5 Written Questions

1. -sounds should be muffled and indistinct
   -loudest medially
2. 3-5cm, may be slightly higher on R, bc of liver
3. fast breathing
4. -Resonant tone over lung
   -Flat tone over scapula, spine, sternum
   -Dull tone over heart, liver diaphragm
5. -Cough/Congestion: Type, onset, duration, pattern, severity
   -Sputum Production: amount, color, blood, odor, pattern

5 Matching Questions

1. Bradypnea
2. Chest Related Hx
3. Abnormals for Crepetus:
4. Bronchovesicular sounds
5. "99" test NL:

1. a slow breathing
2. b -medium pitch, medium intens
   -heard over main bronchus
   -1:1 ratio
3. c -most intense vibration @ 2nd ICS at sternal boarder
   -less intense toward periphery
4. d Infections
   Trauma
   Surgery
   Clotting Disorders
   Chronic Conditions-CA, Renal Disease (overload of fluid)
5. e audible popping.

5 Multiple Choice Questions

1. sitting face forward c arms folded in front- helps open lungs
   1. Inspection position
   2. Palpation
   3. Angle of Lewis
   4. Scoliosis
2. -high pitch, loud intensity
   -heard over trachea
   -1:2 ratio
   1. Bronchovesicular sounds
   2. Present Health Hx
   3. Bronchial (Tracheal) Tubular
   4. Paroxysmal Nocturnal Dyspnea
3. -transmission of voice sounds heard c stethoscope
   - "99" test used
   1. Vocal Resonance
   2. Vertebral Prominence
   3. Tachypnea
   4. Palpation
4. -Thumbs at 10th rib (T8/9)
   -Palms lightly around chest
   -Skin pinched btw thumbs
   -Pt breaths normally
   1. OA variations:
   2. NL of thoracic examination:
   3. Percussion procedure:
   4. Thoracic examination procedure:
5. "E-E-E" test. Is abnormal and pt has Egophany if sounds like "A-A-A"
   1. Apnea
   2. Eupnea
   3. Egophany
   4. Kyphosis

5 True/False Questions

1. Diaphragmatic Excursion → -Hold Breath In: palpate down till a change in tone; mark
   -Hold Breath out: palpate up till change in tone; mark

   True        False

2. Wheeze → Ronchi

   True        False

3. Distant/Decreased breath could mean: → Fine Crackles
   Coarse Crackles
   Late Inspiratory Crackles
   Early Crackles

   True        False

4. NL of thoracic examination: → 3-5cm of movement btw thumbs; symmetry

   True        False

5. Stridor → -very high pitched, crowning on inspiration
   -in larynx or from upper airway obstruction
   -croup, like gasp 'crying'
   -can be life threatening

   True        False