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IC3 Blue Book > Resp > Flashcards

Resp Flashcards

1
Q

Fine physiologic tremor resp

A

Beta 2 agonists

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2
Q

Cricosternal distance decreased in

A

COPD

hyperinflation

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3
Q

TUG on inspiration

A

COPD

hyperinflation

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4
Q

Trachea deviation towards

A

Upper lobe collapse
Upper lobe fibrosis
Pneumonectomy

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5
Q

Trachea deviation away

A

Massive pleural effusion

Tension pneumothorax

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6
Q

Lobectomy/ pneumonectomy

A

Bronchogenic carcinoma
Bronchiectasis

Trauma
TB

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7
Q

Hoovers sign

A

Intercostal in drawing
COPD
hyperinflation

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8
Q

Chest expansion decreased one side

A 
Pulmonary fibrosis 
Pleural effusion
Pneumothorax
Collapse 
Consolidation
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9
Q

Chest expansion decreased BOTH sides

A

COPD
Airway limitation
Diffuse pulmonary fibrosis

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10
Q

Normal chest expansion

A

Anterior 2cm

Posterior 5cm

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11
Q

Mediastinal shift

A 
Collapse
Tension
Pneumonectomy
Pneumothorax
BIG EFFUSION
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12
Q

Dull on percussion

A

Consolidation
Collapse
Pneumonectomy

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13
Q

Stony dull

A

Effusion

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14
Q

Hyper resonant

A

Pneumothorax

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15
Q

3 things to comment on breath sounds

A

Quality: normal or vesicular
Intensity: normal or reduced
Added sounds: wheeze or creps

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16
Q

Bronchial breath sounds

A

LOUD and BLOWING
insp= exp
Audible gap between insp and exp
Reproducible by placing over trachea

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17
Q

Wheeze

A

Airway obstruction

COPD, asthma

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18
Q

Creps/crackles= fluid

A

Edema
Pus

Cough– listen again, normal secretions clear with cough

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19
Q

Fine creps

A

Pulmonary edema

ILD

20
Q

Coarse creps

A

BCB

bronchiectasis
CF
bibasal pneumonia

21
Q

Consolidation

A

BS bronchial or decreased

VR increased

22
Q

Collapse

A

BS AND VR

decreased or absent

23
Q

Effusion

A

BS AND VR

decreased or absent

24
Q

Pneumothorax

A

BS AND VR

Decreased or absent

25
Q

Pneumonectomy

A

BS AND VR

ABSENT

26
Q

Signs of hyperinflation

A 
Decreased Cricosternal distance +/- tracheal tug
Hovers sign
Increased AP 
Impalpable apex beat 
HYPERtesonant
27
Q

Raised hemidiaphragm

A

Injury to phrenic nerve

= to effusion findings

28
Q

Injury to phrenic nerve

A

Surgery
Trauma
Malignancy

29
Q

ILD causes

A 
Idiopathic= Cryptogenic fibrosing alveolitis
Inhaled antigen= EAA- bird, farmers
Inhaled irritant- SI, asbestosis, CWP 
Systemic- SLE, RA, sarcoidosis, sclero
Drugs- amiodarone, MTX
30
Q

Upper lobe ILD

APEST

A 
Ankylosing spond
Pneumoconiosis 
EAA
Sarcoidosis + silicosis 
TB
Radiation
Histipcytosis X
31
Q

Lower lobe ILD

A

card

Crypto
Asbestosis
RA and other systemic
Drugs

32
Q

Drugs that cause ILD

A 
Amiodarone
Busulphan
Bleomycin
MTX
NItrofurantoin
High dose oxygen
33
Q

Causes of Horners

A
  1. central lesion
  2. T1 root lesion
  3. Brachial plexus lesion
  4. Neck lesion
  5. Cluster headaches
34
Q

Central lesions

A

Stroke/Tumor/ MS

Syringobulbia

35
Q

T1 root lesion

A

Spondylosis

Neurofibroma

36
Q

Brachial plexus lesions

A

Pancoats
Cervical rib
Klumpke

37
Q

Neck lesion

A

Tumor
Carotid artery aneurysm
Sympathectomy

38
Q

Transudate pleural effusions

A

LVF
FLUID OVERLOAD
Hypoalbuminaemia
Meigs

39
Q

Meigs syndrome

A

Pleural effusion
Ascites
Fibromas

40
Q

Exudate pleural effusions

A

EMIII

Malignancy
Infection
Inflammation
Infarction

41
Q

Malignancy exudate

A

Bronchogenic

Mesothelioma

42
Q

Infection exudate

A

Pneumonia

TB

43
Q

Inflammation exudate

44
Q

Infarction exudate

45
Q

Clubbing causes resp

A

Carcinoma
ILD
Suppurative lung disease

IC3 Blue Book (16 decks)

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