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Review
of Clinical Signs

Pulmonary Auscultation

Series Editor and Author: Bernard Karnath, MD
Coauthor: Michael C. Boyars, MD


1. A 50-year-old woman comes to the emergency department because she has a 2-day history of cough (productive of rust-colored sputum), fever, and right-sided pleuritic chest pain. She has smoked a pack of cigarettes daily for the past 30 years. A radiograph of her chest is shown below. What sounds and sound quality would most likely be found via pulmonary auscultation?


  1. Bronchial breath sounds, egophony, and inspiratory crackles
  2. Expiratory wheezes, egophony, and inspiratory crackles
  3. Tracheal breath sounds, expiratory wheezes, and inspiratory crackles
  4. Vesicular breath sounds, egophony, and expiratory wheezes
Click here to compare your answer.


2. A 60-year-old woman reports a 3-day history of worsening dyspnea, 2-pillow orthopnea, and worsening lower extremity edema. The patient has a history of coronary artery disease. A radiograph of her chest is shown below. What sounds would most likely be found via pulmonary auscultation?


  1. Bronchial breath sounds
  2. Expiratory wheezes
  3. Inspiratory crackles
  4. Vesicular breath sounds
Click here to compare your answer.


3. A 50-year-old man has had progressive dyspnea and a nonproductive cough for several months. A radiograph of his chest is shown below. What sounds would most likely be found via pulmonary auscultation?


  1. Bronchial breath sounds
  2. Expiratory wheezes
  3. Inspiratory crackles
  4. Vesicular breath sounds
Click here to compare your answer.

4. A 50-year-old man has a 2-week history of progressive dyspnea and a nonproductive cough. Additionally, he has a history of coronary artery disease and high-grade atrioventricular heart block. A radiograph of his chest is shown below. What sounds or sound quality would most likely be found via pulmonary auscultation?


  1. Diminished breath sounds
  2. Egophony
  3. Expiratory wheezes
  4. Pleural friction rubs
Click here to compare your answer.


5. A 60-year-old woman reports worsening chronic dyspnea. She has smoked a pack of cigarettes daily for the past 40 years. A radiograph of her chest is shown below. What sounds would most likely be found via pulmonary auscultation?


  1. Diminished breath sounds
  2. Egophony
  3. Expiratory wheezes
  4. Pleural friction rubs
Click here to compare your answer.




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