Resp

Question 1

General

Answer 1

O2/inhaler/nebulisers
Tripod position/nasal flaring/pursed lips
Cachexia
Scars
Cough 
Wheeze
Stridor - upper airway obstruction
Cyanosis

Question 2

Hands

Answer 2

Tar stain
Clubbing
Peripheral cyanosis
RD
Skin changes - long term steroid use
Assess temp
Palpate pulse
Assess resp rate
Fine tremor
Flapping temor
Pulsus paradoxus

Question 3

Head and neck

Answer 3

Conjunctval pallor
Horner’s syndrome
Central cynaosis
JVP

Question 4

Thorax

Answer 4

Scars: small mid axillary, horizontal postero-lateral scars
Skin changes - radiotherapy
Asyemmtry - pneumonectomy, throacoplasty
Deformities

Question 5

Palpitations

Answer 5

Tracheal position - pneumothorax/pleural effusion
Cricosternal distance - lung hyperinflation
Apex beat
Chest expansion

Question 6

Percusion

Answer 6

Resonant
Dull - consolidation/fluid/tumour
Stony dull - pleural effusion
Hyper-resonance - pneumothorax

Question 7

Auscultation

Answer 7

Quality - vesicular or bronchial (harsh)
Assess volume
Sounds: wheeze - asthma/COPD, coarse crackles - pneumonia/bronchiectasis/fluid overload, fine crackles - pulmonary vibrosis
Vocal resonance

Question 8

Lymph nodes

Answer 8

Anterior and posterior trangles
Supraclavicular region
Axillary region

Question 9

Further assessment

Answer 9

Examine sacrum and legs for oedema (cor pulmonale)
Check oxygen sats
Provide supplementary oxygen 
Peak flow
Chest x-ray
Arterial BG
Full CV exam