Abnormal Breath Sounds and Treatments
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Questions and Answers

Which breath sound is characterized by a high-pitched inspiratory sound?

  • Rhonchi
  • Pleural rub
  • Rales
  • Stridor (correct)
  • What causes a wheeze in the airway?

  • Fluid accumulation in alveoli
  • Narrowing of the airway (correct)
  • Constriction of the diaphragm
  • Inflammation of lung tissue
  • Where would you expect to hear rales?

  • In the pleural space
  • Lower airway (correct)
  • Over the trachea
  • Upper airway
  • What sound is produced by visceral and pleural linings rubbing together?

    <p>Pleural Friction Rub</p> Signup and view all the answers

    What type of wheeze occurs early in expiration and is often found in lower airways?

    <p>Early expiratory wheeze</p> Signup and view all the answers

    Which drug class is appropriate for treating bronchoconstriction causing expiratory wheezes?

    <p>SABA, rescue inhalers</p> Signup and view all the answers

    What does a 'pleural friction rub' sound like?

    <p>Leather rubbing together</p> Signup and view all the answers

    What is the medical term used to describe abnormal breath sounds?

    <p>Adventitious</p> Signup and view all the answers

    Which of the following breath sounds can occur in both the upper and lower airways?

    <p>Wheezes</p> Signup and view all the answers

    Which statement best describes the difference between inspiratory and expiratory wheezes?

    <p>Inspiratory wheezes occur later in the respiratory cycle, while expiratory wheezes occur earlier.</p> Signup and view all the answers

    What sound quality describes Rhonchi breath sounds?

    <p>Bubbling, coarse crackles</p> Signup and view all the answers

    What is a potential cause of a pleural friction rub?

    <p>Pleurisy</p> Signup and view all the answers

    When might you expect to hear wheezing first during respiration?

    <p>During forced expiration</p> Signup and view all the answers

    Which treatment is most effective for stridor caused by upper airway inflammation?

    <p>Cool mist, Racemic Epinephrine</p> Signup and view all the answers

    What type of agent is best suited for treating thick, retained secretions in patients?

    <p>Mucolytics or Mucoactive agents</p> Signup and view all the answers

    How would you best describe the sound of a pleural friction rub?

    <p>Leather rubbing together</p> Signup and view all the answers

    What sound is typically associated with a pleural friction rub?

    <p>Leather rubbing together</p> Signup and view all the answers

    Which condition might cause stridor due to upper airway inflammation?

    <p>Croup</p> Signup and view all the answers

    What sound is described as fine and end-inspiratory?

    <p>Rales</p> Signup and view all the answers

    What is the best treatment for expiratory wheezes caused by bronchoconstriction?

    <p>SABA, rescue inhalers</p> Signup and view all the answers

    Which breath sound is often described as bubbling and coarse?

    <p>Rhonchi</p> Signup and view all the answers

    Where can wheezes be heard during respiration?

    <p>Upper and lower airway</p> Signup and view all the answers

    What is the term used for abnormal breath sounds?

    <p>Adventitious sounds</p> Signup and view all the answers

    What might cause a pleural friction rub?

    <p>Pleurisy</p> Signup and view all the answers

    What is the sound characteristic of wheezing?

    <p>High-pitched, continuous, whistling</p> Signup and view all the answers

    Which breath sound is associated with the upper airway?

    <p>Stridor</p> Signup and view all the answers

    What causes the production of a pleural friction rub?

    <p>Visceral and pleural linings rubbing together</p> Signup and view all the answers

    What describes the sound of Rhonchi?

    <p>Bubbling, coarse crackles</p> Signup and view all the answers

    Which of the following best describes 'Rales'?

    <p>Fine, end-inspiratory</p> Signup and view all the answers

    What treatment is effectively used for stridor associated with upper airway inflammation?

    <p>Racemic Epinephrine</p> Signup and view all the answers

    Wheezes can typically occur in which areas of the respiratory system?

    <p>Upper and lower airway</p> Signup and view all the answers

    What is the primary cause of expiratory wheezes?

    <p>Bronchoconstriction</p> Signup and view all the answers

    Study Notes

    Abnormal Breath Sounds

    • Five most common abnormal breath sounds: Wheezing, Rhonchi, Rales, Stridor, and Pleural Rub.
    • Abnormal breath sounds are referred to as Adventitious.

    Stridor

    • Originates from the upper airway.
    • Sounds high-pitched and inspiratory; can sometimes be detected without a stethoscope.
    • Caused by upper airway inflammation.
    • Treatments include cool mist and Racemic Epinephrine.

    Rales

    • Found in the lower airway.
    • Characterized by fine, end-inspiratory crackles.

    Wheezing

    • Occurs in both upper and lower airways due to airway narrowing.
    • Sounds high-pitched, continuous, and musical.
    • Typically heard first during expiration.

