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Physical Assessment > Chapter 11, Module 5; Cough > Flashcards

Chapter 11, Module 5; Cough Flashcards

1
Q

Acute-onset, low-grade fever, rhinorrhea, cough especially at night

A

Nasopharyngitis

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2
Q

Nasal mucosa red and swollen, pharynx mildly red; otherwise normal

A

Nasopharyngitis

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3
Q

Diagnostic test for Nasopharyngitis?

A

none

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4
Q

Worsening dyspnea, increased wheezing or coughing, smoker

A

COPD exacerbation

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5
Q

Purulent sputum, fever, and increased respiratory and heart rates

A

COPD exacerbation

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6
Q

Diagnostic test for COPD exacerbation?

A

Chest radiograph, spirometry

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7
Q

Persistent hacking cough; can have inspiratory whoop, vomiting

A

Pertussis

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8
Q

Fever absent, coryza

A

Pertussis

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9
Q

Diagnostic test for Pertussis?

A

Nasopharyngealaspirate abnormal, PCR abnormal, chestradiograph to ruleoutpneumonia

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10
Q

Noisy cough, dyspnea, pleuritic chest pain, sputum production (yellow, green, red color), chills; in children also see poor feeding and irritability

A

Pneumonia

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11
Q

Fever, tachycardia, tachypnea, inspiratory crackles, asynchronous breathing, tactile fremitus, percussion dull or flat over area of consolidation, bronchophony, egophony

A

Pneumonia

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12
Q

Diagnostic test for Pneumonia?

A

Chest radiograph, CBC, sputum and nasal cultures, 02 saturation, blood cultures

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13
Q

Cough, nasal congestion, sore throat, fever, chills, myalgias

A

Viral URI

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14
Q

Fever, pharyngitis, enlarged anterior cervical lymph nodes, normal TMs, nasal mucosa erythema, normal chest examination

A

Viral URI

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15
Q

Diagnostic test for Viral URI?

A

None.Rapid influenza testing during outbreaks

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16
Q

Child or young adult: dry cough, headache, malaise, sore throat

A

Mycoplasma pneumonia

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17
Q

Fever, rales and rhonchi on auscultation

A

Mycoplasma pneumonia

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18
Q

Diagnostic test for Mycoplasma pneumonia?

A

Cold agglutinin, chest radiograph

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19
Q

Paroxysmal staccato cough in infant age 4-12 wk

A

Chlamydial pneumonia

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20
Q

Afebrile, conjunctivitis in 50% of infants, tachypnea of 40-80 breaths/min, crackles, no wheezing

A

Chlamydial pneumonia

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21
Q

Diagnostic test for Chlamydial pneumonia?

A

Radiograph shows hyperexpansion of lungs with diffuse interstitial infiltrates

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22
Q

Grunting, sneezing, cough, anoxia, exposure to passive smoke

A

Bronchiolitis (RSV)

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23
Q

Fever,wheezingonauscultation,prolongedexpiratory phase,tachypnea of 60-80 breaths/min,tachycardia >200beats/min

A

Bronchiolitis (RSV)

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24
Q

Diagnostic test for Bronchiolitis (RSV)?

A

WBC 5000-24,000/mm3 with increased PMNs; chest radiograph shows hyperinflation; infants less than 2 mo, refer; progressive respiratory distress, refer

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25
Q

Duration <3 mo, winter months, URI for 3-4 days; loose, hacking cough that becomes productive, afebrile

A

Acute bronchitis

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26
Q

Coarse, fine crackles on auscultation; low-grade fever or afebrile

A

Acute bronchitis

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27
Q

Diagnostic test for Acute bronchitis?

A

Chest radiograph shows normal findings

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28
Q

History of URI; brassy, barking cough usually at night

A

Croup (acute laryngotracheo- bronchitis)

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29
Q

Low-grade fever, inspiratory stridor, flaring of nares, prolonged expiratory phase, can see retraction of accessory muscles, breath sounds diminished

A

Croup (acute laryngotracheo- bronchitis)

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30
Q

Diagnostic test for Croup (acute laryngotracheo- bronchitis)?

A

None

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31
Q

Cough, sore throat

A

Postnasal drainage

32
Q

Mucoidsecretions in posterior pharynx, cobblestone appearanceof posteriorpharynx, tenderness to palpationof sinuses, normal chest examination

A

Postnasal drainage

33
Q

Diagnostic test for Postnasal drainage?

A

Sinus radiographs, sinus CT scan, allergy testing

34
Q

Dry, hacking cough, especially at night, and with feeding and laughter

35
Q

End-expiratory wheeze, prolonged expiratory phase

36
Q

Diagnostic test for Asthma?

