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

Where are bronchial (tubular) lung sounds primarily located?

1. Over the upper lung lobes

2. Over the trachea

3. Between the scapula and lateral to the sternum

4. Over the diaphragm

The correct answer is: Over the trachea

Bronchial (tubular) lung sounds are primarily located over the trachea due to the proximity of the airway that generates these sounds. These sounds are characterized by a high-pitched and hollow quality, which is consistent with the airflow in the larger bronchi and the trachea, where turbulent airflow is most pronounced. Understanding these lung sounds is essential for assessing respiratory function. Bronchial sounds are expected in the regions where the tracheobronchial tree is closest to the surface. In contrast, bronchovesicular and vesicular sounds are more diffuse and are heard over the lung fields, where the air exchange and the movement of air through smaller airways occur. In clinical practice, recognizing the location of bronchial sounds helps differentiate normal from abnormal auscultation findings. Abnormalities in the expected locations of these sounds can indicate pathologies such as consolidation or atelectasis. Thus, knowing that bronchial sounds are normally found over the trachea is crucial for accurate respiratory assessment.