Respiratory Exam

Question 1

What is a peak expiratory flow rate?

Answer 1

Today we need to measure how well air flows in and out of your lungs, which is known as peak flow rate.

To do this, we use a peak flow meter, which is this device here.

By measuring peak flow we can check how well your _____ is controlled

Question 2

How to do a PEFR?

Answer 2

stand upright / sit upright chest wall straightened

ensure you exhale fully then take a deep breath in.

Form a seal around the PEFR meter and exhale fully through the mouth piece.

Look at the reading

repeat 3x

take best reading

Question 3

obstructive sleep apnoea mx?

Answer 3

weight loss
CPAP
intra-oral device

Question 4

pulmonary function tests

FEV1
FVC

FEV1%

Answer 4

forced expiratory volume in 1 second

Forced vital capacity

ratio which if reduced suggests an obstructive picture and if normal suggests a restrictive picture

Question 5

causes of Obstructive lung disease?

Answer 5

Asthma
COPd
Bronchiectasis

Question 6

Restrictive lung disease?

Answer 6

Pulmonary fibrosis
asbestosis
sarcoidosis
ARDS
Neuromuscular disorders
severe obesity

Question 7

respiratory causes of finger clubbing?

Answer 7

lung cancer
CF, bronchiectasis, abscess, empyema

TB
asbestosis/ mesothelioma