Field Internship Student Data Acquisition Project. (FISDAP) Airway Practice Exam

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What hearing characteristic is most typical for bronchial breath sounds?

  1. Best heard on expiration

  2. Equal during inspiration and expiration

  3. Best heard on inspiration

  4. Continuous and rhythmic

The correct answer is: Best heard on expiration

Bronchial breath sounds are typically characterized by being best heard during expiration. This is due to the anatomy and normal physiology of the respiratory system. In healthy lungs, the normal airway sounds in the trachea and mainstem bronchi exhibit a higher-pitched and more hollow quality during expiration, correlating with the flow of air as it is pushed out of the lungs. During inspiration, the sounds are less distinct and softer because the airflow through the smaller, peripheral airways produces more muted sounds. Thus, the primary distinguishing feature of bronchial breath sounds is their prominence during the expiratory phase of breathing, making this characteristic essential for clinical assessment in differentiating normal from abnormal lung sounds.