* pulm PE and key words

Question 1

whisper pectorioquy
1. nml
2. abn if…
3. increased in?

Answer 1

whisper 123
1. nml if you hear no sound
2. abn if the 123 is audible with stethoscope
3. increased in consolidation and atelectasis

Question 2

bronchophony
1. nml
2. abn if…
3. increased in?

Answer 2

say 99
1. nml you hear a muffled sound.
2. abn if the 99 is clear and loud with stethoscope.
3. increased in consolidation and atelectasis

Question 3

egophony
1. nml
2. abn if…
3. increased in?

Answer 3

say EEE
1. nml if you hear the EEE
2. abn if you hear AAA with stethscope
3. increased in pleural effusion, consolidation and atelectasis

Question 4

tactile fremitus
1. nml
2. abn if…
3. increased in?

Answer 4

hand on pts back, say 99
1. nml if you have uniform vibrations over all lung fields
2. abn if it is dull or hyper-resonant
3. increased in?

Question 5

percussion

Answer 5

tap finger on finger like a mallet

*abn if it is dull or hyper-resonant

hyper-resonant(air filled tissue): emphysema or pneumothorax

dull for denser tissue(solid or liquid): effusion, atelectasis, consolidation

Question 6

infiltrates

Answer 6

pneumonia

Question 7

honeycombing

Answer 7

fibrosis

Question 8

pleural plaques

Answer 8

abestosis

Question 9

pencil thin line

Answer 9

pneumothorax

Question 10

tram tracking sign

Answer 10

bronchiectasis

Question 11

peribronchial cuffing

Answer 11

bronchitis

Question 12

apical

Answer 12

TB, pancoast tumor

Question 13

hilar lymphadenopathy

Answer 13

sarcoidosis

Question 14

granuloma

Answer 14

TB, sarcoidosis

Question 15

cavitation

Answer 15

TB, abscess, cancer

Question 16

tiny widespread nodules

Answer 16

military TB

Question 17

ground glass

Answer 17

atelectasis, hyaline membrane d/s, pulm fibrosis

Question 18

saccharopolyspora rectivirgula

Answer 18

farmers, cattle workers lung

Question 19

micropolyspora faeni

Answer 19

farmers, cattle workers lung

Question 20

thermophilic actinomycetes

Answer 20

gram positive bacteria; farmers, cattle workers lung;
ventilation workers lung

Question 21

mycobacterium avium complex

Answer 21

ventilation workers lung

Question 22

avian proteins

Answer 22

bird breeders lung

Question 24

graphium auerobasidium

Answer 24

sequoiosis, saw mill workers lung

Question 25

mycobacterium immunogenium

Answer 25

metal workers lung (fluids)

Question 26

actinomycetes

Answer 26

moldy spores

Question 27

silophilus granaries

Answer 27

grain workers lung

Question 28

diisocyanate

Answer 28

chemical workers lung (plastics, polyurethane)

Question 29

acute hypersensitivity pneumonitis s/s
and bx

Answer 29

occurs 4-8 hours after prolonged exposure: rapid onset fevers, chills, dyspnea, productive cough

bx: micronodular interstitial involvement with poorly formed noncaesting granulomas; or may be normal

Question 30

rapid onset fevers, chills, dyspnea, productive cough

bx: micronodular interstitial involvement with poorly formed noncaesting granulomas; or may be normal
and bx

Answer 30

acute hypersensitivity pneumonitis s/s

Question 31

subacute hypersensitivity pneumonitis s/s

cxr and bx

Answer 31

gradual development of dyspnea, productive cough, (usually no fevers or cough)

cxr: micronodular opacities especially in lower lung fields

bx: noncaesting granulomas (more organized than acute) may be fibrotic

Question 32

chronic hypersensitivity pneumonitis s/s

Answer 32

slow onset of progressive dyspnea, wt loss, clubbing, tachypnea.

Question 33

hypersensitivity pneumonitis PFT, cbc

Answer 33

restrictive component, decreases DLCO.

leukocytosis with left shift.