week 13 lab quiz breathe sounds

Question 1

** normal breathe sound**
Bronchial breath sounds are ______, tubular sounds that are______ pitched. They can be auscultated over the _______ where they are considered normal.

There is a distinct pause in the sound between inspiration and expiration. I:E ratio is 1:3 .

Answer 1

hollow

lower

trachea

Question 2

** normal breathe sound**
Vesicular breath sounds are heard across the lung surface. They are ______-pitched, rustling sounds with higher intensity during _______. During _______, sound intensity can quickly fade. Inspiration is normally 2-3 times the length of expiration

Answer 2

lower

inspiration

expiration

Question 3

Fine crackles are brief, discontinuous, _______ lung sounds that are _____-pitched. Fine crackles are also similar to the sound of wood burning in a fireplace, or hook and loop fasteners being pulled apart or cellophane being crumpled.

Crackles, previously termed rales, can be heard in both phases of respiration. Early _______ and _______crackles are the hallmark of chronic _______. Late inspiratory crackles may mean _______, CHF, or atelectasis

Answer 3

popping

high

inspiratory

expiratory

bronchitis

pneumonia

Question 4

Coarse crackles are ________, brief, popping lung sounds. Compared to fine crackles they are ______, _____ in pitch and last longer. They have also been described as a bubbling sound. You can simulate this sound by rolling strands of hair between your fingers near your ear.

Answer 4

discontinuous

louder

lower

Question 5

Wheezes are _______ lung sounds that are continuous with a musical quality. Wheezes can be high or low pitched. High pitched wheezes may have an auscultation sound similar to _______. Lower pitched wheezes have a ______ or _______ quality.

Wheezes are caused by narrowing of the airways. ex) asthma or _______

Answer 5

adventitious

squeaking

snoring or moaning

COPD

Question 6

Stridor is caused by upper airway narrowing or obstruction. It is often heard without a stethoscope. It occurs in __- __% of extubated patients.

Stridor is a loud,_____-pitched crowing breath sound heard during _______but may also occur throughout the respiratory cycle most notably as a patient worsens.

In children, stridor may become louder in the supine position.

Causes of stridor are pertussis,_____, epiglottis, aspirations, laryngeal tumor

Answer 6

10-20

high

inspiration

croup

Question 7

Rhonchi are continuous _____ pitched, rattling lung sounds that often resemble ______. Obstruction or secretions in larger airways are frequent causes of rhonchi. They can be heard in patients with _______, _________, pneumonia, chronic bronchitis, or cystic fibrosis. Rhonchi usually clear after coughing.

Answer 7

low

snoring

COPD

bronchiectasis