Respiratory System Flashcards
Nasal passages of neonates
Narrow
Lobes of lung detected on the RHS
Superior and middle lobes
Mucous and purulent sputum is seen in
Pneumonia
Hacking cough
Enlarged paratracheal lymph nodes
Increased whispering pectorilquy is seen in
Pneumonia
Excursion of diaphragm is limited in
“All of the above”
Dull sound on percussion
Pleural effusion
Laryngitis is not manifested in
Expiratory dyspnea
Respiratory failure is not characterized by
Cough
Bronchoscopy recommended in
Recurrent cough
Frontal sinuses are fully developed
13-15 yrs
Bronchi of infants are characterized by
Perfect vascularization
Hoarseness is seen in
Laryngitis
Rhythmic changing of respiratory depth with regular recurring periods of apnea
Cheyne stokes Respiration
Dull sound over affected area is noted in
“None of the above”
Nasal quality of the voice is noted in
Adenoids
Patient diseased with left side pleural effusion assumes the following positions
On the left side
Hydrothorax is not seen in
Staph pneumonia
Abnormal breathing (infant)
Cyanotic
Decreased breath sounds on the right
Decreased muscle tone in right arm
Order a chest ultrasound
Poor weight gain
Persistent cough
History of pneumonitis
Foul smelling stool
Perform sweat cholride test
Pneumonia (lower lobe)
Intermittent, recurrent episodes of fever and resp difficulty
Hemopytsis
Treatment?
Bronchoalveolar lavage
Unilateral nasal obstruction
Foul smelling discharge
Cause?
Foreign body
Sleepy during the day
Cant stay awake in class
Loud snoring at night
Management?
Arrange for polysomnograph
Breathing difficulty History of eating dirt Wheezing Hepatomegaly Eosinophillia
Test?
ELISA for Toxocara
Pus in middle nasal meatus
Maxillary sinusitis
Barking cough
Flared nostrils
Mild URI for past 2 days
Treatment?
Inhaled epinephrine and a dose of steriods
History of persistent asthma
Uses inhaled steriods
Presents with white patches on buccal mucosa
Recommendation?
Rinse mouth after use of inhaled medications
Sudden coughing (after being left alone in a room)
Increased amounts of drooling
Refusal to take foods orally
Cause?
Foreign body in oesophagus
Child with sickle cell anemia
Tachypneoic, coughing and febrile
Treatment?
Admit to hospital
History of recurrent URI and PE tubes for ottis media
Right sided heart
Biopsy of nasal mucosa shows?
Random orientation of cilia
Hemoglobin = 5g/dl Hematocrit = 16% Blood pH = 7.1 PO2 = 35 mmHg PaCO2 = 28 mmHg
Indicates?
Acidemia
Metabolic acidosis
Respiratory alkalosis
Hypoxia
PE: Rales and rhonchi
History: eye discharge (treated with topical antibiotics)
Cause?
Chlamydia trachomatis
Asthmatic patient
Uses albuterol daily (esp. when exercising)
Coughing fits
Treatment?
Medium dose, inhaled corticosteriods with short acting B agonists
Percentage of CF patients with pancreatic exocrine dysfunction
85%
Carrier rate of CF gene in white population
1 in 25
Frequency of CF
Whites>Latinos>Blacks>Asians
An abnormal sweat test is
Supportive of the diagnosis for CF
Most common CF gene
Delta F508
Percentage of CF patients with sinus opacification
95%
Percentage of male CF patients with azoospermia
95%
CTFR gene located on what chromosome
7
Life expectancy of CF patient
30 years
Organism not found in CF sputum
Streptococcus pneumonia
Factor not included in chronic lung disease pathogenesis
Antenatal corticosteriods
Chronic lung disease definition
“B and D”
Effective prevention measures of BPD
“All of the above”
Recommended caloric intake for chronic lung disease infants
140 kcals/kg/day
