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THORAX _ LUNGS

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					THORAX & LUNGS


Which of the following characteristics best describes:

1.         Dullness to percussion:

      A.   Is higher pitched than resonance
      B.   Lasts longer than resonance
      C.   Is medium in pitch
      D.   Is louder than resonance

2.         Which of the following is soft, low pitched, and lasts longer on inspiration than on expiration:

      A.   A vesicular breath sound
      B.   A bronchial breath sound
      C.   A bronchovesicular breath sound
      D.   A tracheal breath sound
      E.   Stridor

Terms that help to classify auscultatory findings of the chest.

A.         bronchophony
B.         continuous sounds
C.         discontinuous sounds
D.         adventitious sounds
E.         egophony

Choose the one term that best identifies each of the following observations:

3.         crackles
4.         E to A change
5.         expiratory wheezes
6.         loud, clear, transmitted voice sounds
7.         crackles and wheezes


Some terms used to describe characteristics of percussion:

A.         Dullness
B.         Flatness
C.         Hyperresonance
D.         Tympany

When trying to simulate the sounds of lung field percussion, you can percuss certain parts of your body.
From the list above, match the sounds characteristic of percussing over each of the following body part.

8.         Puffed out cheek
9.         Liver
10.        Thigh
THORAX AND LUNGS continued

Insert the appropriate sign to describe the duration of inspiratory lung sounds as compared with expiratory
lung sounds, i.e., > (longer), < (shorter), and = (equal).


11.       Vesicular

12.       Bronchvesicular

13.       Bronchial

14.       Tracheal


15.All of the following statements are true EXCEPT:

      A. When lung tissue loses air, its transmission of high-pitched sounds is much worse.
      B. Consolidation refers to alveoli filling with fluid, red cells, and white cells.
      C. Tactile fremitus is increased in lobar pneumonia.
      D. In bronchophony spoken words are louder and clearer.
      E. Stridor refers to a wheeze that is entirely or predominantly inspiratory.




ANSWERS
1: A, 2:A, 3:C, 4:E, 5:B, 6:A, 7:D
8.       Puffed out cheek            D Tympany
9.       Liver                       A Dullness
10.      Thigh                       B Flatness
11.      Vesicular                   I      >          E
12.      Bronchvesicular             I      =          E
13.      Bronchial                   I      <          E
14.      Tracheal                    I      =          E
15: A