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 (C)</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 (D)</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 (A)</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 (D)</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 (C)</p> Signup and view all the answers

Which percussion sound is indicative of COPD or Pneumothorax?

<p>Hyperresonance (A)</p> Signup and view all the answers

What is the best location to auscultate vesicular breath sounds?

<p>Peripheral lung (D)</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 (C)</p> Signup and view all the answers

What does a barrel chest indicate?

<p>COPD (C)</p> Signup and view all the answers

Which breath sound is not normally heard over lung tissue?

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

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

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

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

<p>Flatness (A)</p> Signup and view all the answers

What is the normal respiratory rate for adults?

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

Which are the lobes of the right lung?

<p>Three (B)</p> Signup and view all the answers

What is the normal inspiration to expiration ratio during breathing?

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

Where does the upper lobe of the lung begin?

<p>Apex (B)</p> Signup and view all the answers

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

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

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

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

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

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

What should the respiratory pattern ideally be during breathing?

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

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

<p>Impaired Gas Exchange (B)</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) (A)</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) (A)</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 (C)</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) (A)</p> Signup and view all the answers

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

<p>Stridor (D)</p> Signup and view all the answers

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

<p>Dyspnea (C)</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 (A)</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 (B)</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 (A)</p> Signup and view all the answers

What does a barrel chest indicate?

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

Where are vesicular breath sounds best heard?

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

What is the significance of finding tympany during chest percussion?

<p>Gastric air bubble (B)</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 (C)</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 (A)</p> Signup and view all the answers

Which percussion sound is indicative of large pneumothorax?

<p>Tympany (A)</p> Signup and view all the answers

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

<p>'Scoliosis' (C)</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' (A)</p> Signup and view all the answers

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

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

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

<p>Oval (B)</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 (C)</p> Signup and view all the answers

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

<p>Pneumothorax (B)</p> Signup and view all the answers

How should the respiratory effort be observed during chest assessment?

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

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

<p>Decreased blood flow (D)</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 (C)</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> (C)</p> Signup and view all the answers

What is the ideal inspiration to expiration ratio during breathing?

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

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

<p>Base (D)</p> Signup and view all the answers

What should be the normal respiratory rate for adults?

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

Which lung has three lobes?

<p>Right lung (C)</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 (D)</p> Signup and view all the answers

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

<p>Pneumothorax (C)</p> Signup and view all the answers

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

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

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

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

'Barrel chest' is associated with which condition?

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

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

<p>'Chest excursions' (C)</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 (D)</p> Signup and view all the answers

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

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

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

<p>Infection (A)</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 (A)</p> Signup and view all the answers

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

<p>Impaired Gas Exchange (D)</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 (A)</p> Signup and view all the answers

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