    Rhonchi

    • Sounds like bubbling, coarse crackles.
    • Can be suctioned out of a patient.

    Pleural Rub

    • Occurs when visceral and pleural linings rub together, often due to conditions like pleurisy.
    • Sounds like leather rubbing together.

    Respiratory Treatments

    • Short-acting beta-agonists (SABA) are best for treating expiratory wheezes caused by bronchoconstriction.
    • Mucolytics or mucoactive agents help in clearing thick, retained secretions.

    Differences in Wheezes

    • Inspiratory wheezes are late and upper; expiratory wheezes are early and lower.

    Abnormal Breath Sounds

    • Five most common abnormal breath sounds: Wheezing, Rhonchi, Rales, Stridor, and Pleural Rub.
    • Abnormal breath sounds are referred to as Adventitious.

    Stridor

    • Originates from the upper airway.
    • Sounds high-pitched and inspiratory; can sometimes be detected without a stethoscope.
    • Caused by upper airway inflammation.
    • Treatments include cool mist and Racemic Epinephrine.

    Rales

    • Found in the lower airway.
    • Characterized by fine, end-inspiratory crackles.

    Wheezing

    • Occurs in both upper and lower airways due to airway narrowing.
    • Sounds high-pitched, continuous, and musical.
    • Typically heard first during expiration.

    Rhonchi

    • Sounds like bubbling, coarse crackles.
    • Can be suctioned out of a patient.

    Pleural Rub

    • Occurs when visceral and pleural linings rub together, often due to conditions like pleurisy.
    • Sounds like leather rubbing together.

    Respiratory Treatments

    • Short-acting beta-agonists (SABA) are best for treating expiratory wheezes caused by bronchoconstriction.
    • Mucolytics or mucoactive agents help in clearing thick, retained secretions.

    Differences in Wheezes

    • Inspiratory wheezes are late and upper; expiratory wheezes are early and lower.

    Abnormal Breath Sounds

    • Five most common abnormal breath sounds: Wheezing, Rhonchi, Rales, Stridor, and Pleural Rub.
    • Abnormal breath sounds are referred to as Adventitious.

    Stridor

    • Originates from the upper airway.
    • Sounds high-pitched and inspiratory; can sometimes be detected without a stethoscope.
    • Caused by upper airway inflammation.
    • Treatments include cool mist and Racemic Epinephrine.

    Rales

    • Found in the lower airway.
    • Characterized by fine, end-inspiratory crackles.

    Wheezing

    • Occurs in both upper and lower airways due to airway narrowing.
    • Sounds high-pitched, continuous, and musical.
    • Typically heard first during expiration.

    Rhonchi

    • Sounds like bubbling, coarse crackles.
    • Can be suctioned out of a patient.

    Pleural Rub

    • Occurs when visceral and pleural linings rub together, often due to conditions like pleurisy.
    • Sounds like leather rubbing together.

    Respiratory Treatments

    • Short-acting beta-agonists (SABA) are best for treating expiratory wheezes caused by bronchoconstriction.
    • Mucolytics or mucoactive agents help in clearing thick, retained secretions.

    Differences in Wheezes

    • Inspiratory wheezes are late and upper; expiratory wheezes are early and lower.

    Abnormal Breath Sounds

    • Five most common abnormal breath sounds: Wheezing, Rhonchi, Rales, Stridor, and Pleural Rub.
    • Abnormal breath sounds are referred to as Adventitious.

    Stridor

    • Originates from the upper airway.
    • Sounds high-pitched and inspiratory; can sometimes be detected without a stethoscope.
    • Caused by upper airway inflammation.
    • Treatments include cool mist and Racemic Epinephrine.

    Rales

    • Found in the lower airway.
    • Characterized by fine, end-inspiratory crackles.

    Wheezing

    • Occurs in both upper and lower airways due to airway narrowing.
    • Sounds high-pitched, continuous, and musical.
    • Typically heard first during expiration.

    Rhonchi

    • Sounds like bubbling, coarse crackles.
    • Can be suctioned out of a patient.

    Pleural Rub

    • Occurs when visceral and pleural linings rub together, often due to conditions like pleurisy.
    • Sounds like leather rubbing together.

    Respiratory Treatments

    • Short-acting beta-agonists (SABA) are best for treating expiratory wheezes caused by bronchoconstriction.
    • Mucolytics or mucoactive agents help in clearing thick, retained secretions.

    Differences in Wheezes

    • Inspiratory wheezes are late and upper; expiratory wheezes are early and lower.

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    Description

    This quiz covers the five most common abnormal breath sounds, including Wheezing, Rhonchi, Rales, Stridor, and Pleural Rub. It also discusses the origins and characteristics of these sounds, along with potential treatments. Test your knowledge on respiratory assessments and interventions.

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