PRACTICE SCRIPT QUESTIONS ANSWERS
INCLUDED
◉ ruddy, purple color. Answer: What color would you see in the face,
lips and chest area in a patient with COPD and CHF?
◉ pink with 160º angle (from nail to base). Answer: What does a normal
nail color and shape look like?
◉ hypoxia. Answer: What can a pale or cyanotic nail color indicate in a
patient?
◉ clubbing. Answer: abnormal curving of the nail (180º or more);
indication of chronic hypoxia; seen in COPD
◉ Fremitus. Answer: palpable vibration of air in bronchial tubes
◉ use ball or ulnar edge of hand to palpate as patient says "99" each
time you place your hand. Answer: How do you perform a tactile
fremitus on a patient?
, ◉ symmetric, easily felt in upper lobes, and diminishes towards base of
lung. Answer: What would a normal finding feel like when conducting
tactile fremitus on a patient?
◉ consolidation, bronchial obstruction, pneumothorax, or air trapping in
COPD. Answer: if you detect unequal fremitus in a patient, what could
this be an indication of?
◉ lungs with infection. Answer: If vibrations are increased during tactile
fremitus, what could this be an indication of?
◉ tachycardia, dyspnea, tachypnea, cyanosis, and could be caused by
excess air in lungs. Answer: If vibrations are decreased during tactile
fremitus, what could this be associated with or be caused by?
◉ resonance. Answer: low-pitched, clear, hollow sound; normal over
lungs
◉ tympany. Answer: drum-like sound; normal over abdomen and hollow
organs
◉ Dullness. Answer: thud like sound; normal over heart and liver
◉ in people with COPD, emphysema, or pneumothorax. Answer: When
might you hear hyper-resonance when percussing the lungs?