Women should perform self-breast exams on the first day of menses. A shrill, harsh sound during inspiration is called stridor. The apical pulse should be assessed at the third intercostal space to the right of the midclavicular line. Soft, breezy, low-pitched sounds heard longer on inspiration are called bronchovesicular sounds. The purpose of a physical exam is to ascertain the client's level of health and physiological function.