1 - History and Exam

Question 1

early morning cough assoc w/

Answer 1

chronic bronchitis, bronchiectasis

Question 2

nighttime cough assoc w/

Answer 2

GERD, asthma, CHF, ACE inhibitors

Question 3

difficulty controlling a cough is usually assoc w/

Answer 3

reactive airway dz

Question 4

bronchorrhea

Answer 4

large volume of clear sputum / bronchoalveolar secretions

assoc w/ bronchoalveolar CA

Question 5

type of sputum in bronchiectasis

Answer 5

large thick green secretions

Question 6

causes of massive hemoptysis

Answer 6

alveolar hemorrhage due to:

SLE, wegener’s, cocaine, goodpasture’s, pulm-renal syndrome IPH (idiopathic pulm hemosiderosis)

Question 7

clubbing is assoc w/

Answer 7

suppurative lung dz (like chronic bronchitis)

chronic hypoxic heart dz

Question 8

difference in physical appearance btwn emphysema and chronic bronchitis pts

Answer 8

emphysema - “pink puffer” - thin, barrel chested

chronic bronchitis - “blue bloater” - edema

Question 9

cause of superior vena cava syndrome

Answer 9

lung cancer impinging on SVC

Question 10

common cause of horner’s syndrome and 3 classic sx

Answer 10

lung cancer in/near apex

ptosis, miosis, anhidrosis

Question 11

A 30 y.o. patient presents with history of fever, chills, dyspnea, and productive cough with thick, green sputum. What is the most likely diagnosis? What findings do you predict on physical exam?

Answer 11

bronchiectasis