Pulmonary Infections & Abdo Surg Exam

Question 0

4 common features of pulmonary infection

Answer 0

cough
fever
sputum
dyspnoea

Question 1

Upper airways colonized by what usually?

Answer 1

gram -ve anaerobes

Question 2

3 lung defenses:

Answer 2

flora
mucociliary elevator, IgA
alveolar macrophages

Question 3

pleurisy signs and symptoms?

Answer 3

sharp stabbing localised pain
radiates through chest
pain with cough and inspiration

Question 4

other tests for someone with someone with SaO2 90% and pneumonia?

Answer 4

ABGs

Question 5

3 classic opportunistic lung infections?

Answer 5

fungal
pneumocystis jiroveci
klebsiella

Question 6

If examining patient and they’re in pain, what to do before examination?

Answer 6

Resus, analgesia, then examine

Question 7

position of abdominal exam?

Answer 7

ALWAYS flat

Question 8

first thing you should notice in an abdo examine?

Answer 8

distension
scars
trauma
rashes

Question 9

steps to examine someone with RUQ pain?

Answer 9

start in LLQ, then go around and do the RUQ last

Question 10

looking at obs charts should look at what 2 things?

Answer 10

absolute value

trend

Question 11

what causes proptosis?

Answer 11

thyrotoxicosis

more likely Grave’s due to increased fat pad

Question 12

what to look for around mouth for abdo patient?

Answer 12

central cyanosis
fetor
dentition
angular chelitis
tongue hydration

Question 13

look for what on chest inspection for abdo?

Answer 13

spider naevi
gynaecomastia
nipple distortion

Question 14

2 ways to confirm severity of abdo pain?

Answer 14

cough

light percussion

Question 15

light percussion to detect what?

Answer 15

peritonitis

Question 16

murphy’s sign is?

Answer 16

curl fingers under right costal margins, ask to inspire

Question 17

Rovsing’s sign?

Answer 17

palpating left iliac fossa and you get right pain

Question 18

what position to examine groins?

Answer 18

standing up

Question 19

what is a punctum?

Answer 19

sebaceous cyst, has a keratin plug

Question 20

how to tell is testicular lump is solid or fluid?

Answer 20

transilluminate

Question 21

6 Fs of distended abdomen?

Answer 21

flatus
fluid
fat
faeces
foetus
feffin'big tumour

Question 22

why ask to poke tongue out if thyroid mass?

Answer 22

thyroglossal cyst