Pulmonary Examination Questions With Complete Solutions

Pulmonary Examination Questions With Complete Solutions

2nd ICS Correct Answer needle insertion to relieve tension
pneumothorax (midclavicular line)

4th ICS Correct Answer chest tube insertion (midaxillary)

accessory muscles of respiration Correct Answer -
sternomastoids
-scalenes

AP to lateral diameter should be Correct Answer 2:1

apices of lung Correct Answer extend above clavicles

asymmetrical respiratory excursion may be seen with Correct
Answer -chronic fibrosis of the lung/pleura
-pleural effusion
-lobar pneumonia

barrel chest seen in pts with Correct Answer COPD

bases of lung Correct Answer descent to 6th rib MCL, 8th rib
midaxillary, and to T10 posteriorly

bronchial Correct Answer -over manubrium
-louder, harsher and higher in pitch
-greater with expiration

bronchovesicular Correct Answer -1st and 2nd ICS and inter
scapular area

, -inspiration = expiration

COPD consists of Correct Answer -emphysema
-chronic bronchitis

crackles Correct Answer -intermittent, brief, nonmuscial
-fine versus corse
-pneumonia

deviated trachea should make you suspect a Correct Answer
tension pneumothorax

evidence of distress with inspection Correct Answer -
tripoding
-pursed lip breathing
-central cyanosis (lips)
-accessory muscle use
-retractions

exhalation Correct Answer -passive
-diaphragm relaxes and rises
-increased intrathoracic pressure

hyperresonance Correct Answer -air trapping
-very loud intensity
-seen in emphysema, asthma

hypo resonance Correct Answer -dull/flat
-lower intensity
-seen in fluid-filled lungs, solid masses, pneumonia, effusion,
hemothorax, tumor