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OSCE 3 > Cough > Flashcards

Cough Flashcards

1
Q

Red flag questions for cough

A

SOB
Hx heart failure, asthma

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2
Q

Name the cough ddx:

Acute onset
Low grade fever
Rhinorrhea
Cough esp at night
Nasal mucosa swollen and red
Pharynx mildly red

A

Nasopharyngiits

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3
Q

Nasopharyngitis tx

A

Decongestants
Soothing throat teas/lozenges
Elderberry

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4
Q

Name the cough ddx:

Worsening dyspnea
Inc wheezing or coughing
Smoker
Prurulent sputum
Fever
Inc RR and HR

A

COPD exacerbation

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5
Q

COPD exacerbation tx

A

Bronchodilators - beta 2 agonists

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6
Q

Name the cough ddx:

Persistent hacking cough
Inspiratory whoop
Vomiting
Coryza

A

Pertussis

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7
Q

Pertussis tx

A

Antibiotics

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8
Q

Name the cough ddx:

Noisy cough
Dyspnea
Pleuritic chest pain
Sputum production
Chills
Fever
Inc HR/RR
Inspiratory crackles

A

Pneumonia

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9
Q

Name the cough ddx:

Cough
Nasal congestion
Sore throat
Fever
Chills
Myalgias
Pharyngitis
Enlarged lymph nodes

A

Viral URI

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10
Q

Viral URI tx

A

Decongestant
Nasal wash
NSAIDs for pain

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11
Q

Name the cough ddx:

Dry cough
Malaise
Sore throat
Headache
Fever
Rales and rhonchi

A

Mycoplasma pneumonae

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12
Q

Name the cough ddx:

Grunting
Sneezing
Cough
Anoxia
Exposure to passive smoke
Fever
Wheezing on auscultation
Inc RR/HR

A

Bronchiolitis (RSV)

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13
Q

Bronchiolitis/RSV tx

A

Bronchodilators
Nasal wash

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14
Q

Name the cough ddx:

<3 mo
Winter months
URI for 3-4 days
Loose hacking cough that becomes productive
A febrile
Coarse fine crackles

A

Acute bronchitis

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15
Q

Acute bronchitis tx

A

Fluids
Rest
Vit C

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16
Q

Name the cough ddx:

Hx URI
Brassy, barking cough at night
Low grade fever
Inspiratory strider
Flaring of nares

A

Croup (acute laryngotracheobronchitis)

17
Q

Croup tx

A

Rest
Fluids
If persistent - steroids

18
Q

Name the cough ddx:

Chronic cough
Sore throat
Cobblestone post pharynx

A

Postnasal drainage

19
Q

Postnasal drainage tx

A

humidifier
Neti pot
Decongestant

20
Q

Name the cough ddx:

Dry hacking chronic cough
Esp at night and with laughter
End expiratory long wheeze

A

Asthma

21
Q

Asthma treatment

A

Bronchodilators

22
Q

Name the cough ddx:

Chronic cough worse at night
Sour taste in mouth, heartburn
Normal chest exam

A

GERD

23
Q

Name the cough ddx:

Chronic cough
Mild dyspnea
Hx COPD
Hx smoking
Yellow sputum
Hacking, raspingcough
Barrel chest
Wheezing, rhonchi

A

Chronic bronchitis

24
Q

Chronic bronchitis tx

A

Beta 2 agonists
Steroids

25
Q

Name the cough ddx:

Cough with hemoptysis
Hx smoking
Wt loss
SOB
Enlarged supraclavicualr nodes

A

Bronchogenic carcinoma

26
Q

Name the cough ddx:

Chronic cough
Bulky stools
Fhx
Nasal polyps
Clubbin of fingernails
Sputum

A

Cystic fibrosis

27
Q

Cystic fibrosis tx

A

Steroids for polyps
Bronchodilators

28
Q

Name the cough ddx:

Recent choking episode
Asymmetric exam findings

A

Foreign body aspiration

29
Q

Name the cough ddx:

Hx sneezing, cough
Rhinorrhea clear and watery
“Shiners”

A

Allergic rhinitis

30
Q

Allergic rhinitis tx

A

Antihistamines
Neti pot
Hot and cold compresses over the sinuses

31
Q

Name the cough ddx:

Rhinorrhea >7-10 days
Mucopurulent rhinorrhea

A

Chronic sinusitis

32
Q

Chronic sinusitis treatment

A

Neti pot
Allergy meds
Corticosteroids

33
Q

Name the cough ddx:

Weakness
Malaise
Weight loss
Brassy cough
Fever, night sweats

A

TB

OSCE 3 (13 decks)

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