Dyspnea

Question 0

Sudden onset, wheezing, increased expiratory phase

Answer 0

Asthma

Question 1

Sudden onset, clear lungs, no Hx of dispense

Answer 1

Pulmonary embolus

Question 2

Fever, sputum, unilateral rales/rhonchi

Answer 2

Pneumonia

Question 3

Decreased bilateral breath sounds, tracheal deviation

Answer 3

Pneumothorax

Question 4

Distal extremity paresthesias, caffeine use

Answer 4

Panic attack

Question 5

Pallor, gradual over days/weeks

Answer 5

Anemia

Question 6

Pulsus paradoxicus, decreased heart sounds, JVD

Answer 6

Tamponade

Question 7

Palpitations, syncope

Answer 7

Arrhythmia (almost any one)

Question 8

Dullness to percussion at bases

Answer 8

Pleural effusion

Question 9

Long smoking history

Answer 9

COPD

Question 10

Recent anesthetic use, brown blood not improved with oxygen, clear lungs on auscultation, cyanosis

Answer 10

Methemoglobinemia

Question 11

Burning building or car

Answer 11

Carbon monoxide poisoning

Question 12

rapid onset in a tall, skinny teen; no trauma

Answer 12

Spontaneous pneumothorax

Question 13

Tracheal deviation away from side with absent lung sounds

Answer 13

Tension pneumothorax

Question 14

Orthopnea/PND

Answer 14

CHF

Question 15

Wood-burning stove in winter

Answer 15

Carbon monoxide

Question 16

Tracheal deviation toward the side with absent breath sounds

Answer 16

Spontaneous pneumothorax

Question 17

S3 gallop

Answer 17

CHF

Question 18

History of CF

Answer 18

Bronchiectasis