Respiratory Exam Flashcards

1
Q

When taking a history consider…

A
Age
Smoker?
Chronic disease
Wheeze
Stridor
Cyanosis
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2
Q

What does finger clubbing indicate?

A
Bronchiectasis
COPD
Cystic fibrosis
Lung cancer
Abscess
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3
Q

What does a positive test for flapping tremor indicate?

A

Carbon dioxide retention

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4
Q

What does fine tremor indicate?

A

Use of salbutamol

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5
Q

What does central cyanosis indicate?

A

Hypoxaemia

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6
Q

What does oral candidiasis indicate?

A

Fungal infection : steroid inhaler usage (asthma)

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7
Q

Median sternotomy scar indicates

A

Cardiac valve replacement and artery bypass grafts

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8
Q

What does axillary thoracotomy scar indicate? (Between 4th and 5th intercostal)

A

Chest drains

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9
Q

Posterolateral thoracotomy scar indicates

A

Lobectomy, pneumonectomy and oesophageal surgery

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10
Q

What does an infraclavicuar scar indicate?

A

Pacemaker insertion

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11
Q

Name radiotherapy associated skin changes

A

Xerosis
Hyperkeratosis
Depigmentation

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12
Q

What does dullness upon percus indicate?

A
Increased tissue density 
Cardiac dullness
Consolidation 
Tumour 
Lobar collapse
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13
Q

What does stony dullness indicate?

A

Pleural effusion

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14
Q

What does hyper resonance indicate?

A

Pneumothorax

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15
Q

What does increased volume of tactile fremitus indicate?

A

Increased tissue density

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16
Q

What does decreased volume in tactile fremitus indicate?

A

Presence of fluid or air outside of the lung

17
Q

Respiratory causes of lymphadenopathy

A

Lung cancer with metastases
Tuberculosis
Sarcoidosis

18
Q

Give 9 further investigations after a respiratory exam

A
Oxygen sats
Temperature 
blood pressure
Sputum sample
Peak flow 
CXR
Arterial blood gas
Supplemental oxygen 
CVS exam
19
Q

What does wheeze indicate?

A

COPD

Asthma

20
Q

What does stridor indicate?

A

Subglottic stenosis (narrowing of the airway below vocal cords)