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PCM III > Resp/HEENT, King, 10 questions on exam part II > Flashcards

Resp/HEENT, King, 10 questions on exam part II Flashcards

1
Q

what do you insepct in oral cavity

A

teeth, gums, buccal mucosa, tongue surfaces, hard palate, posterior oropharynx

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2
Q

What is thrush

A

oral infeciton from candida albicans

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3
Q

what patients is thrush seen in

A 
infants
immunosuppressed
patients on antibiotic Tx
patients on chemoTx
usually complain of irritation of the mouth and altered taste
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4
Q

What is a geographic tongue

A

loss of papillae
linked to vit B deficiency
no Tx necessary

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5
Q

what is a fissured tongue

A

genetic condition

asymptomatic and noticed on routine examination

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6
Q

hairy leukoplakia

A

HIV
pipe smoking and chewing toabacco or snuff
may resemble thrush
usually painless
rarely undergoes malignant transformation

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7
Q

characteristic oral carcinoma

A

generally aggressive cancers
chronic alcohol and smoking
delayed Dx because inadequate examination

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8
Q

What type is tonsillar carcinoma and characteristics?

A

squamous cell
usually linke to HPV cells
often present late in the course of disease, few early Sx

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9
Q

what is torus palatinus

A

hard bony growth in center of roof of mouth
not a tumor but rather a benign bony growth called exostosis
commonly in F >30
rarely needs Tx
sometimes removed to fit dentures

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10
Q

What commonly causes tonsillitis

A

strep pyogenes

risk of rheumatic fever

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11
Q

Tx tonsillitis

A

antibiotics to prevent rheumatic fever or tonsillar abscess formation

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12
Q

colors of respiratory appearance

A

cyanotic (hypoxemia)
pink (emphysema, CO2 toxicity)
pallor (anemia)

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13
Q

general appearance respiratory System includes

A

rate, effort, accessory mm use, cough, wheeze, nicotine staining of fingers

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14
Q

what is included in inspection respiratory system

A

tracheal position, deformities of thorax, barrel chest or not

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15
Q

what can displace trachea

A

mass or pneumo

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16
Q

what is funnel chest and what causes it

A

pectus excavatum
depression of lower portion of sternum
compression of heart and great vessels can cause murmurs

17
Q

what is barrel chest

A

AP diameter is increased with age and COPD

lateral / AP chest diamtere is less than 2:1

18
Q

What is pectus carinatum

A

pigeon chest
sternum displaced anteriorly increasing AP diameter
adjacent costal cartilages are depressed

19
Q

palpation of respiratory exam inclues what

A

tenderness may indicate rib fracture
decreased motion with respiration may indicate bronchial obstruction or pleural effusion
subcutaneous emphysema is seen with pneumothorax
tactile fremitus is helpful in Dx consolidation

20
Q

describe reason for asuculatation lungs

A

majority info for PE

listengin to moving air so anything that alters the architecture will alter the flow

21
Q

What are the fissures in R lung

A

horiztontal and oblique

22
Q

what is the fissure in L lung

A

oblique

23
Q

What will lungs sound like in pneumonia

A

dec bs over affected area
sounds will be bronchial not vesicular
primary rhonci but sometimes wheezing

24
Q

percussion in pneumonia

A

dullness

25
Q

special tests for pneumonia

A 
bronchophony (increased)
tactile fremitus (increased)
26
Q

what does COPD sound like

A

dec bs thorughout lung fields

primarily wheezing but may have rhonci

27
Q

what is percussion like in COPD

A

hyperresonance

28
Q

what are special tests for COPD

A 
bronchophony (dec)
tactile fremitus (dec)
29
Q

What will CHF sound like in resp PE

A

dec bs in dependent portions lung

rales (Crackles)

30
Q

percussion in CHF lungs

A

unchanged or dec over dependent prtions

31
Q

special tests CHF in lungs

A 
bronchophony (unchanged)
tactile fremitus (unchanged)
32
Q

what will pneumo sound like in lungs

A

bs dec or absent on affected side

33
Q

percussion pneumo

A

marked hyperresonnance

34
Q

special tests pneumo

A

bronchophony

tactile fremitus both decreased

35
Q

what with pleural effusion sound like on PE

A

dec or absent on affected side

36
Q

what will percussion give in pleural effusion

A

dullness on affected side

37
Q

special tests for pleural effusion

A 
bronchophony (unchanged)
tactile fremitus (decreased)

PCM III (17 decks)

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