Respiratory King

Question 1

Mild Microencepahly

Answer 1

Fetal Alcohol Syndrome

Question 2

Broad Nasal Bridge

Answer 2

Fragile X Syndrome

Question 3

Low nasal bridge

Frontal prominence

Answer 3

Hurler Syndrome

Question 4

Downward slanting palpebral fissures
Low set ears
Micrognathia

Answer 4

Treacher Collins Syndrome

Question 5

Elongated head
Coarse facial features
Boney overgrowth of forehead, nose and lower jaw

Answer 5

Acromegaly

Question 6

Moon face
Reddened cheeks
Hirsuitism

Answer 6

Cushing disease

Question 7

Puffy face

thinking, coarsening of eyebrows and hair

Answer 7

Hypothyroidism

Question 8

Overgrowth of collagen in scar tissue

Grows beyond borders of original injury

Answer 8

Keloid

Question 9

Hematoma separates cartilage from perichondrium with scar tissue filling gap between the two layers

Answer 9

Cauliflower Ear

Question 10

Bacterial responsible for otitis external

Answer 10

Pseudomonas

Question 11

Tx Otitis Externa

Answer 11

Ear drops, open and clean canal if possible

Question 12

In diabetics the infection can spread to the soft tissues of the base of the skull

Answer 12

Malignant Otitis Externa

Question 13

How many AOM will clear without Tx?

Answer 13

50% clear without antibiotics

Question 14

How many AOM will convert to acute coalescent mastoiditis?

Answer 14

1 in 400

Question 15

Tx of Otitis Media with Effusion?

Answer 15

Surgical, slit in ear drum with fluid drained by myringotomy tube

Question 16

Hemotypanum MCC

Answer 16

Head trauma

Question 17

Tympanic Membrane Retraction usually sequela of

Answer 17

Glue ear

Question 18

Portion of tympanic membrane is weakened and retracts into middle ear due to negative pressure, auditory acuity can be compromised

Answer 18

Tympanic Membrane Retraction

Question 19

Occurs most commonly in older patients with fragile vessels, profuse bleeding (sphenopalatine artery) requires hospitalization and surgical tx

Answer 19

Posterior Epistaxis

Question 20

Nasal septum deviated laterally congenital or due to trauma

Answer 20

Deviated Septum

Question 21

Occurs when blood supply to the septum is chronically compromised often caused by inhalation of vasoconstrictive substances

Answer 21

Septal Perforation

Question 22

Sinusitis after URI Pathophysiology

Answer 22

Virus infects mucus membrane of the sinuses, causes swelling and narrowing, secondary increase in secretions gets trapped in swollen sinuses and becomes infected with bacteria

Question 23

Slow growing most common skin cancer

Answer 23

Basal Cell Carcinoma

Question 24

More aggressive, early metastasis, scaly crusting patch

Answer 24

Squamous Cell Carcinoma

Question 25

Melanin deposits on mucus membranes Intestinal polyps with increased risk of GI cancers Autosomal dominant

Answer 25

Peutz-Jeghers

Question 26

Appearance caused by loss of papillae, may be linked to Vitamin B deficiency

Answer 26

Geographic Tongue | No Tx necessary

Question 27

Usually squamous cells, link to HPV infection often presents late in disease course due to few early Sx

Answer 27

Tonsillar Carcinoma

Question 28

Hard bony growth in center of hard palate Benign - exostosis Occurs in females over 30, rarely needs Tx

Answer 28

Torus Palatinus

Question 29

MCC Tonsillitis

Answer 29

Gram positive bacteria

Question 30

Rheumatic fever organism

Answer 30

Strep Pyogenes

Question 31

Sternum displaced anteriorly increasing AP diameter | Adjacent costal cartilages depressed

Answer 31

Pigeon chest | Pectus carinatum

Question 32

Depression in lower portion of sternum, compression of heart and great vessels may cause murmurs

Answer 32

Funnel chest | Pectus Excavatum

Question 33

Subcutaneous emphysema may indicate

Answer 33

Pneumothorax

Question 34

Decreased motion with respiration may indicated

Answer 34

Bronchial obstruction or pleural effusion

Question 35

Posteriorly the Upper Lung/Lower Lung transition occurs at

Answer 35

Spinous process of T3

Question 36

Which lung has 3 lobes?

Answer 36

the right one!!

Question 37

Bronchial sounds with primarily rhonci may indicate

Answer 37

Pneumonia

Question 38

In Pneumonia percussion reveals____ while bronchophony and tactile fremitus reveal____

Answer 38

Dullness on percussion with increased bronchophony and tactile fremitus

Question 39

In COPD percussion reveals____ while bronchophony and tactile fremitus reveal____

Answer 39

Hyperresonance on percussion with decreased bronchophony and tactile remits

Question 40

Decreased breath sounds throughout lung fields indicated

Answer 40

COPD

Question 41

Decreased breath sounds in dependent portions of the lung with rales and crackles

Answer 41

CHF

Question 42

In Pneumothorax percussion reveals____ while bronchophony and tactile fremitus reveal____

Answer 42

Marked hyper resonance on percussion with decreased bronchophony and tactile fremitus

Question 43

Tactile fremitus only is decreased in

Answer 43

Pleural Effusion