Respiratory Examination Signs

Question 1

Pneumothorax

Answer 1

Reduced expansion on affected side
Reduced air entry on affected side
Hyper-resonant percussion

Question 2

COPD

Answer 2

Reduced expansion on both sides and hyper-inflated chest
Reduced air entry bilaterally
Hyper-resonant to percussion if predominantly emphasema changes
Wheeze

Question 3

Pulmonary fibrosis

Answer 3

Reduced expansion on both sides
Reduced air entry bilaterally
Resonant to percussion
Fine-inspiratory crackles that do not clear on coughing

Question 4

Bronchiectasis

Answer 4

Reduced expansion on both sides
Reduced air entry bilaterlly
Reduced percussion
Fine-inspiratory crackles that clear on coughing

Question 5

Asthma

Answer 5

Reduced expansion on both sides during active disease
Air entry reduced on both sides
Hyper-resonant to percussion
Expiratory wheeze

Question 6

Lobar collapse

Answer 6

Reduced expansion on side of collapse with trachea pulled to that side
Reduced air entry ipsilaterally
Reduced percussion ipsilaterally

Question 7

Pneumonia

Answer 7

Reduced ipsilateral expansion
Reduced ipsilateral air entry
Reduced percussion
Bronchial breathing

Question 8

PE

Answer 8

No change to expansion or air entry

Possible pleural rub heard over the area

Question 9

Pulmonary oedema

Answer 9

No change in expansion or air entry

Stony dullness to percussion