Respiratory

Question 1

General inspection

Answer 1

SOB, pain, accessory muscle use, cough

Question 2

Hands

Answer 2

Cyanosis, nicotine stains, palmar erythema, clubbing, asterixis, wrist tenderness

Question 3

Face

Answer 3

Horner syndrome, droopy eyelids, bloodshot eyes, plethora, polyps, nasal deviation, engorged turbinates, throat crowding, mouth, cyanosis, hoarseness

Question 4

Lymph nodes

Answer 4

Submental, submandibular, pre-auricular, post-auricular, anterior chain (individually), supraclavicular, posterior chain, occipital, axillary

Question 5

Back

Answer 5

Inspect scars, surgeries, deformities, barrell chest, scoliosis, palpate and percuss

Question 6

Neck

Answer 6

JVP, pemberton’s sign, trachea, tug, deviation

Question 7

Chest

Answer 7

Inspect, pectus excavatum, pectus carinatum

Question 8

Palpate

Answer 8

Hoover’s sign, apex beat, springing of ribs

Question 9

Percuss

Question 10

Auscultate

Answer 10

Breath sounds + equality, vocal resonance, heart valves, aortic, pulmonary, tricuspid, mitral

Question 11

Abdomen

Answer 11

Percussion, liver border

Question 12

Legs

Answer 12

Pitting oedema, cyanosis, calves, redness, pain, swelling

Question 13

Concluding remarks

Answer 13

Consider cardiovascular exam, CXR, Sputum MCS