Physical Diagnosis Block 2

19 Questions | By Welterjm | Updated: Mar 22, 2022 | Attempts: 71

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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