Bronchial breathing – consolidation — RACP Paediatrics MCQ

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EasyRespiratoryBronchial breathing – consolidationRACP Paediatrics

A 5-year-old with pneumonia has lobar consolidation of the right lower lobe on CXR. On auscultation over the affected area, what breath sounds would you expect to hear?

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Correct answer: D — Bronchial breathing

Bronchial breathing (high-pitched, hollow, with an expiratory component equal to or louder than the inspiratory component) is heard over areas of lobar consolidation. The consolidated lung transmits sound from the large airways more efficiently. Associated findings include increased vocal resonance, aegophony, and dullness to percussion.

Reference: RCH Melbourne – 2023 – Respiratory Examination CPG; RACP Paediatric Curriculum – Respiratory