When auscultating the breath sounds of a patient with respiratory distress, you hear a high-pitched
whistling sound during expiration. This suggests :
a. fluid in the smaller airways
b. upper respiratory infection
c. mild laryngeal swelling
d. lower airway obstruction - CORRECT ANSWER✅✅✅d. lower airway obstruction
adventitious sounds - CORRECT ANSWER✅✅✅abnormal breath sounds
Trachael sounds - CORRECT ANSWER✅✅✅Loud and harsh
Bronchial sounds - CORRECT ANSWER✅✅✅Noted over the manubrium (the main stem bronchus)
Loud, high-pitched, and hollow sounds
Bronchovesicular sounds - CORRECT ANSWER✅✅✅Noted at the midclavicular line
Soft, breezy, lower pitched sounds
Vesicular sounds - CORRECT ANSWER✅✅✅Noted in the lateral wall of the chest
Fine and fainter breath sounds of air from the smaller bronchioles and alveoli
,Wheezing sounds - CORRECT ANSWER✅✅✅high-pitched whistling sound that is most prominent on
expiration. Can also be heard on inspiration
If heard unilateral, suspect foreign body or infection
If heard bilateral, suspect an inhaled irritant or lung disease
Crackles - CORRECT ANSWER✅✅✅A moist crackling, usually on inspiration and expiration (formerly
called rales)
Produced by oxygen passing through moisture in the bronchoalveolar system or by closed alveoli
opening abruptly
Rhonci - CORRECT ANSWER✅✅✅Congested breath sounds; continuous sounds with a lower pitch
and a rattling quality and are indicative of fluid in the larger airways in the lungs.
May indicate the presence of mucus in the lungs or inflammation
Low-pitched, noisy sounds that are most prominent on expiration.
Pt will often have a productive cough
Stridor - CORRECT ANSWER✅✅✅a brassy, crowing sound often heard without stethoscope.
Caused by the narrowing, swelling, or obstruction of the upper airway and may indicate that the patient
has an airway obstruction in the neck or upper part of the chest
Most prominent on inspiration
Pleural friction rubs - CORRECT ANSWER✅✅✅Squeaking or grating sounds occurring when the
pleural linings rub together
, Most likely, the pleural layers have lost their lubrication
All of the following conditions would require immediate transport after the primary survey and
treatment phase, except :
a. responsiveness but inability to follow commands
b. abdominal pain and cool, clammy skin
c. inability to move the extremities following trauma
d. headache without mental status change - CORRECT ANSWER✅✅✅d. headache without mental
status change
The laryngeal mask airway (LMA) is indicated when :
a. patient require positive-pressure ventilation with high pressure
b. intubation is not possible and mask ventilation is the only option
c. superior protection from aspiration of gastric contents is needed
d. an unconscious patient is apneic and has an intact gag reflex - CORRECT ANSWER✅✅✅b.
intubation is not possible and mask ventilation is the only option
A 20-year male twisted his ankle while playing basketball. He is conscious and alert, is breathing
adequately, and denies other trauma. After performing the primary assessment, you should :
a. perform a focused assessment