Interpreting Percussion Sounds
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Questions and Answers

What is the normal shape of the chest?

  • Square
  • Rectangular
  • Oval (correct)
  • Circular
  • Which diameter is increased in chronic conditions according to the text?

  • Transverse Diameter
  • Anterior-Posterior (AP) Diameter (correct)
  • Lateral Diameter
  • Vertical Diameter
  • What should separate 1 ½ to 2 inches during inspiration to indicate normal chest expansion?

  • Palms
  • Thumbs (correct)
  • Toes
  • Fingers
  • What is tactile fremitus?

    <p>A faintly perceptible vibration felt through the chest wall</p> Signup and view all the answers

    What is the procedure for assessing tactile fremitus?

    <p>Place palm on landmarks and have client repeat a phrase</p> Signup and view all the answers

    Which method of medical diagnosis involves tapping various areas of the body to determine internal organ condition by resonance?

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

    What is a common abnormal finding during palpation of the posterior thorax?

    <p>Asymmetric or decreased chest expansion</p> Signup and view all the answers

    During percussion, what does a dull sound over a lung area suggest?

    <p>Fluid or solid tissue mass</p> Signup and view all the answers

    Which percussion sound is indicative of COPD or Pneumothorax?

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

    What is the best location to auscultate vesicular breath sounds?

    <p>Peripheral lung</p> Signup and view all the answers

    What is the description of bronchovesicular breath sounds?

    <p>Moderate intensity &amp; pitch, 'blowing' sound created by air movement through larger airway</p> Signup and view all the answers

    What does a barrel chest indicate?

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

    Which breath sound is not normally heard over lung tissue?

    <p>Bronchial breath sound</p> Signup and view all the answers

    What is the significance of finding tympany during percussion of the chest?

    <p>Gastric air bubble</p> Signup and view all the answers

    Which condition would present with a short, high-pitched extremely dull percussion sound?

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

    What is the normal respiratory rate for adults?

    <p>12 to 20 breaths per minute</p> Signup and view all the answers

    Which are the lobes of the right lung?

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

    What is the normal inspiration to expiration ratio during breathing?

    <p>1:2</p> Signup and view all the answers

    Where does the upper lobe of the lung begin?

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

    During chest assessment, which factor should be observed regarding respiratory effort?

    <p>Chest movements</p> Signup and view all the answers

    What should be counted for a full minute during general inspection?

    <p>Respiratory rate</p> Signup and view all the answers

    Which part of the thorax assessment involves methods such as palpation and percussion?

    <p>Chest examination</p> Signup and view all the answers

    What should the respiratory pattern ideally be during breathing?

    <p><strong>Even, coordinated, and regular</strong></p> Signup and view all the answers

    What patient problem is associated with rusty red sputum in pneumonia?

    <p>Impaired Gas Exchange</p> Signup and view all the answers

    Which abnormal breath sound may indicate a respiratory condition like bronchitis, pneumonia, emphysema, or heart failure?

    <p>Crackles (rales)</p> Signup and view all the answers

    What condition is characterized by continuous, low-pitched, coarse, harsh sounds often heard predominantly over trachea and bronchi?

    <p>Rhonchi (gurgles)</p> Signup and view all the answers

    What patient problem is linked to the presence of fluid in the lungs at the alveolar-capillary membrane?

    <p>Impaired Gas Exchange</p> Signup and view all the answers

    Which breath sound is described as having a snoring quality and may disappear or decrease with coughing?

    <p>Rhonchi (gurgles)</p> Signup and view all the answers

    What breath sound indicates an upper airway obstruction and requires immediate attention?

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

    Which patient problem results from bronchial inflammation and hypoxia leading to increased work of breathing?

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

    What might be the cause of continuous high-pitched squeaky musical sounds during inspiration and expiration?

    <p>Air passing through narrowed air passages</p> Signup and view all the answers

    What might be a potential issue related to decreased blood flow with pulmonary capillary vasoconstriction?

