Thorax Assessment Spring 2024 - Chest Shape, Size, and Palpation

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15 Questions

What is the normal shape of the chest?

Oval

In chronic conditions, what happens to the anterior-posterior (AP) diameter of the chest?

Increases

During normal chest expansion, how much should the thumbs separate during inspiration?

2 inches

What is tactile fremitus?

A feeling of vibration felt through the chest wall when the client speaks

What is the purpose of percussion in a thorax assessment?

To evaluate the condition of internal organs by resonance

Which percussion sound is most likely to be heard in a patient with COPD?

Hyperresonance

What is the best location to auscultate vesicular breath sounds?

Base of the lung

What is the characteristic feature of barrel chest deformity?

AP to transverse diameter ratio of 1:1

Which condition is most likely to present with yellow mucopurulent sputum?

Chronic bronchitis

Where are bronchovesicular breath sounds typically auscultated?

Between scapulae and lateral to sternum

What condition is characterized by impaired gas exchange due to decreased functional lung tissue?

COPD exacerbation

Which abnormal breath sound is commonly heard at the bases on inspiration and is associated with bronchitis, pneumonia, emphysema, and heart failure?

Crackles (rales)

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

Asthma attack

Which breath sound indicates a superficial grating or creaking sound, occurring when visceral and parietal pleural surfaces are damaged?

Friction rub

What condition is characterized by continuous, high-pitched, squeaky musical sounds that are not cleared by coughing?

Asthma attack

This quiz covers assessment of the thorax including chest shape, size, and palpation. Topics include normal chest characteristics, AP diameter, and posterior thorax palpation techniques.

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