Respiratory examination

Question 1

Pursed lipped breathing usually indicates what disease

Answer 1

COPD (obstructive)

Question 2

Hypercapnia manifests itself on a hand examination with …

Answer 2

Dilated veins

Question 3

1st web space wasting might indicate …

Answer 3

T1 lesion

Question 4

What is the main suspect in T1 lesions

Answer 4

Pancoasts tumour (apex lung) (NB: Horners also is a result)

Question 5

What are the respiratory ∆∆ for finger clubbing (3)

Answer 5

Suppurative lung diseases
Cancer
Intersitial lung disease

Question 6

There are four main suppurative lung disease. Name them (4)

Answer 6

Cystic fibrosis (pus everywhere)
Brochiectasis (pus in widened tubes)
Abscess (pus in a collection)
Empyema (pus outside of the lungs)

Question 7

Hypercapnic patient may have a ….. character of pulse

Answer 7

Bounding

Question 8

Hyperinflative conditions such as COPD have what affect on the crico-sternal distance. There may also be tracheal tug.

Answer 8

Reduced

Question 9

Asthma may produce a pectus …

Answer 9

Carinatum

Question 10

A wheeze is due to small airway diseases like (2)

Answer 10

Asthma or COPD

Question 11

If you hear a crepitation you should ask the pt to … and physiologically normal mucosal secretions ones will clear.

Answer 11

cough

Question 12

If percussion over an area is dull due to consolidation, the vocal resonance will be …

Answer 12

increased

Question 13

If percussion over an area is stony dull due to effusion, the vocal resonance will be …

Answer 13

also decreased

Question 14

A major ∆∆ for effusion will be …

Answer 14

Raised hemidiaphragm

Question 15

How do you differentiate between a raised hemidiaphragm and pleural effusion

Answer 15

CXR

Question 16

What can result from a phrenic nerve palsy

Answer 16

Raised hemidiaphragm

Question 17

If there is an audible gap between inspiration and expiration on ausculation what are you thinking

Answer 17

Bronchial breathing

Question 18

In bronchial breathing the length of … and … is identical

Answer 18

inspiration and expiration

Question 19

Loud and blowing can be used to describe what on auscultation

Answer 19

Bronchial breathing

Question 20

How can you reproduce bronchial breathing on yourself?

Answer 20

Place stethoscope over your trachea

Question 21

What 2 types of pleural effusion can you get

Answer 21

Transudate

Exudate

Question 22

Exudative pleural effusion have > or < than 30g/L protein

Answer 22

>

Question 23

What infections causes exudative effusions

Answer 23

TB

Pneumonia

Question 24

What inflammatory processes cause exudative effusions

Answer 24

RA

SLE

Question 25

PE and malignancies cause transudate or exudative effusions

Answer 25

exudative

Question 26

Transudative effusions are caused by what 4 things (4)

Answer 26

Hypoalbuminaemia
Volume overload
LVF
Meigs syndrome

Question 27

What is meigs syndrome

Answer 27

A Triad of benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor.

Question 28

What are the defining characteristics of Horner’s syndrome

Answer 28

Ptosis, myosis and anhydrosis