Resp

Question 1

with any exam what should you first

Answer 1

introduce
confirm px details
explain procedure
gain consent
ask if any pain

Question 2

clinical exam checklist IPPA?

Answer 2

inspection
palpation
percussion
auscultation

Question 3

what would form part of your inspection/ what things would you look for before exam?

Answer 3

sputum pots
medication eg inhalers
oxygen masks
nebulisers
sats monitor
oxygen cylinder

Question 4

what would you inspect the face for

Answer 4

colour
conjunctiva
pallor
tongue

Question 5

what would you check under the tongue for

Answer 5

central cyanosis
blue

Question 6

when checking breathing what are you looking for

Answer 6

sob
wheezing
rr

Question 7

what different things would you check the hands for

Answer 7

clubbing
peripheral cyanosis
tar stains

Question 8

after checking the radial pulse what would be your next test

Answer 8

co2 retention flap

Question 9

what would you palpate as you work away from the hands and towards the neck

Answer 9

lymph nodes

Question 10

which lymph nodes would you palpate

Answer 10

occipital
post auricular
pre auricular
submandibular
submental
anterior cervical
posterior cervical
supraclavicular

Question 11

what would you inspect the chest for

Answer 11

normal
barrel chest
pectus carinatum
pectus excavatum

/
anterior and posterior symmetry
scars

Question 12

what might a barrel chest be indicative of

Answer 12

COPD

Question 13

what is pectus carinatum

Answer 13

breastbone and ribs pushed outward

Question 14

what is pectus excavatum

Answer 14

ribs and breastbone grow inwards

Question 15

after observing the chest it will be palpated, what 2 things what you check/ do at this stage

Answer 15

tracheal deviation
chest expansion

Question 16

to percuss the chest you percuss on the clavicle to give an indication of

Answer 16

resonance in the apex

Question 17

the lung apex lies immediately beneath what structure

Answer 17

brachial plexus

Question 18

which areas do you ascultate anteriorally

Answer 18

supra clavicular
infra clavicular
supra mammary
infra mammary
axillary

Question 19

which areas do you ascultate posteriorally

Answer 19

supra scapular
infra scapular
intrascapular
basal
axillary

Question 20

after doing the first ascultation on both sides how should it be repeated

Answer 20

ask px to say 99 repeatedly

Question 21

what does increased volume over a certain area when doing asculatation suggest

Answer 21

increased tissue density due to consolidation, fluid or tumour

Question 22

how would you get the patient to open the scapula for a better assessment

Answer 22

cross arms in front of them

Question 23

red flags during examination

Answer 23

blood in sputum
severe or increasing breathlessness
cough over 3 weeks
night sweats
chest pain
orthopnoea
leg oedema

Question 24

what conditions could be indicative of some of the red flag symptoms

Answer 24

lung cancer
pulmonary htn
hf

Question 25

what to ask px about sputum- red flags?

Answer 25

any blood in it?
what colour is sputum?

Question 26

what might nail clubbing be a sign of

Answer 26

smoker

Question 27

koilonychia is spooning of the nails and suggests what condition

Answer 27

anaemia

Question 28

is cyanosis in the fingertips peripheral or central

Answer 28

peripheral

Question 29

what is the first thing that should be inspect in relation to chest after checking lymph nodes

Answer 29

JVP side of neck