TINAJONES
Harsh, High-pitched, Loud (correct answers)You can hear bronchial sounds above the manubrium, over
the trachea. Bronchial Sounds are:
Medium in loudness, medium in pitch (correct answers)Bronchiovesicular sounds are heard over the
main bronchi. These sounds are:
Softest, lowest in pitch (correct answers)vesicular sounds are over the lower bronchi, the bronchioles,
and the lobes. The left lung has two lobes. The right lung has three lobes.
Right lung (correct answers)3 lobes: Vesicular Right Superior, Vesicular Right Middle,Vesicular Right
Inferior.
Left lung (correct answers)2 lobes: Vesicular Left Superior & Vesicular Left Inferior
Abnormal lung sounds (correct answers)Diminished or absent breath sounds, increased breath sounds,
& adventitious sounds.
Decreased Breath Sounds (correct answers)Normal lungs sounds are usually easy to hear with a
stethoscope. Occasionally you will hear sounds that are decreased in intensity, or even absent.
Decreased breaths sounds occur in airway disease or obstruction, diaphragm paralysis, or impairment of
sound transmission through the chest wall. Worsening symptoms may lead to absent breath sounds.
Absent lung sounds usually indicate that no air is moving in the lung tissue.
Increased Breath Sounds (correct answers)A common abnormal finding is hearing bronchial or
bronchiovesicular sounds, which are louder and harsher, in peripheral lung tissue where vesicular
sounds are normally heard. This occurs when underlying lung tissue is filled with liquid or solid material,
rather than air.
Adventitious Sounds (correct answers)When you auscultate, you might hear abnormal sounds in
addition to the normal lung sounds. These additional abnormal sounds are called adventitious sounds.
Crackles (Fine) (correct answers)High-pitched crackling sounds that occur when inhaled air meets
deflated alveoli, causing them to pop open. Short popping sounds, high-pitched, Location: usually bases
of lower lobes.Sound like the noise created by rolling a strand of hair between your thumb and index
finger. (likely Pneumonia)
Crackles (Coarse) (correct answers)loud, low-pitched bubbling sounds that are caused when air meets
secretions in the large airways. Short crackling sounds, low-pitched, Location: trachea and large bronchi.
Sounds like separating a Velcro fastener.