Pulmonology: Auscultation

1. Normal vesicular breath sound has a frequency of :
a) 15-200 Hz
b) 200-600Hz
c) 20-2000Hz
d) Variable

2. In vesicular breath sound the I:E ratio is:
a) 1:3
b) 3:1
c) 4:1
d) 3:2

3. All the following are predominantly low pitched except:
a) Vesicular BS
b) Cavernous BS
c) Tubular BS
d) Amphoric BS

4. Amphoric BS is heard in all except:
a) Bronchopleural fistula
b) Tension pneumothorax
c) Large superficial communicating cavity
d) Collapse with patent bronchus

5. Clinical description of Breath Sounds was given by:
a) Laenac
b) Sapira
c) Goll
d) Edmondo

6.All are true regarding crepitations according to ATS definitions except:
a) Non continous
b) Non musical
c) Explosive
d) Duration >250ms
e) Duration <250 ms

7. Al the following are late inspiratory crepitations except:
a) Idipopathic pulmonary fibrosis
b) Bronchiectasis
c) Lupus lung
d) Asbestosis

8. ILD shows which added sounds:
a) Squawks
b) Expiratory wheeze
c) Fixed monophonic wheeze
d) Coarse crepitations
e) Death rattle

9. All the following differentiate rub from crackles except:
a) Discontinous
b) Superficial
c) Cough variation
d) Tenderness
e) Non segmental

10. De espine sign is positive in all except:
a) Central pneumonia
b) Mediastinal lymphoma
c) Thymoma
d) Mediastinal neuroblastoma

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