A

Pulmonary function testing, chest x-ray, 02 saturation, bronchoprovocation, allergy testing

37
Q

Cough worse at night, sour taste in mouth, heartburn, history of esophagitis, cigarette smoker, alcohol abuse, overweight; in children 0-18 mo; failure to thrive, dysphagia, cough after eating and lying down, vomiting

38
Q

Normal chest examination, normal upper respiratory tract examination, possible epigastric pain with palpation or normal abdominal examination

39
Q

Diagnostic test for GERD?

A

Esophageal pH monitoring, blood count for anemia, radiograph for aspiration pneumonia; endoscopy if no response to therapy; manometry

40
Q

Cough, mild dyspnea, history of COPD, history of cigarette smoking, yellow sputum

A

Chronic bronchitis

41
Q

Hacking, rasping cough; normal breath sounds or rhonchi that clear with coughing; resonant to dull chest, possible barrel chest, prolonged expiration, possible wheezing

A

Chronic bronchitis

42
Q

Diagnostic test for Chronic bronchitis?

A

Chest radiograph, pulmonary function tests

43
Q

Begins hours to months after starting ACEI; nonproductive, dry cough; scratching sensation in throat

A

ACEI-induced cough

44
Q

Normal examination

A

ACEI-induced cough

45
Q

Diagnostic test for ACEI-induced cough?

A

Trial of ACEI

46
Q

Cough with hemoptysis; history of cigarette smoking, weight loss, shortness of breath

A

Bronchogenic carcinoma

47
Q

Enlarged supraclavicular nodes, dull chest percussion over tumor, increased breath sounds distal to tumor

A

Bronchogenic carcinoma

48
Q

Diagnostic test for Bronchogenic carcinoma

A

Chest radiograph, CT scan of chest

49
Q

Failure to thrive, chronic cough, bulky stools, family history

A

Cystic fibrosis

50
Q

Nasal polyps, clubbing of fingernails, sputum

A

Cystic fibrosis

51
Q

Diagnostic test for Cystic fibrosis?

A

Sweat test abnormal findings

52
Q

Cough

A

Foreign body in ear canal

53
Q

Cerumen in ears, hairs in contact with TM or opposite wall of external auditory canal

A

Foreign body in ear canal

54
Q

Diagnostic test for Foreign body in ear canal?

55
Q

History of environmental hazard, choking episode

A

Foreign body aspiration

56
Q

Asymmetrical physical findings of decreased breath sounds, wheezing

A

Foreign body aspiration

57
Q

Diagnostic test for Foreign body aspiration?

A

Asymmetrical radiograph with forced expiratory view

58
Q

History of sneezing, cough

A

Allergic rhinitis

59
Q

Allergic shiners, allergic salute, rhinorrhea clear and watery

A

Allergic rhinitis

60
Q

Diagnostic test for Allergic rhinitis?

A

Chest radiograph negative, allergy testing positive

61
Q

Rhinorrhea >7-10 days

A

Chronic sinusitis

62
Q

Mucopurulent rhinorrhea

A

Chronic sinusitis

63
Q

Diagnostic test for Chronic sinusitis?

A

Waters radiograph

64
Q

School-age child, gradual onset, headache, malaise, sore throat, hacking cough

A

Mycoplasma pneumonia

65
Q

Reddened pharynx, slightly enlarged lymph nodes, rales often fine and crackling

A

Mycoplasma pneumonia

66
Q

Diagnostic test for Mycoplasma pneumonia?

A

Radiograph shows interstitial pneumonia; cold agglutinins present, ESR elevated, CBC, 02 saturation, sputum cultures, blood cultures

67
Q

History of exposure, high-risk group, weakness, malaise, weight loss

A

Tuberculosis

68
Q

Brassy cough, weight loss, can have fever, night sweats

A

Tuberculosis

69
Q

Diagnostic test for Tuberculosis?

A

Mantoux test, chest radiograph shows abnormalities in apical and hyaline, sputum culture positive for M. tuberculosis

70
Q

History of smoking or being around a smoker

A

Smoking (passive/ active)

71
Q

Yellow teeth, fingers; odor of smoke, productive sputum

A

Smoking (passive/ active)

72
Q

Diagnostic test for Smoking (passive/ active)?

A

Radiograph can have abnormal findings, with interstitial markings

73
Q

School age or adolescent; dry, hacking cough present only during waking hours

A

Psychogenic origin

74
Q

Physical findings of Psychogenic origin?

75
Q

Diagnostic test for Psychogenic origin?

A

As indicated to rule out other causes

Physical Assessment (27 decks)

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