SINUSES/THORAX AND LUNGS

Question 1

WHERE DO I PALPATE FOR SINUS PROBS??

Answer 1

MEDIAL ASPECT OF EYEBROWS AND MAXILLARY SINUSES UNDER ZYGO ARCH BILATERALLY

Question 2

RESPIRATORY–“EXCURSION/EXPANSION” TEST OF RIBS /THORAX AT?

Answer 2

T10–CHECK THUMBS ; BREATH X 3

Question 3

TACTILE FREMITUS; HAVE THE PATIENT SAY 99
INCREASED WITH??

DECREASED WITH??

Answer 3

FLUID= PNEUMONIA

AIR = EMPHYSEMA

Question 4

LOBES LOCATIONS??

Answer 4

SEE BOOK PIC;
R = CLAVICLE TO 4; 4 TO 6; 6 TO 8

L = C TO 6TH; 6TH TO 8TH

Question 5

POSTERIOR LOCATION OF LUNGS ?

Answer 5

T3 TO AXILLA X 2 = UPPER; LOWER = T10 AND BELOW

Question 6

PERCUSSION ; DIAPHRAGMATIC EXERSION; SEE PAGE 5. HOW AND WHERE DO I TAP? WHAT DO I SAY?

Answer 6

FROM SCAPULA DOWN = PT BREATH OUT AND I TAP TO T10

FROM T10-TELL PT TO BREATH IN AND HOLD; I TAP FROM T10 TO T12. BILATERALLY

Question 7

LOCATIONS FOR LUNG PERCUSSION//AUSCULTATION//VOCAL RESONANCE?

ANT AND POST. WILL BE HOW MANY SPOTS?

Answer 7

ANT = 6 SETS
POST = 7 SETS

PG 5

Question 8

PERCUSSIVE CHEST SOUNDS X 3

DULLNESS = ?? X 3

RESONANCE = ?? X 2

HYPERRESONANCE =??? X 2

Answer 8

PNEUMONIA//ATELTASIS//PLEURISY

NORMAL///BRONCHITIS

EMPHYSEMA/PNEUMOTHORAX

Question 9

BREATH SOUNDS X 4 VIA “VERBAL”/AUSCULTATION

1–TRACHEAL =?

2–BRONCHIAL = ??

3–BRONCHOVESICULAR??

4–VESICULAR??

Answer 9

OVER TRACHEA

OVER MANUBRIUM

BETWEEN 1 AND 2 RIBS –ANT
OR BETWEEN SCAPS POST

REMAINING LUNG FIELD

Question 10

VOCAL RESONANCE WITH STETHASCOPE

1–BRONCHOPHANY = HOW PERFORM?

2–EGOPHONY = ??

3–WHISPERED PECTORILOQUY ??

Answer 10

CLEAR SOUND OF 99 = CONSOLIDATION

I HEAR AAAAAA…AS PT SAYS EEEEEEEEEEE

IF 99 IS HEARD CLEARLY

Question 11

LUNG CONDITIONS X 12

1—-LOBAR PNEUMONIA

2–TUBERCULOSIS

Answer 11

RALES AND PERC = DULL; INCREASED FREMITUS; PRODUCTIVE COUGH FOR 10 DAYS; FEVER

NIGHT SWEATS; YELLOW/GREEN SPUTUM; MANTOUX TEST

Question 12

LUNG CONDITIONS X 12

3–PLEURISY

4–PNEUMOTHORAX

Answer 12

STABBING CHEST PAIN WORSE WITH COUGH; DULL ON PERCUSSI ON; DECREASED FREMITUS; + SCHEPELMANS TEST

RUPTURED LUNG CAUSING AIR TO BE TRAPPED IN PLEURAL SPACE; DECREASED FREMITUS; UNILATERL DARKENING OF THE CHEST DUE TO COLLAPSE OF THE LUNG; TRACHEAL SHIFT AWAY FROM LESION

Question 13

LUNG CONDITIONS X 12

5—ATELECTASIS

6—EMPHYSEMA

Answer 13

COLLAPSE DUE TO MUCUS PLUG; DECREASED FREMITUS; DULL OF PERCUSSION; DECREASED CHEST EXPANSION;

PERM DILATION OF ALVEOLI AIR SACS; DECREASED FREMITUS; WHEEZING; LONG EXPIRATION; 20-30 YEARS OF SMOKING; BILATERAL DARKENED LUNGS WITH NARROWED COMPRESSED HEART; AND FLATTENING OF DIAPHRAGMATIC DOMES

Question 14

LUNG CONDITIONS X 12

7—-BRONCHOGENIC CARCINOMA

8—COSTOCHONDRITIS

Answer 14

LONG HISTORY OF SMOKING; MORE THAN 30 DAYS OF COUGHING ;WEIGHT LOSS AND CLUBBING OF FINGERS

BETWEEN RIBS AND STERNUM; 3..4..5…RIBS; INCREASED PAIN WITH BREATHING IN

Question 15

LUNG CONDITIONS X 12

9—-TIETZE SYNDROME

10—HERPES ZOSTER

Answer 15

ONE RIB PAIN; CAN RADIATE;CHRONIC

PAINFUL DERMATOME RASH; USUALLY CN 5

Question 16

LUNG CONDITIONS X 12

11—SARCOIDOSIS

12–HODGKINS

Answer 16

BLACK KILLER; NODULES; FEVER AND NIGHT SWEAT; BILATERAL LYMPH PROBS

WHITE KILLER; FEVER AND NIGHT SWEATS; WEIGHT LOSS; BIOPSY OF REED STERNBERG CELLS