Patient Examples

Question 1

A 2 y/o patient presents to ED with Coughing, Wheezing, Chest tightness, Shortness of Breath (SOB), Excessive drooling, Tachycardia,Tachypnea. What is the Dx?

Answer 1

Asthma exasperation

Question 2

You are on the rig when you get a call for a 23 y/o patient, when on scene you see the patient has Accessory muscle use, Hypoxia, and you can clearly hear Inspiratory/Expiratory wheezes. What is the Dx?

Answer 2

Late findings of asthma exasperation, demise is imitate

Question 3

You have a 42 y/o male present to the ED with Sore throat, fever, a Cough lasting up to 3 weeks, Substernal aching w/coughing effort. During your assessment you find No pulmonary consolidation. What is the Dx?

Answer 3

Acute bronchitis

Question 4

You have a patient who was admitted to the ICU with Cyanosis, Dyspnea, Crackles/ wheezing, Rasping cough, Hacking with Thick sputum, on assessment you noticed clubbing of fingers. What is your Dx?

Answer 4

Chronic bronchitis

Question 5

You have a 48 Y/O F present to the ED with SOB at rest and exertions and states she can hear herself wheezing at times. During your assessment you find that the patient has a Barrel chest that’s Hyperresonant, Tachypnea with Prolonged expiration and Decreased breath sounds. What is your Dx?

Answer 5

Emphysema

Question 6

You have a 73 Y/O Male presenting to the ICU for Chronic Bronchitis. Patient states that he has a Hx of repeat bronchitis but noticed that he was getting worse this time around because his SOB was no longer on exertion but also at rest and he was loosing weight unintentionally. When examining the patient you noted that he is in the tripod position and he’s stating in the 88-92% and is having a productive cough. What is a Dx we can give them along side the bronchitis?

Answer 6

COPD

Question 7

You have a patient present to the ED with Fatigue, dry cough, Chest pain, Syncope and rapid weight gain. Upon further examination you find Peripheral edema, JVD, Pallor, Dyspnea. An X-ray, TTE, and EKG was ordered and done and the Chest X-ray had shown abnormality and the TTE showed Right ventricle enlargement. What is the Dx?

Answer 7

Pulmonary artery Hypertension

Question 8

32 Y/O Female presents to ED with Cold, clammy skin, Dyspneal, extreme SOB that’s worse when lying down and describes it as “feeling as if I’m drowning” when lying down and have been coughing up Pink frothy sputum. Upon further evaluation you find Inspiratory crackles and Wheezing, Palpitations, Percussion dullness over bases and S3 gallop. What is the Dx?

Answer 8

Pulmonary edema

Question 9

21 Y/O overweight male presents to the ICU with Tachypnea, Tachycardia, Dyspnea, Productive cough with purulent sputum, Hypothermia, sudden and intense sharp, stabbing, burning pain in his chest during inhaling and exhaling. During your assessment you note Increased tactile fremitus and Decreased breath sounds in mid lobes and crackles at L mid lobe. What is the Dx?

Answer 9

Pneumonia

Question 10

You have a 52 Y/O M who presents to the ED with Hypoxia, Dyspnea, Coughing, Wheezing, Tachycardia, and Increased work of breathing. What is your Dx?

Answer 10

Atelectasis

Question 11

You have a 63 Y/O Female who was admitted to the ICU for SOB, Increased dyspnea with exertion, Chest discomfort, and Unexplained weight loss. Upon arriving to the unit that patient states she’s been very Fatigue, her muscles and joints have been very achy, and “this darn dry cough won’t go away!”. You note Clubbing of toes and fingers during your assessment. What is your Dx?

Answer 11

Pulmonary fibrosis

Question 12

You have a call for a 38 Y/O Male complaining of Dyspnea, when you arrive on scene patient states that he has a Dry cough, Pleural Pain, and feel as if his breathing is impaired. When listening to the patients lungs you note crackles, and pleural friction rub. What is the Dx?

Answer 12

Pulmonary effusion

Question 13

You have a 33 Y/O Male who was rushed up to the ICU for decreased Chest expansion, Cyanosis. Upon listening to the patient you note Breath sounds are decreased with crackles or is absent and Percussion dullness. What is the Dx?

Answer 13

Rapidly developing pulmonary effusion

Question 14

You have a 20 Y/O Female who got into a car accident and is complaining of Sudden pleural pain on the L side and SOB. Upon assessment you not Tachypnea, Dyspnea, Hyper resonance to percussion, Absent or diminished breath sounds. What is the Dx?

Answer 14

Pneumothorax/ hemothorax

Question 15

A 20 Y/O Female who got into a car accident suddenly developed Hypoxia, Hypotension and has Tracheal deviation toward R side. What is the Dx?

Answer 15

Late findings of Pneumothorax/ hemothorax, Tension pneumothorax

Question 16

You have a 45 Y/O Female who presents to the FHC for Generalized chest discomfort and a Dry Cough. Upon arrival it’s noted that she has Dyspnea and Tachypnea and during assessment you find tachycardia. What is the suspected Dx that sent this patient get a CT scan?

Answer 16

Pulmonary embolus

Question 17

A 44 Y/O male was admitted to the ICU for Hypercarbia. Upon arrival you note that the patient has Dyspnea, Hypoxic, a RR >40/min, Use of accessory muscles, Diaphoresis, Cough. During your assessment you find the patient to have a Fever, Tachycardia, Hypotension, Crackles and wheezes in the lungs and Abnormal P/F Ratio. What is your Dx?

Answer 17

ARDS (Acute respiratory distress syndrome)

Question 18

You have a 58 Y/O female who was brought to the ED via ambulance after falling on the side of her bathtub. Upon arrival you note Deformity of R chest with Paradoxical movement and contusions. Patient is currently splitting due to the pain but during her inhale you see an area of the R chest drawn inward and moves out on exhale. What is the Dx?

Answer 18

Flail chest