While assessing auscultated spoken sounds, the ausculated sound ...

[tuffie]

While assessing auscultated spoken sounds, the ausculated sound is heard as a-a-a when he is asked to repeat e-e-e. This is indicative of:
 
  A. Asthma
  B. Tumor
  C. Pneumonia
  D. Pleural effusion

Question 2

During auscultation of the chest, your exam reveals a loud grating sound at the lower anterolateral lung fields, at full inspiration and early expiration. This finding is consistent with:
 
  A. Pneumonia
  B. Pleuritis
  C. Pneumothorax
  D. A and B

[Heffejeff]

Answer to Question 1

ANS: C
Depending on the findings associated with the examination, the examiner can decide whether to proceed with auscultated spoken sounds: bronchophony, egophony, and/or whispered pectoriloquy. If the detected sound is heard as A-A-A with a nasal quality over a particular area, indicating egophony, this is an indication of pneumonia.

Answer to Question 2

ANS: D
An adventitious sound, called a pleural friction rub, is a typically loud, grating sound produced when the two inflamed and roughened surfaces of the visceral and parietal pleurae rub together. A friction rub is usually noted in the late inspiratory and early expiratory phases and in the lower anterolateral lung fields. Examples of conditions that result in a pleural rub include pneumonia, pleuritis, and malignancy.