100% Correct
When auscultating the lungs of a patient, you hear a low-pitched, grating sound. This is
due to
A.) partial airway blockage.
B.) a pleural friction rub.
C.) upper airway obstruction.
D.) fluid in the lungs. - ANSWER a pleural friction rub.
-Pleural friction rub is a grating, low-pitched sound due to inflammation of the pleura,
causing them to rub together.
While performing respiratory auscultation, you hear bronchial sounds over the
peripheral lung fields. This is A.) a normal finding.
B.) indicates an absence of breath sounds.
C.) similar to the sound made by pulling apart Velcro.
D.) referred to as increased breath sounds. - ANSWER referred to as increased breath
sounds.
-Vesicular breath sounds are normal over the periphery of the lungs. When bronchial
sounds are heard over peripheral lung fields this is referred to as increased breath
sounds. Increased breath sounds are due to consolidation, as in pneumonia, or
compression causing denser lung tissue that enhances sound transmitted from the
bronchi. When inspired air encounters solid lung tissue, sound is conducted more
effectively.
On respiratory auscultation, you hear a loud, high-pitched, crowing sound that can be
heard without a stethoscope. This is
A.) crackles.
B.) pleural friction rub.
C.) ronchi.
D.) stridor. - ANSWER stridor.
-Stridor are loud, high-pitched sounds that have also been described as "crowing." They
can usually be heard without a stethoscope and, since they are caused by an upper
airway obstruction, require immediate emergency medical intervention.
In respiratory auscultation, tactile fremitus is increased if
A.) lung tissue is consolidated.
B.) the patient suffers from a pneumothorax.
, C.) tympanic sounds are heard over the periphery of the lungs.
D.) crackles are present. - ANSWER lung tissue is consolidated.
-Consolidated lung tissue enhances vibrations and increases tactile fremitus.
You are percussing the anterior chest of a patient and reach the area of the border of
the liver in the right upper abdominal quadrant. You expect to hear
A.) resonance.
B.) dullness.
C.) flatness.
D.) hyperresonance. - ANSWER dullness.
-Dullness is a thud-like sound of medium intensity and pitch normally heard over the
liver.
When performing respiratory auscultation, you would do which of the following? A.)
Ask the patient to take shallow breaths.
B.) Ask the patient to breathe through his/her mouth.
C.) Note that a respiratory rate of 20 is abnormal.
D.) Begin auscultation at the bases of the lungs. - ANSWER Ask the patient to breathe
through his/her mouth.
-The patient should breathe through his/her mouth because breathing through the nose
may alter the pitch of the sounds you hear.
Abnormal breath sounds described as bubbling or gurgling that occur at the beginning
of inhalation are
A.) coarse crackles.
B.) wheezes.
c.) ronchi.
D.) stridor. - ANSWER coarse crackles.
-Coarse crackles are heard at the beginning of inhalation and are bubbling or gurgling
sounds.
Diffusion is
A.) the distribution of oxygen and carbon dioxide into and out of the pulmonary airways.
B.) the movement of oxygen and carbon dioxide through a semipermeable membrane
from areas of greater concentration to areas of lower concentration.
C.) the blood flow from the heart's right side, through the pulmonary circulation, and
enters the left side of the heart.
D.) the movement of deoxygenated blood to the left side of the heart via the pulmonary
arteries. - ANSWER the movement of oxygen and carbon dioxide through a