RATED A+
✔✔where can frontal sinuses be palpated?? - ✔✔medial eyebrows
✔✔where can maxillary sinuses be palpated?? - ✔✔underneath zygomatic arches
✔✔increased fremitus indicates - ✔✔pneumonia
✔✔decreased fremitus indicates - ✔✔emphysema
✔✔Verbal component: tactile fremitus - ✔✔NORMAL SHOULD BE A SLIGHT
VIBRATION
increased fremitus = pneumonia
decreased fremitus = emphysema
✔✔NAME RIGHT SIDE LOBES ON ANTERIOR AND LOCATIONS - ✔✔ABOVE
CLAVICLE TO 4TH RIB = UPPER
4TH - 6TH RIB = MIDDLE LOBE
6TH-8TH = LOWER LOBE
✔✔NAME LEFT SIDE LOBES ON ANTERIOR AND LOCATIONS - ✔✔ABOVE
CLAVICLE TO 6TH RIB = UPER
6TH RIB TO 8TH RIB = LOWER
✔✔name the three tests/findings for the doctor
to perform vocal resonance - ✔✔1 bronchophony = 99 (if clear, distinct sounds are
heard = consolidation
2 egophony = patient says EEEEEE (but doc hears AAAAA like goat, consolidation)
3 Whispered pectoriloquy = whispered 99 (if its heard clearly and distincly, consolidation
is present
tests are in alphabetical order = 99, EEEE, whispered 99
✔✔name the sound for the following condition: pneumonia - ✔✔dullness
✔✔name the sound for the following condition: atelectasis - ✔✔dullness
✔✔name the sound for the following condition: pleurisy - ✔✔dullness
✔✔name the sound for the following condition: NORMAL - ✔✔resonant
, ✔✔name the sound for the following condition: Bronchitis - ✔✔resonant
✔✔name the sound for the following condition: emphysema - ✔✔hyperresonant
✔✔name the sound for the following condition: pneumothorax - ✔✔hyperresonant
✔✔name the three conditions for percussive chest sounds: dullness - ✔✔pneumonia,
atelectasis, and pleurisy
✔✔name the one condition other than normal for percussive chest sounds: resonance -
✔✔bronchitis
✔✔name the two conditions for percussive chest sounds: hyperresonance -
✔✔emphysema and pneumothorax
✔✔where do you listen for tracheal breath sounds?? - ✔✔over trachea
✔✔where do you listen for bronchial breath sounds?? - ✔✔over manubrium
✔✔where do you listen for bronchovesicular breath sounds?? - ✔✔between 1st-2nd
ribs anteriorly
AND
between scapular posteriorly
✔✔where do you listen for vesicular breath sounds?? - ✔✔the remaining lung field
✔✔if you are listening over the trachea, what breath sounds are you hearing?? -
✔✔tracheal
✔✔if you are listening over the manubrium, what breath sounds are you hearing?? -
✔✔bronchial
✔✔if you are listening between the 1st and 2nd ribs anteriorly, and scapular posteriorly,
what breath sounds are you hearing?? - ✔✔bronchovesicular
✔✔if you are listening over the remaining lung field, what breath sounds are you
hearing?? - ✔✔vesicular
✔✔Lab finding for viral menignitis - ✔✔INCREASE protein in CSF
✔✔Lab finding for bacterial menignitis - ✔✔DECREASE glucose in CSF