Lung Exam

Question 1

Respiratory lag

Answer 1

pneumothorax

Question 2

Decreased respiratory excursion/expansion

Answer 2

emphysema, AS

Question 3

Absent tactile fremitus

Answer 3

Atelectasis

Question 4

Increase tactile fremitus

Answer 4

fluid (consolidation) - pneumonia

Question 5

Decrease tactile fremitus

Answer 5

air - emphysema

Question 6

Flat sounds in lung

Answer 6

tumor (mets) or collapse (atelectasis)

Question 7

Dull sounds in lungs

Answer 7

fluid (bacterial pneumonia)

Question 8

Resonant sounds in lungs

Answer 8

normal (bronchitis, laryngitis)

Question 9

Hyperresonant sounds in lungs

Answer 9

air (COPD)

Question 10

Fluid in larger airways

Answer 10

rhonchi

Question 11

Fluid in smaller airways

Answer 11

rales / wheezes / crackles

Question 12

Pathology causing inspiratory prolonged

Answer 12

CHF

Question 13

Pathology causing expiratory prolonged

Answer 13

COPD

Question 14

Is stridor an emergency?

Answer 14

yes

Question 15

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

Answer 15

whispered pectriloquy

Question 16

For viral pneumonia what happens to WBC?

Answer 16

• Leukopenia (decrease)
• Decreased neutrophils (neutropenia)
• Increased lymphocytes (lymphocytosis)

Question 17

For viral pneumonia what kind of fever does one get?

Answer 17

fever and chills

Question 18

For viral pneumonia what happens with tactile fremitus?

Answer 18

normal

Question 19

Ascultation for viral pneumonia: normal or abnormal?

Answer 19

normal

Question 20

WBC for bacterial pneumonia

Answer 20

• Leukocytosis (increase)

- increased neutrophils (neutrophilia)

Question 21

Fever for bacterial pneumonia

Answer 21

night sweats

Question 22

Fremitus for bacterial pneumonia

Answer 22

elevated

Question 23

Auscultation for bacterial pneumonia

Answer 23

rales, wheezes, bronchial breath sound

Question 24

Pneumocystic carinii could mean what pathology?

Answer 24

AIDS

Question 25

Klebsiella means that one could be a?

Answer 25

alcoholic

Question 26

TB screening test

Answer 26

mantoux, tine

Question 27

Diagnostic for TB

Answer 27

PPD, sputum culture

Question 28

Widened mediastinum

Answer 28

Hodgkin's

Question 29

Unexplained weight loss Afebrile Chronic cough Virchow nodes (cachexia)

Answer 29

Cancer

Question 30

Bronchogenic carcinoma Coin lesion Snowball lesion

Answer 30

Primary - cancer

Question 31

Metastatis | Cannonball lesion

Answer 31

Secondary - cancer (hematogenous)

Question 32

Metastasis | Interstitial

Answer 32

Lymphogenous - cancer

Question 33

Occupational dust could mean patient has?

Answer 33

Pneumoconiosis

Question 34

Episodic, "wheezing"

Answer 34

Asthma

Question 35

Sudden, "rubs"

Answer 35

Pleurisy

Question 36

Smokers "Barrel-chest" Hyperresonant

Answer 36

Emphysema

Question 37

Pathologies associated with COPD

Answer 37

Chronic Asthma Chronic Bronchitis Emphysema Bronchiectasis

Question 38

Red productive sputum

Answer 38

TB Pulmonary Infarct Cancer

Question 39

Pink, frothy, bubbly productive sputum

Answer 39

CHF

Question 40

Rusty or green productive sputum

Answer 40

Bacterial pneumonia