RCSI Stuff I Missed

Question 1

When get central cyanosis

Answer 1

Hb

Question 2

Displaced apex beat

Answer 2

LV dilation 
RV dilation 
CM 
Chest wall deformities 
Mediastinal mass

Question 3

Continuous murmur

Answer 3

PDA

AV fistula

Question 4

Productive cough

Answer 4

XS bronchial secretions

• pneumonia
• chronic bronchitis

Question 5

Dry cough

Answer 5

ACL

Asthma
Ca bronchogenic
LVF

Question 6

Stridor

Answer 6

Rasping
LOUD on inspiration

• obstruction of larynx, trachea, large airways

Question 7

Hoarseness

Answer 7

Recurrent laryngeal palsy
Laryngeal ca
Laryngitis

Question 8

Resp causes of clubbing

ABCCEF LMS

Answer 8

Asbestosis
Bronchiectasis
Ca
CF
Emphysema 
Fibrosis 
Lung abscesses 
Mesothelioma 
Suppurative lung diseases

Question 9

CO2 narcosis

Answer 9

Altered consciousness
Bounding pulse
Chemosis

Flap

Kussmaul breathing

Question 10

Resp face

Answer 10

Cushing
Secondary polycythemia
Sinusitis

Question 11

Bradycardia

Answer 11

Very severe sepsis

Asthma

Question 12

A fib resp

Answer 12

Pneumonia

Lung carcinoma

Question 13

Tachycardia resp

Answer 13

Infection

Beta 2 agonist

Question 14

Mouth resp

Answer 14

Central cyanosis
Candida
Tooth decay– lung abscess and pneumonia
URTI- pharynx and tonsils

Question 15

Subcutaneous emphysema

Answer 15

Lungs- pneumothorax
Esophagus- boer have syndrome

CRACKLING RICE KRISPIES

Question 16

Reduced intensity breath sounds

Answer 16

Pulmonary fibrosis 
COPD- emphysema 
pneumothorax 
Pleural effusion 
Pneumonectomy

Question 17

Medium crackles

Answer 17

LVF

Question 18

Pleural rub

Answer 18

Thickened pleural surfaces rubbing against eachother as lungs expand and contract – GRATING

PE
Pneumonia

Question 19

Legs resp

Answer 19

Peripheral edema
Rashes
DVT

Question 20

Mouth CV exam

Answer 20

Central and peripheral cyanosis
Poor dentition
HIGH ARCHED PALATE

Question 21

Enviornment of RA

Answer 21

Walking AIDS

Modified utensils