Physical Diagnosis Block 2

19 Questions | Total Attempts: 53

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Physical Diagnosis Block 2

PD Thorax lecture


Questions and Answers
  • 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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