Test & Measures and Breath Sounds Flashcards Preview

NPTE Cardio, Pulm & Lymph > Test & Measures and Breath Sounds > Flashcards

Flashcards in Test & Measures and Breath Sounds Deck (51)
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1

What are the values on the Angina Scale?

(1 good, 4 bad)

1 - Mild, barely noticeable
2 - Mod, bothersome
3 - Mod severe, very uncomfortable
4 - Most severe or intense pain ever experienced

2

What is "normal" on the Ankle Brachial Index (ABI)?

1.0-1.30 = Normal, no blockage

3

What does a high # on the Ankle Brachial Index (ABI) indicate?

> or = 1.30 indicates rigid arteries

4

What does a low # on the Ankle Brachial Index (ABI) indicate?

< 1.0 indicates blockage
lower # = more severe (ex: <0.4 in severe block)

5

Where do you auscultate the Aortic Area?

2nd intercostal space at the RIGHT sternal border
*A before P

6

Where do you auscultate the Pulmonic Area?

2nd intercostal space at the LEFT sternal border
*A before P

7

Where do you auscultate the Mitral Area (bicuspid valve)?

Apex of the heart
(5th intercostal space, medial to the left midclavicular line)
*Tri before your Bi

8

Where do you auscultate the Tricuspid Area?

4th intercostal space at level of the sternal border
*Tri before your Bi

9

When does an S3 heart sound occur in the cardiac cycle?

- Diastole (passive ventricle filling)
"Ventricular gallop"

10

What CAN an S3 heart sound indicate in adults?

- Key for Chronic Heart Failure (CHF)

11

When does an S4 heart sound occur in the cardiac cycle?

- 2nd phase of diastole due to atrial contraction
"Atrial gallop"

12

What CAN an S4 heart sound indicate in adults?

- Previous MI or CABG
- HTN
- CAD
- Pulmonary Disease

13

What are normal breath sounds heard over the Trachea?

Tracheal and Bronchial sounds
- loud, tubular

14

What are normal breath sounds heard over the Distal Airways?

Vesicular
- high pitched, breezy

15

What are abnormal breath sounds?

Sounds heard outside of their normal location or phase

16

What are adventitious breath sounds?

Never normal
- continuous and discontinuous odd breath sounds

17

What do Crackles sound like?

Discontiuous, high-pitched
(Base of lungs)

18

What pathology causes Crackles?

Fluid or secretions
- Atelectasis
- Fibrosis
- Pulmonary Edema
- Pleural Effusion

19

What does Pleural Friction Rub sound like?

Dry, crackling

20

What pathology causes Pleural Friction Rub?

Inflammed visceral and parietal pleurae rubbing together

21

What does Rhonchi sound like?

Continuous, low-pitched

22

What pathology causes Rhonchi?

Secretions, bronchial spasm, neoplasm

23

What does Stridor sound like?

Continuous, high-pitched wheeze

24

What pathology causes Stridor?

Upper airway obstruction

25

What does Wheezing sound like?

Continuous "musical" or whislting

26

What pathology causes Wheezing?

Narrowing of airways
- bronchospasms, edema, collapse, secretions, neoplasms

27

What sounds will you hear with pneumonia?

bronchial breath sounds where vesicular should be

28

When will you hear Decreased breath sounds?

severe congestion
emphysema
hypoventilation

29

What sounds will you hear with pneumothorax?

Absent breath sounds

30

What is bronchophony?

Increased vocal resonance - greater clarity and loudness (ex: 99)