Things to consider on test

Question 1

The question stem includes INCREASED fremitus: what is it?

Answer 1

A consolidation condition

Question 2

A patient is hyperresonant upon percussion: what are the two options?

Answer 2

PTX

COPD

Question 3

What clinically distinguishes PTX from COPD?

Answer 3

Trachea is shifted with PTX
Trachea is midline with COPD

No adventitious breath sounds with PTX
Expiratory crackles with COPD

Question 4

A patient has a shifted trachea: what are the two options?

Answer 4

PTX

Atelectasis

Question 5

What clinically distinguishes PTX from atelectasis?

Answer 5

PTX is hyperresonant
Atelectasis is dull

PTX has decreased breath sounds
Atelectasis has vesicular breath sounds

Question 6

A patient has wheezes: what are the two possibilities?

Answer 6

Asthma

Left sided heart failure

Question 7

How will it be possible to distinguish asthma from left sided heart failure?

Answer 7

Look at the other symptoms/reversibility

Question 8

A patient is dull upon percussion: what are the three possibilities?

Answer 8

Consolidation
Atelectasis
Pleural effusion

Question 9

What distinguishes consolidation from pleural effusion and atelectasis?

Answer 9

Increased fremitus…if there is one thing that I should be able to remember from this, it is that consolidation causes INCREASED fremitus…

Question 10

What distinguishes Atelectasis from consolidation and pleural effusion?

Answer 10

The shifted trachea

Question 11

What distinguishes pleural effusion from atelectasis and consolidation?

Answer 11

Nothing really…just lacks other things that they have