General Dx - Thorax Exam

Question 1

NOT a neurofibroma (central mass) symptom

Answer 1

lower motor neuron pattern (areflexia, atrophy, weakness)

Question 2

Slow developing intraspinal mass of T spine (neurofibroma

Answer 2

may not produce Reg Flags

Question 3

Lower motor neuron pattern

Answer 3

unilateral root or lateral spinal N lesion
disc herniation
lateral entrapment
lateral recess syndrome

Question 4

Neurofibroma (central mass pat)

what neurologic BLADDER pattern present

Answer 4

spastic reflex bladder

mass compressing lower T spinal cord

Question 5

thin barrel chest
pursed lips
accessory respiratory muscles
tripod sitting
hyper-resonant chest

Answer 5

emphysema

Question 6

Kussmaul Breathing is

Answer 6

rapid, deep and labored breathing

Question 7

Kussmaul Breathing associated with

Answer 7

metabolic acidosis

Question 8

Dull percussion of chest caused by

Answer 8

pneumonia
pleural effusion
endobroncial tumor (may have normal percussion)

Question 9

Bronchial breath right lung base

Answer 9

consolidation at right lung base

Question 10

vesicular breath sounds

Answer 10

normal at peripheral lung

Question 11

Emphysema

Answer 11

hyperaeration

decreased breath sounds

Question 12

Wheezing

Answer 12

asthma

Question 13

flail chest

Answer 13

fractured ribs

Question 14

10 yo
asymptomatic pat
systolic murmur 
localized to 3rd intercostal on left parasternally
grade II/VI
medium pitch
diminishes when pat sits upright

Answer 14

innocent murmur

• Asymptomatic
• diminishes when upright

Question 15

murmur patent ductus

Answer 15

both systolic and diastolic

Question 16

Murmur of aortic stenosis

Answer 16

systolic
loud and heard throughout precordium
radiates to neck
(not likely in children)

Question 17

Murmur of aortic regurgitation

Answer 17

diastolic