COPY: Lung Physical Exam Techniques

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Questions and Answers

What sound is heard during percussion of a normal lung?

  • Dull
  • Flat
  • Hyper resonant
  • Resonant (correct)

What condition is likely indicated by dull sounds during percussion?

  • Normal lung function
  • Pneumothorax
  • Consolidation due to pneumonia (correct)
  • Emphysema

Which method uses a stethoscope to examine lung sounds?

  • Inspection
  • Percussion
  • Palpation
  • Auscultation (correct)

What type of lung sounds are predominantly heard in pathological processes?

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

What causes hyper resonant sounds during percussion?

<p>Extra air inside the rib cage (C)</p> Signup and view all the answers

Which of the following is NOT a technique used in the lung physical exam?

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

What sound would be expected when tapping on the thorax of a patient with emphysema?

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

What type of breath sounds are considered normal?

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

What does pectoriloquy indicate when abnormal sounds are heard through the chest?

<p>Fluid in the lungs (C)</p> Signup and view all the answers

Which type of pectoriloquy is characterized by the patient saying '99' in a soft whispered voice?

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

What is the abnormality detected during egophony?

<p>Eee sounds like Aaa (D)</p> Signup and view all the answers

Which condition is primarily associated with increased fremitus?

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

What finding is associated with decreased fremitus?

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

What physical exam finding indicates the presence of nail clubbing?

<p>A rounded bulge of the nail bed (D)</p> Signup and view all the answers

Which of the following conditions is NOT commonly associated with nail clubbing?

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

What is the primary method used to detect fremitus during a physical examination?

<p>Feeling vibrations through the patient's back (A)</p> Signup and view all the answers

What causes the abnormal lung sounds associated with pectoriloquy findings?

<p>Fluid in the lungs (C)</p> Signup and view all the answers

In the context of lung examination, what does 'bronchophony' refer to?

<p>Increased clarity of voice sounds (A)</p> Signup and view all the answers

What does the presence of decreased breath sounds over the right upper lobe indicate?

<p>Pathologic process in the right upper lobe (A)</p> Signup and view all the answers

What are rales commonly referred to as?

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

In which condition are rales most typically heard?

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

What is the main cause of wheezes during an asthma attack?

<p>Narrowing of the bronchi (A)</p> Signup and view all the answers

What characterizes rhonchi in terms of their sound?

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

Where are bronchial breath sounds typically heard?

<p>In areas of lung consolidation (A)</p> Signup and view all the answers

What differentiates stridor from other wheezes?

<p>It is predominantly a high-pitched sound (D)</p> Signup and view all the answers

Which condition can cause localized wheezing in one lobe of the lung?

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

Which of the following conditions is associated with cardiac asthma?

<p>Congestive heart failure (A)</p> Signup and view all the answers

What is typically heard with pectoriloquy during auscultation?

<p>Clear sounds through the chest (C)</p> Signup and view all the answers

What kind of lung sounds are associated with pulmonary edema?

<p>Rales usually in the lower lobes (D)</p> Signup and view all the answers

In which lung condition might you hear an inspiratory wheeze that primarily occurs in children?

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

Which of the following conditions can result in bronchial breath sounds?

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

What characterizes a wheeze during an asthma attack?

<p>Occurs due to airflow through narrowed bronchi (A)</p> Signup and view all the answers

The first method to examine the lung is through ______.

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

Abnormal findings to percussion can include dull or ______ sounds.

<p>hyper resonant</p> Signup and view all the answers

Normal breath sounds during auscultation are described as ______.

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

Dull sounds to percussion suggest ______ or consolidation in the lungs.

<p>pleural effusion</p> Signup and view all the answers

Hyper resonant sounds are often a sign of air being ______.

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

Auscultation is done by placing a ______ against the patient's back.

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

During a normal percussion exam, sounds are described as ______.

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

The sounds heard during percussion are affected by whether the space around the lungs is filled with ______ or air.

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

Pectoriloquy indicates that sounds can be heard over the chest through the ______.

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

In bronchophony, voice sounds are louder and clearer when listening to the patient's chest with a ______.

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

Whisper pectoriloquy involves asking the patient to say ______ in a very soft whispered voice.

<p>99</p> Signup and view all the answers

Egophony is when the patient says ______ and it sounds like an Aaaaay if there is an abnormality in the lungs.

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

Increased fremitus occurs when there is ______ in the lung tissue.

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

Decreased fremitus is often caused by conditions such as ______, pneumothorax, and atelectasis.

<p>pleural effusion</p> Signup and view all the answers

Nail clubbing is associated with various pulmonary diseases, including ______ and cystic fibrosis.

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

Patients with clubbing show a nail bed that bulges out instead of having a gentle downward ______.

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

The presence of abnormal pectoriloquy findings often indicates that there is ______ in the lungs.

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

In pneumonia, the inflamed lung tissue leads to ______ fremitus compared to normal lung tissue.

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

Decreased breath sounds over the right upper lobe indicate some type of ______ process in that area.

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

Abnormal lung sounds are referred to as ______ lung sounds.

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

Rales are also known as ______ due to the sound they produce.

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

One common cause of rales is ______ edema, which causes fluid accumulation in the lungs.

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

Wheezes typically occur when air flows through narrowed ______.

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

A classic cause of wheezing is ______, often seen during exacerbations.

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

Rhonchi sound coarse due to the presence of ______ in the large airways.

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

Bronchial breath sounds are often associated with ______ that has consolidation.

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

Stridor indicates partial obstruction of the ______ or trachea.

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

A classic cause of stridor in children is ______, usually a viral infection.

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

Epiglottitis can cause stridor and is a serious condition often related to ______ infection.

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

When patients speak, you should not be able to hear them clearly during ______.

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

In addition to rales, patients with pneumonia may also exhibit ______ breath sounds.

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

Wheezes can be either ______ or expiratory and indicate airway obstruction.

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

Localized wheezing may indicate an ______ to airflow, such as from a tumor.

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

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