Paulson - Lung/Heart SIM

Question 1

popping open of air-fluid levels as airways dilate w. inspiration

Answer 1

crackles (rales)

Question 2

sources of crackles (8)

Answer 2

PMA

atelectasis

pulmonary fibrosis

acute bronchitis

bronchiectasis

interstitial lung dz

pulmonary edema/CHF

COVID19

Question 3

sources of wheezes

Answer 3

asthma

COPD

anaphylaxis

foreign object

smoking

allergies

bronchitis

epiglottitis

CHF

drugs

PNA

respiratory tract infxn

coval cord dysfxn

Question 4

one drug that can cause wheezes

Answer 4

ASA

Question 5

may clear w. coughing

gurgling or bubbling sounds

usually during inhalation/exhalation

Answer 5

ronchi

Question 6

sources of ronchi

Answer 6

COPD

chronic bronchitis

bronchiectasis

CF

viral URI

secretions in airway

Question 7

what does pericardial friction rub make you think of

Answer 7

pericarditis

Question 8

systolic murmurs

Answer 8

MR ASS (2nd S is for systolic)

mitral regurgitation

aortic stenosis

pulmonic stenosis

tricuspid regurgitation

mitral valve prolapse

HCM

Question 9

diastolic murmurs

Answer 9

mitral stenosis

aortic regurgitation

pulmonic regurgitation

tricuspid stenosis

Question 10

continuous murmur

Answer 10

patent ductus arteriosus

Question 11

usually on inhalation from narrowing in the airway

extrathoracic

Answer 11

stridor

Question 12

2 sources of stridor

Answer 12

croup

laryngomalacia

Question 13

non-scary murmur ID method

Answer 13

1. systolic vs diastolic
2. where do you hear it best
3. how loud is it (I-IV)
4. order echo

Question 14

at what level of murmur can you feel a lift/heave

Answer 14

IV