Pulmonary

Question 1

Anterior Lung fields

Answer 1

Apices to 6-7

the ribs

Question 2

Lateral Lung fields

Answer 2

Axilla to 8-9

the ribs

Question 3

Posterior Lung fields

Answer 3

Apices 10-12th ribs

Question 4

Regular pattern of gradually increasing / decreasing tidal volume interspersed with
periods of apnea

Answer 4

Cheyne-Stokes:

Question 5

Complete irregularity of breathing, with irregular pauses & increasing periods of apnea. SIMILAR SIZE BREATHS

Answer 5

Biots

Question 6

Complete irregularity of breathing, with irregular pauses & increasing periods of apnea. VARIANCE IN DEPTH

Answer 6

ataxic

Question 7

Increased Fremitus

Answer 7

Lung Consolidation

Question 8

Decreased Fremitus

Answer 8

Excess air in lungs

or Collapsed Lung (Pneumothorax)

Question 9

Fluid collecting in potential space between the lung and chest wall.

Answer 9

Pleural Effusion

Question 10

When air filled parenchyma becomes engorged with fluid.

Answer 10

Consolidation

Question 11

Finger that is struck

Answer 11

Pleximeter:

Question 12

Stricking finger

Answer 12

Plexor

Question 13

Heard at manubrium as Loud & high pitched.

Answer 13

Bronchial

Question 14

Heard at mainstem bronchi anteriorly (1-3 rd ICS) & midscapular area posteriorly

Answer 14

Bronchovesicular

Question 15

Heard around most of the lung fields as Low pitch

Answer 15

Vesicular

Question 16

Predominant phase for bronchial sounds

Answer 16

Expiration

Question 17

heard in areas with both alveolar tissue and large airways

Answer 17

Bronchovesicular

Question 18

hear on either side of the sternum anteriorly and Between the scapulae posteriorly

Answer 18

Bronchovesicular

Question 19

Smooth, swishing, soft sound heard more during inspiration

Answer 19

Vesicular sounds

Question 20

Heard in the peripheral lung fields through

alveolar tissue

Answer 20

Vesicular sounds

Question 21

• Fine, popping, crackling, discontinuous, non-musical
• mainly during inspiration
• Mostly in peripheral lung fields

Answer 21

Crackles (Rales)

Question 22

caused by fluid-filled alveoli “popping” open during inspiration

Answer 22

Crackles (Rales)

Question 23

Found in pulmonary edema, congestive heart failure, pneumonia, interstitial fibrosis (a velcro-like sound) and any condition
involving alveolar tissue

Answer 23

Crackles (Rales)

Question 24

High-pitched, squeaking, musical, continuous

noises heard mainly during expiration and caused by narrowing, constriction or spasm in the very small airways

Answer 24

Wheezes

Question 25

Found in asthma, congestive heart failure, fibrosis, pneumonia and TB

Answer 25

wheezes

Question 26

Snores, moans or groans caused by large airways becoming narrowed mostly during expiration

Answer 26

Rhonchi

Question 27

found in constrictive conditions like bronchitis or bronchospasm

Answer 27

Rhonchi

Question 28

• Tachypnea
• Dyspnea
• Diminished fremitus
• Possible hyperresonance
• Expiratory wheezes

Answer 28

asthma

Question 29

• Tactile fremitus
  undiminished
• Resonance
• Rhonchi

Answer 29

emphysema

Question 30

• Limited motion
• Labored breathing
• Increased fremitus
• Dullness
• Crackles
• Bronchial breath sounds
• Egophony, bronchophony, whispered pectoriloquy

Answer 30

Pneumonia

Consolidation

Question 31

• Cyanosis
• Dyspnea
• Tracheal Deviation
• Diminished fremitus
• Hyperresonance
• Diminished breath
  sounds

Answer 31

Pneumothorax