Pulmonary Physical Exam

Question 1

What causes the trachea to shift away from the pathology?

Answer 1

large pleural effusion

tension pneumothorax

Question 2

what causes the trachea to shift towards the pathology?

Answer 2

atelectasis,
fibrosis,
resection

Question 3

What types of pathology have dull percussion on exam?

Answer 3

effusion,
consolidation,
atelectasis

Question 4

what types of pathology have hyperresonant percussion on exam?

Answer 4

PTX,
bullae,
empysema,
CF

Question 5

What is crackles and what diseases are associated with this finding?

Answer 5

-velcro sound on inspiration
pulmonary edema
pneumonia
interstitial lung dz/fibrosis

Question 6

what is wheezes and what diseases are associated with this finding?

Answer 6

high airflow through a narrow airway on expiration
asthma
bronchiolitis
COPD exacerbation

Question 7

what does localized wheezing indicate?

Answer 7

There is an obstruction that needs to be evaluated

Question 8

What is rhonchi?

Answer 8

mucous making rumbling sound in the airway