CLIPP 13

Question 1

What are the possible etiologies of a dry cough?

Answer 1

environmental irritant
asthma
fungal infection

Question 2

what are the possible etiologies of a wet/productive cough?

Answer 2

lower-respiratory infection

Question 3

what are the possible etiologies of a barking cough?

Answer 3

croup
subglottic disease
foreign body

Question 4

what are the possible etiologies of a brassy or honking cough?

Answer 4

habitual cough

tracheitis

Question 5

what are the possible etiologies of a paroxysmal cough?

Answer 5

pertussis
chlamydia
mycoplasma
foreign body

Question 6

what are the possible etiologies of a cough worse at night?

Answer 6

asthma
sinusitis

Question 7

what are the possible etiologies of a cough that disappears at night?

Answer 7

habitual cough

Question 8

what are the possible etiologies of a cough associated with gagging or choking?

Answer 8

gastroesophageal reflux

Question 9

What is an allergic shiner?

Answer 9

darkening of the lower eyelids as a result of venous stasis

Question 10

what is an “allergic salute”?

Answer 10

A gesture that involves pushing the nose upward and backward with the hand to relieve nasal itching and obstruction. Over time, this may result in the development of a transverse nasal crease.

Question 11

What are Dennie-Morgan lines?

Answer 11

Infraorbital creases that appear due to intermittent edema caused by allergies.

Question 12

What is clubbing? What does it suggest?

Answer 12

Change in the appearance of the fingers so that the distal phalanx is rounded and bulbous and the angle between the nail plate and the nail fold is increased past 180 degrees.

This phenomenon is suggestive of chronic hypoxia.

Question 13

fill in the blanks (either intermittent or persistent)

Answer 13

Question 14

What does tracheal deviation suggest?

Answer 14

mediastinal mass

pneumothorax

foreign body aspiration

Question 15

What can cause retractions?

Answer 15

asthma

bronchiolitis

foreign body obstruction

Question 16

What does a decreased I:E mean?

Answer 16

“I:E” refers to the ratio of time for full inspiration to time for full expiration (normally 1:1 or 1:2)

In obstructive disorders, expiration is prolonged, and ratio is decreased.

Question 17

What is egophony?

Answer 17

This is when the patient is asked to say “ee” and the examiner hears “ay” through the stethoscope).

The phenomenon is suggestive of a lobar consolidation (an airless lung).