _______.

soft and low pitched

5

These are the palpable vibrations transmitted through the bronchopulmonary tree to the chest wall when the patient speaks.

Fremitus

5

These breath sounds are high pitched and ordinarily heard over the trachea.

bronchial

6

Breath sounds that are soft and low pitched (vesicular) are ______.

normal

7

What can cause decreased fremitus?

  • excess air in the lungs (emphysema, pneumothorax)
  • fluid in the pleural space (pleural effusion)
  • atelectasis due to an obstructed bronchus

8

Bronchovesicular and bronchial breath sounds heard in the peripheral lung suggest _______.

the replacement of air-filled lung with solid tissue or fluid

9

______ typically occurs due to laryngeal pathology such as laryngospasm or laryngeal edema, subglottic stenosis, or vocal cord dysfunction.

Inspiratory stridor

10

______ typically represents central airway obstruction within the thorax, such as a tumor obstructing the trachea.

Expiratory stridor

12

What is Fremitus?

the palpable vibrations transmitted through the bronchopulmonary tree to the chest wall when the patient speaks

12

Bronchovesicular and bronchial breath sounds are abnormal when ______.

heard over the peripheral lung tissue

13

What causes the trachea to be pushed away from one side?

  • large pleural effusion
  • tension pneumothorax

13

How do you test for egophany?

have the pt say EEEE but listen for it to change to AAAA while auscultating

14

What causes crackles/rales?

disruptive airflow through the small airways; discontinuous and usu with inspiration

15

What are bronchial breath sounds?

high pitched and ordinarily heard over the trachea

16

What are rhonchi?

rumbling (or snoring) sounds that are more continuous

18

Bronchovesicular and bronchial breath sounds are ______ when heard over the peripheral lung tissue.

abnormal

19

Expiratory stridor typically represents ______ within the thorax, such as ______.

central airway obstruction; a tumor obstructing the trachea

20

What are musical sounds typically audible without a stethoscope and can be either inspiratory or expiratory?

stridor

21

This breath sound is moderate in pitch and intensity, heard during inspiration, over the major bronchi.

bronchovesicular

22

Dullness to percussion can indicate what problems?

  • large pleural effusions
  • lobar pneumonia
  • areas of atelectasis

23

What is stridor?

musical sounds typically audible without a stethoscope and can be either inspiratory or expiratory

24

Post-operative atelectasis usually presents as ______.

bronchovesicular and bronchial breath sounds over the lower lobes

25

What causes dullness to percussion?

when fluid or solid tissue replaces air-containing lung or occupies the pleural space beneath your percussing fingers

26

What causes egophany?

areas of compressed or fluid filled areas of the lung

28

What are bronchovesicular breath sounds?

moderate in pitch and intensity, heard during inspiration, over the major bronchi

29

Stridor = ?

an emergency

31

Pneumonia will have _____ breath sounds.

bronchial breath sounds with dullness, egophony, and crackles

32

What sounds is made by air passing through an airway partially obstructed by mucous or secretions?

rhonchi

34

What is atelectasis?

lung collapse

35

What diseases are associated with crackles/rales?

  • pulmonary edema
  • pneumonia
  • interstitial lung disease

36

What causes rhonchi?

passage of air through an airway partially obstructed by mucous or secretions

38

What can cause increased fremitus?

consolidation in the lung

39

What disease is associated with egophany?

pneumonia

40

What is another name for rales?

crackles

41

An obstructing lesion in the bronchus would have ______ breath sounds.

dullness and absent

42

Inspiratory stridor typically occurs due to laryngeal pathology such as _____, _____, _____, or ______.

laryngospasm, laryngeal edema, subglottic stenosis, or vocal cord dysfunction