Lung Exam Flashcards

1
Q

Respiratory lag

A

pneumothorax

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2
Q

Decreased respiratory excursion/expansion

A

emphysema, AS

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3
Q

Absent tactile fremitus

A

Atelectasis

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4
Q

Increase tactile fremitus

A

fluid (consolidation) - pneumonia

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5
Q

Decrease tactile fremitus

A

air - emphysema

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6
Q

Flat sounds in lung

A

tumor (mets) or collapse (atelectasis)

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7
Q

Dull sounds in lungs

A

fluid (bacterial pneumonia)

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8
Q

Resonant sounds in lungs

A

normal (bronchitis, laryngitis)

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9
Q

Hyperresonant sounds in lungs

A

air (COPD)

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10
Q

Fluid in larger airways

A

rhonchi

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11
Q

Fluid in smaller airways

A

rales / wheezes / crackles

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12
Q

Pathology causing inspiratory prolonged

A

CHF

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13
Q

Pathology causing expiratory prolonged

A

COPD

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14
Q

Is stridor an emergency?

A

yes

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15
Q

if there’s fluid in the lungs what could be indicated?

A

whispered pectriloquy

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16
Q

For viral pneumonia what happens to WBC?

A
  • Leukopenia (decrease)
  • Decreased neutrophils (neutropenia)
  • Increased lymphocytes (lymphocytosis)
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17
Q

For viral pneumonia what kind of fever does one get?

A

fever and chills

18
Q

For viral pneumonia what happens with tactile fremitus?

A

normal

19
Q

Ascultation for viral pneumonia: normal or abnormal?

A

normal

20
Q

WBC for bacterial pneumonia

A
  • Leukocytosis (increase)

- increased neutrophils (neutrophilia)

21
Q

Fever for bacterial pneumonia

A

night sweats

22
Q

Fremitus for bacterial pneumonia

A

elevated

23
Q

Auscultation for bacterial pneumonia

A

rales, wheezes, bronchial breath sound

24
Q

Pneumocystic carinii could mean what pathology?

A

AIDS

25
Q

Klebsiella means that one could be a?

A

alcoholic

26
Q

TB screening test

A

mantoux, tine

27
Q

Diagnostic for TB

A

PPD, sputum culture

28
Q

Widened mediastinum

A

Hodgkin’s

29
Q

Unexplained weight loss
Afebrile
Chronic cough
Virchow nodes (cachexia)

A

Cancer

30
Q

Bronchogenic carcinoma
Coin lesion
Snowball lesion

A

Primary - cancer

31
Q

Metastatis

Cannonball lesion

A

Secondary - cancer (hematogenous)

32
Q

Metastasis

Interstitial

A

Lymphogenous - cancer

33
Q

Occupational dust could mean patient has?

A

Pneumoconiosis

34
Q

Episodic, “wheezing”

A

Asthma

35
Q

Sudden, “rubs”

A

Pleurisy

36
Q

Smokers
“Barrel-chest”
Hyperresonant

A

Emphysema

37
Q

Pathologies associated with COPD

A

Chronic Asthma
Chronic Bronchitis
Emphysema
Bronchiectasis

38
Q

Red productive sputum

A

TB
Pulmonary Infarct
Cancer

39
Q

Pink, frothy, bubbly productive sputum

A

CHF

40
Q

Rusty or green productive sputum

A

Bacterial pneumonia