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Block III - PCS

Written exam

QuestionAnswer
Vesicular inspiratory sound is longer than expiratory; heard over most of both lungs
Bronchovesicular equal inspiratory and expiratory sounds; 1st and 2nd intercostals anteriorly and btw scapulae
Bronchial expiratory sound is longer than inspiratory; heard over manubrium
Tracheal equal inspiratory and expiratory sounds; LOUD; heard over trachea in neck
Bronchophony loud and clear when pt w/consolidated lung says "99"
Whispered pectoriloquy pt w/consolidated lung whispers "99" and you can hear it louder thru stethoscope
Egophony consolidated lung changes the sound of "EE" to "AY"
Vocal fremitus sound vibrations are reduced in pneumothorax
Vocal resonance auscultate and sounds are louder in consolidated lung
Stridor high pitched inspiratory sound thru obstructed glottis; a/w croup in children
Crepitus subcutaneous crunching feeling d/t air that has leaked into subcutaneous tissue from chest tube or trauma; heard on auscultation too (sometimes mediastinal)
Dullness to percussion "tapping on stone" - pleural effusion, pleural fibrosis; "tapping on dry wall" - densely consolidated lung
Consolidated pneumonic lung wet rales, bronchial breathing, dullness on percussion, inc vocal resonance & fremitus, bronchophony, egophony, WP
Pleural effusion, Pleural fibrosis or thickening dec breath sounds, stony dullness on percussion, reduced vocal resonance & fremitus
Lung collapse dec breath sounds, no bronchial sounds, dullness to percussion possibly present, dec vocal resonance and fremitus
Pneumothorax no breath sounds, dec vocal fremitus & resonance, tympanic note on percussion, dec chest expansion
Created by: bscaryp
 

 



Voices

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