ACS: Lungs & Male Genitourinary Disorders

Question 1

Percussion: Flat = ?
Fremitus: Decreased

Answer 1

Solid

Atelectasis, tumor, pneumoconiosis

Question 2

Percussion: Tympany = ?
Fremitus: Normal

Answer 2

GI- Air

Megenblase (gastric air bubble), flatulance

Question 3

Percussion: Dull = ?
Fremitus: Increased

Answer 3

Fluid

Bacterial pneumonia, CHF, Pulmonary Edema

Question 4

Percussion: Hyperresonance = ?
Fremitus: Decreased

Answer 4

Air

COPD, emphysema, pneumothorax

Question 5

High pitched sound usually indicating asthma

Answer 5

Wheezing (musical rales, crackles)

Question 6

Highest pitch noise indicating a medical emergency

Answer 6

Stridor (inspiratory crowing)

Question 7

Prolonged expiration

Answer 7

COPD

Question 8

Respiratory lag

Answer 8

Pneumothorax

Question 9

Friction rub

Answer 9

Pleurisy (rapid, shallow breathing)

Question 10

Friction rub heard in the abdomen…

Answer 10

Enlarged viscera

Question 11

Spoken word is clear

Answer 11

Bronchophony

Question 12

“Ee -> aa”

Answer 12

Egophony

Question 13

Whisper is louder

Answer 13

Whispered pectoriloquy

Question 14

Cheyne’s stokes

Answer 14

Rhythmical apnea indicative of brain lesion

Question 15

Irregular apnea indicating medulla involvement

Answer 15

Biot’s aka ataxic respiration

Question 16

Air hunger
Associated with diabetic coma
Deep breathing

Answer 16

Kussmaul

Question 17

Rapid breathing
Circumoral tingling
TX: carbon dioxide

Answer 17

Hyperventilation

Question 18

Pink puffer

Answer 18

Balloon lungs

Emphysema

Question 19

Blue bloated

Answer 19

Chronic bronchitis

Question 20

Yellow- green sputum

Answer 20

Bronchi entasis, chronic bronchitis

Question 21

Rusty sputum

Answer 21

Pneumococcal pneumonia

Question 22

Red currant jelly sputum

Answer 22

Klebsiella pneumonia

Question 23

Foul sputum

Answer 23

Lung abscess

Question 24

Pink sputum

Answer 24

Strep

Question 25

Pink and Frothy sputum

Answer 25

CHF, pulmonary edema

Question 26

Red sputum

Answer 26

TB, infarct, cancer

Question 27

Congenital defect on ventral surface of penis

Answer 27

Hypospadias

Question 28

Congenital defect on dorsal surface of penis

Answer 28

Epispadias

Question 29

Foreskin cannot be fully retracted over the glans penis

Answer 29

Phimosis

Question 30

Foreskin becomes trapped behind/under the glans penis

Answer 30

Paraphimosis

Question 31

Non-tender, transilluminates, can palate above mass

Answer 31

Hydro else

Question 32

Does not transilluminates Borborygml possible Cannot palpate above mass

Answer 32

Scrotal hernia

Question 33

HCG Often painless nodule Does not transilluminates

Answer 33

Tumor (Seminoma)

Question 34

"Bag of worms" | Dependent edema

Answer 34

Varicocele

Question 35

Common Cutaneous firm, yellow cyst Often multiple in men and women

Answer 35

EPidermoid cyst

Question 36

Reddened testes Tender Transilluminates Posterior-superior scrotal swelling

Answer 36

Epididymitis

Question 37

``` Blunt trauma Painful Swollen Adolescence Medical emergency ```

Answer 37

Testicular torsion

Question 38

Non-descending testicle Causes underdeveloped scrotum Increased risk of cancer

Answer 38

Cryptorchism

Question 39

Sustained erection for more than 4 hours | ED drugs, CNS trauma, & intracranial pressure

Answer 39

Priapism

Question 40

Inflamed glans penis

Answer 40

Balanitis

Question 41

Crooked erection

Answer 41

Peyronie's

Question 42

Fever | Warm, tender prostate

Answer 42

Acute prostatitis

Question 43

Painful ejaculation | Blood with ejaculation

Answer 43

Chronic prostatitis

Question 44

Lateral lobes boggy | smooth, non-tender

Answer 44

Benign prostatic hyper trophy (BPH)

Question 45

Posterior lobe, firm | Nodular, non-tender

Answer 45

Prostate cancer

Question 46

Screening test for Prostate Cancer

Answer 46

PSA

Question 47

Diagnostic test for Prostate cancer

Answer 47

DRE, Biopsy

Question 48

Treatment for prostate cancer determined by...

Answer 48

Gleason's score (1-5)

Question 49

Hernias in females occur in...

Answer 49

Femoral

Question 50

Hernias in Older males occur...

Answer 50

Direct. Sits on scrotum

Question 51

Hernias in young males...

Answer 51

Indirect. In scrotum

Question 52

``` Percussion = Resonant = ? Fremitus = Normal ```

Answer 52

Normal | Viral pneumonia, laryngitis