Respiratory Care Introduction Exam with Verified Solutions

Barrel chest - increased diameter, associated with air trapping like emphysema; pushes rib cage out and up and pushes diaphragm down Pectus excavatum - depression in the sternum Pectus carinatum - protrusion of the sternum Kyphosis - abnormal curvature of the spine (hunchback) Palpation - ~ temperature of skin ~ Tracheal position (middle of neck) ~ Pain ~ Lumps ~ Symmetry of movement/lung expansion Tactile fremitus - ~ vibration felt through the chest wall when the patient speaks ~ says 99 while palpating the chest Vocal fremitus - ~the vibrations created by vocal cords during speech Increased tactile/vocal fremitus - ~ pneumonia ~ Atelectasis ~ Consolidation ~ Pulmonary edema ~ ERD Decreased tactile/vocal fremitus - ~ pneumonia ~ Pleural effusion ~ Bronchial obstruction ~ Thick chest wall ~ COPD Percussion - placing the middle finger on the patient's chest and striking the joint with the middle finger of the other hand Resonant - normal lung Hyperresonance - ~ increased lung ~ More air than normal