    <p>Acute Pain</p> Signup and view all the answers

    What patient problem arises from alveolar-capillary membrane changes occurring with an inflammatory process and exudate in the lungs?

    <p>Impaired Gas Exchange</p> Signup and view all the answers

    What does a barrel chest indicate?

    <p>Chronic obstructive pulmonary disease</p> Signup and view all the answers

    Where are vesicular breath sounds best heard?

    <p>Over the base of the lung</p> Signup and view all the answers

    What is the significance of finding tympany during chest percussion?

    <p>Gastric air bubble</p> Signup and view all the answers

    Which breath sound is characterized by high-pitched, loud, harsh sounds over the trachea?

    <p>Bronchial breath sounds</p> Signup and view all the answers

    What patient problem arises from alveolar-capillary membrane changes occurring with an inflammatory process and exudate in the lungs?

    <p>Lobar pneumonia</p> Signup and view all the answers

    Which percussion sound is indicative of large pneumothorax?

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

    What condition is characterized by lateral curvature or deviation of the spine?

    <p>'Scoliosis'</p> Signup and view all the answers

    Which breath sound is described as having a 'blowing' quality created by air movement through larger airways?

    <p>'Bronchovesicular breath sounds'</p> Signup and view all the answers

    'Protruding buttocks' and 'slack tummy muscles' are characteristics associated with which condition?

    <p>'Kyphosis'</p> Signup and view all the answers

    What is the normal shape of the chest according to the text?

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

    What does tactile fremitus refer to in the context of thorax assessment?

    <p>The vibration felt through the chest wall when the client speaks</p> Signup and view all the answers

    What does a dull percussion sound over a lung area suggest?

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

    How should the respiratory effort be observed during chest assessment?

    <p>Consistent, unlabored breathing</p> Signup and view all the answers

    What might be a potential issue related to pulmonary capillary vasoconstriction?

    <p>Decreased blood flow</p> Signup and view all the answers

    What is the significance of finding tympany during percussion of the chest?

    <p>Presence of air in lung tissue</p> Signup and view all the answers

    What breath sound is characterized by having a snoring quality and may disappear with coughing?

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

    What is the ideal inspiration to expiration ratio during breathing?

    <p>1:2</p> Signup and view all the answers

    Which part of the thorax rests upon the convex surface of the diaphragm?

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

    What should be the normal respiratory rate for adults?

    <p>12-20 BPM</p> Signup and view all the answers

    Which lung has three lobes?

    <p>Right lung</p> Signup and view all the answers

    What is the term used for a method that involves tapping various areas of the body to determine internal organ condition by resonance?

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

    Which condition may present with a high-pitched extremely dull percussion sound?

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

    What is the significance of observing spinal alignment during chest assessment?

    <p>Assessing for scoliosis</p> Signup and view all the answers

    Which observation should be made regarding skin color during chest assessment?

    <p>'Cyanotic' skin color</p> Signup and view all the answers

    'Barrel chest' is associated with which condition?

    <p>'Emphysema'</p> Signup and view all the answers

    'Respiratory efforts of breathing' should be observed during chest assessment to evaluate what aspect?

    <p>'Chest excursions'</p> Signup and view all the answers

    What is the significance of a loud, high-pitched crowing sound or harsh honking wheeze with severe broncholaryngeal spasm?

    <p>Requires immediate attention</p> Signup and view all the answers

    What abnormal breath sound is characterized by superficial grating or creaking sounds?

    <p>Pleural friction rubs</p> Signup and view all the answers

    In thoracic deformities, what potential issue is associated with rusty red sputum in pneumonia?

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

    What does the presence of continuous high-pitched, squeaky musical sounds during inspiration and expiration indicate?

    <p>Asthma exacerbation</p> Signup and view all the answers

    What patient problem is linked to decreased blood flow with pulmonary capillary vasoconstriction?

    <p>Impaired Gas Exchange</p> Signup and view all the answers

    What is the most likely cause of loud, high-pitched crowing sound or harsh honking wheeze with severe broncholaryngeal spasm?

    <p>Asthma exacerbation</p> Signup and view all the answers

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