Resp System

Question 1

General symptoms of Resp diseases

Answer 1

• Cough
• Sputum
• Haemoptysis (coughing w blood)
• Wheeze/Stridor
• Dyspnoea
• Chest pain
• Fever, night sweats, malaise

Question 2

What type of cough do you get with a pertussis infection (whooping cough)?

Answer 2

Barking cough

Question 3

What type of disease is it when coughing is worse at night?

Answer 3

Asthma

Question 4

What type of disease is it when coughing is worse in the morning?

Answer 4

COPD

Question 5

What type of disease is it when you get irritating, persistent and dry coughing?

Answer 5

Interstitial Lung Disease

Question 6

When is a disease considered acute?

Answer 6

When it is less than 3 weeks long

Question 7

What type of disease is it when you get productive cough? and what is the colour

Answer 7

Pneumonia
Yellow/green

Question 8

What type of disease is it when you get a chronic and very productive cough?

Answer 8

Bronchiectasis (a condition in which the airways in the lungs are damaged, causing them to become permanently widened)

Question 9

What type of disease would cause a productive cough with blood?

Answer 9

Tuberculosis

Question 10

What type of diseases would cause wheezing?

Answer 10

airway disease such as:
- asthma
- COPD

Question 11

What type of disease would cause SOB (dyspnoea)

Answer 11

• Airway disease -> COPD, Asthma
• Pneumothorax
• Pulmonary embolism (occurs when a clump of material, most often a blood clot, gets stuck in an artery in the lungs, blocking the flow of blood)

Question 12

What diseases would cause chest pain?

Answer 12

Pneumonia, Pulmonary embolism, Pneumothorax -> all pleuritic

Question 13

What diseases would cause fevers, night sweats, malaise?

Answer 13

Infection
TB

Question 14

What things do you do for the resp exam?

Answer 14

Chest:
- chest wall deformities
- Harrison’s sulcus (an indentation on the chest roughly along the 6th rib)
- Crackling sensation on palpation
- Vocal fremitus (a vibration transmitted through the body)
- Chest expansion (<5cm = reduced)
- Percussion
Auscultation:
- Bronchial breath sounds
- Wheeze
- Crackeles
- Absent or resonant breath sounds
Back:
- Hoover’s sign (examines the inconsistency between automatic hip extension vs voluntary hip extension)
- Vocal resonance
Leg:
- Oedema

Question 15

What could cause Harrison’s Sulcus (an indentation on the chest roughly along the 6th rib)?

Answer 15

• Severe asthma in childhood

Question 16

What could cause a stony dull sound on percussion?

Answer 16

Pleural effusion

Question 17

What could cause a dull sound on percussion?

Answer 17

Pneumonia / consolidation

Question 18

What could cause a hyper resonant sound on percussion?

Answer 18

Pneumothorax

Question 19

What could cause bronchial breath sounds on auscultation?

Answer 19

Pneumonia

Question 20

What could cause wheezing?

Answer 20

Asthma, COPD

Question 21

What could cause crackles upon auscultation?

Answer 21

Pneumonia, ILD

Question 22

What could cause absent or reduced breath sounds?

Answer 22

Pneumothorax

Question 23

What could a positive Hoover’s sign indicate?

Answer 23

COPD

Question 24

What could cause increased vocal resonance?

Answer 24

Consolidation in the lungs

Question 25

What could cause decreased vocal resonance?

Answer 25

Pneumothorax
Pleural effusion
-> consolidation in pleural space

Question 26

What could cause tracheal deviation to the opposite side?

Answer 26

Pneumothorax

Question 27

Table of chest signs in common respiratory diseases

Answer 27