Clinical exams - basic science to know

Question 1

Flapping tremor is indicative of?

Answer 1

Co2 retention

Question 2

Looking where for central cyanosis? x2

Answer 2

Lips

Tongue

Question 3

Looking specifically for what when looking at the eyes in respiratory general examination?

Answer 3

Horner’s syndrome

Question 4

Cheyne-Stokes type of respiration is what?

Answer 4

Alternation hyperventilation and apneoa

Question 5

Cheyne-Stokes occurs when? x3

Answer 5

LVF
High altitude
Raised intracranial pressure

Question 6

Increased resonance in chest percussion is indicative of? x2

Answer 6

Pneumothorax
Emphysema

(more air and less solid in the chest than normal)

Question 7

Decreased resonance in chest percussion is indicative of? x5

Answer 7

Effusion 
Solid lung consolidation 
Collapse
Abscess
Neoplasm

(more solid and less air in the chest than normal)

Question 8

Three types of breath sounds heard on auscultation?

Answer 8

Vesicular
Bronchial
Reduced

Question 9

Vesicular breath sounds are?

Answer 9

Normal breath sounds

Question 10

Bronchial breath sounds are?

Answer 10

Gap between inspiratory and expiratory phases - prolonged expiratory phase

Question 11

Bronchial breath sounds are found in what condition?

Answer 11

Consolidation

Question 12

Reduced breath sounds occur in which conditions? x4

Answer 12

Effusion
Pneumothorax
Collapse
Emphysema

Question 13

Wheezing is inspiratory or expiratory?

Answer 13

Expiratory

Question 14

Crepitations are inspiratory or expiratory?

Answer 14

Inspiratory

Question 15

Pleural rub sounds like?

Answer 15

Sounds like walking on snow

Question 16

Fine crackles on ascultation are indicative of? x1

Answer 16

Heart failure

Question 17

Two indications of consolidation during resp examination?

Answer 17

Decreased resonance during percussion

Bronchial breathing

Question 18

Medium and coarse crackles on ascultation are indicative of? x3

Answer 18

Pneumonia
Bronchitis
Bronchiectasis

Question 19

Bronhchiectasis is?

Answer 19

Abnormal widening of the bronchi or their branches, causing an increased risk of infection

Question 20

Biological cause of fine crackles in the lungs?

Answer 20

Snapping open of tiny airways

Question 21

Biological cause of medium/course crackles in the lungs?

Answer 21

Presence of fluid in larger airways

Question 22

Wheeze indicates?

Answer 22

Constricted airways

Question 23

Higher pitched vs. lower pitched wheeze?

Answer 23

More higher pitched the wheeze - more constricted the airways

Question 24

Pleural rub indicates?

Answer 24

Pleurisy (inflammation of the pleurae)