Resp

Question 1

decreased air entry lungs

Answer 1

emphysema, pneumothorax, pleural effusion, collapse

Question 2

increased vocal resonance (99)

Answer 2

consolidatoin

Question 3

decreased vocal resonance (99)

Answer 3

effusion, pneumothorax

Question 4

tracheal displacement different causes

Answer 4

away from = pneumothorax + pleural effusion

towards =collapsed lung, expansion reduced on one side with all.

Pneumothorax – increased resonance, reduced breath sounds.

Pneumonia – coarse creps + bronchial breathing

Pleural effusion – stony dull percussion, reduced breath sounds

Collapsed lung reduced sounds, decreased resonance.

Question 5

wheeze main DDx

Answer 5

asthma

COPD

Question 6

coarse creps

Answer 6

bronchiectasis

consolidation

Question 7

fine inspiratory creps

Answer 7

pulmonary oedema

Question 8

fine end inspiratory creps

Answer 8

pulmonary fibrosis

Question 9

bronchial breathing

Answer 9

consolidation

Question 10

pleural rub

Answer 10

pleurisy
pulm infarct
pneumonia
pleural ca

Question 11

COPD summary of all

Answer 11

signs (flap, bounding pulse, hyper-expanded/res, exp wheeze), CP, CXR may show pneumothorax, ABG – T2RF FBC – low alb if severe spiro – low FEV1, ratio <0.7 GOLD classification of severity. Cons – stop smoking, physio Med – salbutamol +/- tiotropium +/- ICS, vaccs, LTOT if palliative + non smoker + <7 O2