Quiz 3 Thorax and Lungs extras Flashcards Preview

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Flashcards in Quiz 3 Thorax and Lungs extras Deck (30):
1


High Pitch

Loud

During inspiration and expiration

Harsh, hollow tubular

around trachea and larynx


Normal breath sound



Bronchial (Tracheal)

2


moderate pitch

moderate amplitude

during inspiration and expiration

mixed quality

heard over major bronchi where fewer alveoli are located


Normal Breath Sound



Bronchovesicular

3


Low pitch

soft amplitude

heard during inspiration and expiration

rusting, like the sound of the wind in the trees

heard over the peripheral lung fields where air flows through smaller bronchioles and alveoli


Normal Breath Sound



Vesicular

4

discontinuous, high pitched, short crackling, popping sounds heard during inspiration that are not cleared by coughing


Crackles- fine

(Rales)

5

Loud, low pitched, bubbling and gurgling sounds that start in early inspiration and may be present in expiration; may decrease somewhat by suctioning or coughing


Crackles - course

(Rales)

6

fine crackles that do not last and are not pathologic, disappear after first few breaths. Will go away, sacs are collapsed


Atelectatic crackles

(Atelectactic rales)

7


Superficial sound that is course and low pitched

sounds like leather being rubbed together, caused when pleurae become inflammed and lose their normal lubricating fluid

Pleural friction rub

8

High pitched, musical squeaking sounds that sound polymonic

Wheeze

9

low pitched monophonic single note, musical snoring, moanind sounds: they are heard throughout the cycle

low pitched wheeze

10


High pitched, monophonic, inspiratory, crowing sound, louder in neck than over chest wall

originates in larynx or trachea, upper airway obstruction from swollen, inflamed tissues or lodged foreign body

Stridor

11


"99"

normal voice transmission is soft, muffled, and indistinct; can hear sound through stethoscope, but can not distinguish what exactly is being said

Abnormal finding if you can hear "99" clearly

Bronchophony

12


Goat voice

ee-ee-ee-ee

sounds like eeeee if normal

if sounds like long aaaaa, abnormal

Egophony

13


whisper one, two, three as you ascultate

normal if faint and almost non audible

if you can hear the whisper, abnormal

abnormal finding indicates solidation

Whispered Pectoriloquy

14

forced expiration of 6 sec or more occurs with obstructive lung disease

obstructive lung disease

15

The thorax has an elliptical shape whit and anteroposterior-to-transverse diameter of 1:2 or 5:7

Normal Adult (for comparsion)

16

Equal anteroposterior-to-transverse diameter and that ribs are horizontal instead of the normal downward slope..Associated with who
a. barrel chest
b. pectus carinatum
c. pectus excavatum
d. normal adult

barrel

17

A markedly sunken sternum and adjacent cartilages (also called funnel breast). Depresson begins at second intercostal space, becoming depressed most at junction of xiphoid with body of sternum. More noticeable with inspiration
a.barrel chest
b. pectus carninatum
c. pectus excavatum
d. normal adult

Pectus Excavatum

18

A forward protrusion of the sternum, with ribs sloping back at either side and vertical depression along costochondrqal junctions (pigeon breast).
a barrel ches
b pectus carninatum
c pectus excavatum
d normal adult

Pectus Carinatum

19

An exaggerated posterior curvature of the thoracic spine (humpback) that causes significant back pain and limited mobility. Severe deformities impair cardiopulmonary function.

kyphosis

20

Normal adult Respiratory (for comparison)
Rate
Depth
pattern
The ratio of pulse to respiration is fairly constat at
Depth

R--10 to 10 breaths per min
D-- 500-800 mL
P-- even
Ratio--4:1 Valuses increase w/ exercise, fear, or fever
D--air moving in and out with each respiration

21

Occur with restrictive disease;: pneumonia, heart failure, and interstitial fibrosis
Which Adventitious Lung sound
a Late inspiratory crackles
b early inspiratory crackles
c posturally induced crackles

late inspiratory crackles

22

occur with obstructive disease: chronic bronchitis, asthma, and emphysema
Which adventitious lung sound
a late inspiratory crackles
b early inspiratory crackles
c posturally induced crackles

early inspiratory crackles

23

Fine crackles that appear with change from sitting to the supine position or with a change from supine to supine with legs elevated
Which adventitious lung sound
a late inspiratory crackles
b early inspiratory crackles
c posturally induced crackles

posturally induced crackles

24

Pulmonary edema, pneumonia, pulmonary fibrosis, adn the terminally ill who have a depressed cough reflex
Which advetitious lung sound
a. wheeze
b stridor
c, pleural friction
d. crackles-coarse

d crackles (coarse rales)

25

In aging adults, in bedridden persons, or in person just aroused from sleep
Which adventitious lung sound
a wheeze
b stridor
c atelectatic crackles
d pleural friction rub

c atelectatic crackles (atelectatic rales)

26

Diffuse airway obstruction from acute asthma or chronic emphysema
Whic Adventitious lung sound
a. wheeze--high-pitched (sibilant)
b. wheeze--low-pitched (sonorous rhonchi)
c atelectatic crackles
d. pleural friction rub

a wheeze--high pitched (sibilant)

27

bronchitis, single bronchus obstruction from airway tumor
Which adventitious lung sound
a. wheeze high pitched (sibilant)\
b. wheeze low pitched (sonorous rhonchi)
c atelectatic crackles
d. pleural friction rub

b. wheeze low pitched (sonorous rhonchi)

28

Croup and acute epiglottis in children, and foreign inhalation, obstructed airway may be life threatening
Which adventitious lung sound
a. stridor
b crackles
c. atelectatatic
d. Pleural effusion

a. Stridor

29

Ateroposterior

normal

30

Cough. Lag on expansion on affected side. Increased respiratory rate and pulse. Possible cyanosis
W/ assess inspect
a. atelectasis
b. lobar pneumonia
c. emphysema
d bronchitis

Atelectasis