Lung Sounds

Front 1

Vesicular breath sounds sound like?

Back 1

Vesicular breath sounds are soft and low pitched with a rustling quality during inspiration and are even softer during expiration.

Front 2

Where are vesicular breath sounds heard?

Back 2

These are the most commonly auscultated breath sounds, normally heard over the most of the lung surface.

Front 3

BS can be diminished in which pts?

Back 3

pneumonia
pneumothorax
misplaced endotracheal tubes
chronic obstructive pulmonary disease

Front 4

When are crackles most commonly heard in the resp cycle?

Back 4

inspiration

previously termed rales

Front 5

How do crackles sound?

Back 5

Fine crackles are brief, discontinuous, popping lung sounds that are high-pitched. You can simulate this sound by rolling strands of hair between your fingers near your ear. Fine crackles are also similar to wood burning in a fireplace

Front 6

When are crackles most commonly heard in the resp cycle?

Back 6

auscultated during breath inspiration than expiration.

Front 7

Coughing may clear which lung sounds?

Back 7

Rhonci
Lower pitched wheezes

Front 8

Wheezing's caused by?

Back 8

They are caused by secretions or narrowing of the airways.

Front 9

In which part of the respiratory cycle are wheezes more pronounced?

Back 9

Wheezing is typically more pronounced on breath expiration but is sometimes audible on inspiration as well. The proportion of the respiratory cycle occupied by the wheeze roughly corresponds to the degree of airway obstruction.

Front 10

Rhonci sound like?

Back 10

Rhonchi are continuous, low pitched adventitious lung sounds that are similar to wheezes. They often have a snoring, gurgling or rattle-like quality.

Front 11

Rhonci are most commonly heard during which part of the resp cycle?

Back 11

During auscultation, rhonchi are more common observed during expiration. Rhonchi usually clear after coughing.

Front 12

High pitched wheezes may have an auscultation sound similar to?
Lower pitched wheezes have a what type of sound?

Back 12

High pitched wheezes may have an auscultation sound similar to squeaking. Lower pitched wheezes have a snoring or moaning quality. Coughing may clear these lower pitched wheezes.

Front 13

Bronchial breath sounds sound like?

Back 13

Bronchial breath sounds are hollow, tubular sounds that are higher pitched. They can be auscultated over the trachea but are considered abnormal if heard over the peripheral lung fields.

There is a distinct pause in the sound between inspiration and expiration

Front 14

Pleural friction rub sounds like?

Back 14

Pleural rubs are discontinuous or continuous, creaking or grating sounds. The sound has been described as similar to walking on fresh snow or a leather-on-leather type of sound.

Front 15

Will coughing alter the sound of a pleural friction rub?

Back 15

Coughing will not alter the sound.

Front 16

Where are pleural friction rubs usually heard?

Back 16

During auscultation, pleural rubs can usually be localized to a particular place on the chest wall.

Front 17

Pleural friction rubs appear on which part of the resp cycle?

Back 17

Because these sounds occur whenever the patient's chest wall moves, they appear on inspiration and expiration. Pleural rubs stop when the patient holds her breath. If the rubbing sound continues while the patient holds a breath, it may be a pericardial friction rub.

Front 18

If the rubbing sound continues while the patient holds a breath, it may be a pericardial friction rub.

Back 18

pericardial friction rub
So ask the pt to hold their breath

Front 19

For me, crackles sound like?

Back 19

The sound is similar to when you're sipping in on juice through a straw and your at the end.

Front 20

Crackles could be caused by?

Back 20

This fluid could be due to an exudate, as in pneumonia or other infections of the lung, or a transudate, as in congestive heart failure.

Front 21

What do dry crackles sound like?

Back 21

dry crackles sounding more like rubbing hair together next to your ear or like the sound of opening Velcro

Front 22

Wheezes may be due to?

Back 22

Wheezes are characteristically an expiratory sound associated with forced airflow through abnormally collapsed airways with residual trapping of air. Although commonly associated with asthma, wheezes may also be due to other causes such as airway swelling, tumor, or obstructing foreign bodies.

Front 23

Wheezes are usually Expiratory

Back 23

Crackles are usually inspiratory

Front 24

Stridor is caused by?

Back 24

Stridor is caused by upper airway narrowing or obstruction. It is often heard without a stethoscope. It occurs in 10-20% of extubated patients.

Front 25

How does stridor sound?

Back 25

Stridor is a loud, high-pitched wheezing breath sound heard during inspiration but may also occur throughout the respiratory cycle most notably as a patient worsens.

In children, stridor may become louder in the supine position.

Front 26

Late inspiratory crackles (rales) ?

Back 26

Late inspiratory crackles (rales) begin in late inspiration and increase in intensity. They are normally higher pitched and can vary in loudness. These adventitious breath sounds resemble the noise made when salt is tossed onto a hot pan. These sounds are heard over posterior bases of the lungs. They may clear with changes in posture or several deep breaths.

Front 27

Early inspiratory crackles (rales)?

Back 27

Early inspiratory crackles (rales), as suggested by the title, begin and end during the early part of inspiration. The pitch is lower than late inspiratory crackles. A patient's cough may decrease or clear these lung sounds.

Front 28

Early inspiratory crackles suggest?
and are characteristic of ?.

Back 28

Early inspiratory crackles suggest decreased FEV1 capacity and are characteristic of COPD.

Front 29

Polyphonic wheezes are associated with ?

Back 29

Polyphonic wheezes are loud, musical and continuous. These breath sounds occur in expiration and are heard over anterior, posterior and lateral chest walls. These sounds are associated with COPD and asthma.

Front 30

Monophoic wheezes?.

Back 30

Monophoic wheezes are loud, continuous sounds occuring in inspiration, expiration or throughout the respiratory cycle. The constant pitch of these sounds creates a musical tone. The tone is lower in pitch compared to other adventitious breath sounds. The single tone suggests the narrowing of a larger airway.

Front 31

Whispered Pectoriloquy?

Back 31

Ask the patient to whisper "1-2-3" several times while auscultating across the chest walls. The lung area is abnormal if the "1-2-3" sound is understood.

Front 32

In a normal lung, whispered pectoriloquy sounds?

Back 32

When a patient whispers '1-2-3', the voice high frequencies are dampened in a normal lung.
Over healthly lung areas, '1-2-3' is faint or not intelligible.

Front 33

Egophony?

Back 33

Ask the patient to say "Eeee" several times. Auscultate the chest walls. Over consolidated lung areas, the sound is heard as an "A" (aaay).Over healthy lung areas, the sound is understandable as an "E".

Front 34

Bronchophony?

Back 34

Ask the patient to say "99" several times while auscultating the chest walls. Over consolidated areas "99" is understandable. This is because acoustic filtering is reduced in consolidated lung tissue, which allows better sound transmission. Over healthy lung areas, "99" is not understandable. This is because sound is impeded in normal lungs.

Front 35

Diminished vesicular sounds?

Back 35

Diminished vesicular sounds are of lower intensity and seem more distant. These sounds can occur in patients who move a lowered volume of air, such as in frail, elderly patients or shallow breathing patients. They are also heard with obese or highly muscular patients, where tissue mass impeds sound. They exhibit a normal inspiration to expiration ratio of 3 to 1, or 4 to 1.

Front 36

http://www.easyauscultation.com/cases-Quiz.aspx?CourseCaseOrder=10&CourseID=202

Back 36

Intermediate Lung sounds

Front 37

Bronchophony

Back 37

healthy