Physical Diagnosis Block 2
PD Thorax lecture
- 1.The palpable vibrations transmitted through the bronchopulmonary tree to the chest when the patient speaks, often when he says, "Ninety nine"
- 2.When would fremitus NOT be decreased or absent?
- A.
Voice is soft
- B.
COPD
- C.
When the transmission of vibrations from larynx to surface of chest is clear
- D.
Thick chest wall
- 3.What would cause percussion to give a resonance sound?
- 4.When would a lung percussion sound be dull?
- 5.Hyperresonance...
- A.
Is when a dull sound replaces the normal, resonant sound
- B.
Can never be heard in a patient with emphysema or asthma
- C.
Is not a reliable sign of emphysema or asthma
- 6.Auscultation involves all of the following EXCEPT
- A.
Listening to the sounds generated by breathing
- B.
Listening for any adventitious sounds
- C.
Listening to 4-6 areas posteriorly and 3-5 areas anteriorly and laterally
- 7.A Vesicular breath sound is...
- A.
Normal
- B.
Mixed normal and abnormal
- C.
Abnormal 'breathy' sounds
- 8.Bronchovesicular breath sounds...
- A.
Are normal
- B.
Are mixed normal and abnormal
- C.
Are abnormal 'breathy' sounds
- 9.Bronchial breath sounds are...
- A.
Mixed normal and abnormal sounds
- B.
Abnormal 'breathy' sounds
- C.
Normal
- 10.Vesicular breath sounds are heard through
- 11.Vesicular breath sounds...
- A.
Are soft and low pitched
- B.
Heard through inspiration
- C.
Pause between inspiration and expiration
- D.
Fade away about 1/3 of the way through expiration
- E.
Resemble the quiet sound of a breeze rustling the leaves of a tree
- F.
Represent air blowing through the small airways
- G.
Are abnormal
- H.
Are indicative of pneumonia
- 12.Bronchovesicular breath sounds...
- A.
Inspiratory and Expiratory sounds can be separated by a slight interval
- B.
Heard in a region of resolving pneumonia
- C.
Differences in pitch and intensity are easily detected during inspiration
- 13.Bronchial breath sounds...
- A.
Are soft and low pitched
- B.
Have a short silence between inspiratory and expiratory sounds
- C.
Represent air flowing through larger bronchi as well as smaller airways
- D.
Can be heard over the trachea
- E.
Can be heard near the angle of Louis
- F.
Can be heard in areas of pneumonic consolidation
- G.
Inspiratory sounds last longer than Expiratory sounds
- 14.Continuous whistling sounds heard as air rushes through narrowed airways. Often high pitched, reflecting air movement through smaller airways or bronchioles, they are musical in nature
- 15.Reflect air rushing through narrowed, wider caliber bronchi. Suggests secretions in large airways, and are similar to snoring
- 16.Louder, clearer, breath sounds are called
- 17.When "EE" is heard as "AY", it is called E to A change, or ...
- 18.Egophany is indicative of lung consolidation, which acts as a great conductor of sounds that travel straight through from bronchi to chest wall to stethoscope
- A.
True
- B.
False
- 19.Select the INCORRECT answer. Whispered Pectoriloquy...
- A.
Are louder, whispered sounds
- B.
Are a result of a consolidated lung
- C.
Is due to millions of alveoli that baffle and break up whispers
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