Paramedic National Registry Practice

Pneumonia in the right lower lobe will present with lung sounds where?

1. Left anterior chest

2. Right front, above the clavicle

3. Right posterior, below the scapula

4. Centered around the sternum

The correct answer is: Right posterior, below the scapula

Pneumonia in the right lower lobe will typically present with lung sounds that are best auscultated in the right posterior chest area, specifically below the scapula. This is the anatomical location where respiratory sounds from the right lower lobe are most accessible for auscultation, allowing for the detection of abnormal sounds such as crackles or decreased breath sounds associated with pneumonia. The right lower lobe is located anatomically toward the back and lower part of the thoracic cavity. Thus, auscultating the lung sounds from the posterior side is crucial to accurately assess for any pathology affecting this lobe. Considering other options, the left anterior chest is not relevant for right-sided pneumonia. The right front, above the clavicle may pick up some sounds but is less reliable for assessing the lower lobe compared to the posterior position. Centering around the sternum would primarily involve sounds from various lung segments, not isolating the sounds from the right lower lobe.