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Clinical Medicine > Ultimate Reviewer Chest, Lungs And Breast > Flashcards

Ultimate Reviewer Chest, Lungs And Breast Flashcards

1
Q

Which is likely the mechanism of cough among patients with heart failure

A

Decrease lung compliance

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2
Q

Which is likely the mechanism of cough among patients with heart failure

A

Decrease lung compliance

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3
Q

50 y.o. patient male with > 5 months cough. He cough when he lays down wearing tight clothes. It is productive with watery whitish sputum

A

Congestive heart failure

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4
Q

45 year old male has cough for 3 months now and claims to clear his throat every morning

A

Post nasal drip

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5
Q

A 62 years old female was found unconscious and at the ER she was noted with very fast and deep breathing with fruity breath. Her pattern of breathing is

A

Kassmauls respiration

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6
Q

17 yo female consulted at the ER because of high grade fever w/o other symptoms. She is observed w/ abnormal respiration. Her abnormal respiration expected to be

A

Hyperpnea

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7
Q

An IV drug user presents to ER due to hemoptysis and DOB but denies any fever and cough. What is the most common cause of hemoptysis

A

Vasculitis

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8
Q

Kussmaul’s respiration is heard among patient with

A

Renal failure

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9
Q

38 y/o female, rushed to ER because of severe retrosternal pain, relieved by nitroglycerine; pain occurs when cold substance ingested

A

Esophageal spasm

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10
Q

Acute onset of Difficulty of Breathing precipitated by valsalva maneuver

A

Pneumothorax

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11
Q

Most common cause of hemoptysis

A

Bronchiectasis

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12
Q

Patient with heart failure

A

Orthopnea

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13
Q

Dry cough and unilateral effusion

A

Trepopnea

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14
Q

Pneumococoniosis is due to exposure to

A

Coal

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15
Q

Bagasse

A

Sugar cane

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16
Q

Primary malignancy

A

Silica

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17
Q

Psittacosis

A

Parrot

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18
Q

Lagging of one side of the chest is best identified by

A

Palpation

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19
Q

Where is the landmark for the posterior rib

A

Inferior scapular line

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20
Q

Referenced used in identifying posterior ribs

A

Inferior scapular line

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21
Q

Tactile fremitus is usually decreased with

A

Emphysema

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22
Q

Stridor

A

Epiglottis

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23
Q

Normal breath sound heard in intrascapular area

A

Bronchovesicular

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24
Q

Sounds of secreations produce on bronchi

A

Rhonchi

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25
Q

Bilateral hyperresonance

A

Emphysema

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26
Q

Shorter I:E ratio

A

Metabolic acidosis

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27
Q

Describe the type of breathing for patient with heart failure

A

Cheyenne stokes

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28
Q

Fremitus is decreased

A

Atelectasis

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29
Q

Early inspiratory crackles is heard at

A

Chronic bronchitis

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30
Q

Breast extends from

A

2nd-6th ICS

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31
Q

Most frequently palpable lymph node in Breast Ca

A

Central lymphnode

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32
Q

Mastitis

A

Lactation

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33
Q

Dividing into quadrants is toL

A

Staging

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34
Q

Seen in acute onset and chronic progressive DOB

A

Asthma

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35
Q

Orange peel in breast cancer

A

Protrusion of mass

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36
Q

Diaphragmatic excursion except

A

Pneumonia

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37
Q

Brassy cough

A

Emphysema

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38
Q

Brassy

A

Trachea

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39
Q

Barky

A

Glottis

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40
Q

Pink puffer

A

Emphysema

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41
Q

Man can’t keep up with friend at same age

A

Grade 2

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42
Q

Occupational asthma common among workers exposed to which of the following dust

A

Cotton dust

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43
Q

Pneumocosis

A

Coal

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44
Q

Heart Failure

A

Orthopnea

45
Q

Apex above clavicle

A

2-4 cm

46
Q

COPD

A

10x

47
Q

Lung cancer in women

A

13x

48
Q

Basilan

A

Paragoniasis

49
Q

Rusty color of sputum

A

S. Pneumonia

50
Q

Pursed lip

A

Emphysema

51
Q

Crescendo=decrescendo with apnea

A

Cheynestrokes

52
Q

Afferent limb

A

IX

53
Q

Decreased or low fremitus

A

Thick chest wall

54
Q

Soft and low

A

Vesicular

55
Q

Early inspiratory crackles

A

Chronic bronchitis

56
Q

Most common palpable lymph node of breast cancer

A

Central node

57
Q

High (4x) breast density

A

Highest to relative risk of breast cancer

58
Q

Modifiable risk for breast cancer

A

Obesity

59
Q

Chronic cough

A

2 months

60
Q

Cough complication

A

Pneumothorax

61
Q

IE ration is decreased in fever

A

Chronic bronchitis

62
Q

Chest pain associated with chest tenderness pathology of

A

Chest wall

63
Q

Below are hereditary diseases except

A

Leprosy

64
Q

SPONTANEOUS UNILATERAL BLODDY DISHARGE FROM ONE/TWO WARANTS FURTHER EVALUATION

A

Intraductal carcinoma

65
Q

OBESITY, LATE AGE ETC

A

1.1-2.0

66
Q

SMALL, ROUNDED ELEVATION FORMED BY SEBACCEOUS GLANDS , SWEAT GLANDS & ACCESSORY AREOLAR GLANDS

A

Surface of areola

67
Q

EXTENDS ACROSS THE ANTERIOR AXILLARY FOLD

A

Tail of spence

68
Q

CLAVICLE, 2ND RIB DOWN TO THE 6TH RIB AND FROM THE STERNUM ACROSS TO THE MIDAXILLARY LINE

A

Female breast

69
Q

During cough, the speed of airflow in the airway is as fast as the speed of

A

Sound

70
Q

What is etiology of cough in pleural effusion

A

Decrease pulmonary compliance

71
Q

18 y.o. female with acute onset of cough associated with runny nose, sore eyes, and chest discomfort. What condition

A

Tracheobronchitis

72
Q

Chronic cough, sputum purulent, often copious and foul-‐smelling

A

Bronchioectasis

73
Q

Patient with which of the following lung problem would present with sudden onset of difficulty of breathing preceded by pleuritic chest pain

A

Pneumothorax

74
Q

Sudden onset of difficulty of breathing precipitated by exposure to grass pollen

A

Asthma

75
Q

Alpha I antitrypsin increase risk

A

Emphysema

76
Q

49 y.o. DB, he has DOB for 3 years. Lately, he can’t keep up with his friends of the same age. What is the grade or American Thoracic Dyspnea Scale

A

Grade 2

77
Q

Considered as the most common cause of hemoptysis

A

Bronchioectasis

78
Q

Lung parenchyma, common cause of hemoptysis

A

Bronchioectasis

79
Q

Squeezing retrosternal pain felt after ingestion of cold liquid and relieved by nitroglycerin is felt in

A

GIT

80
Q

40 y.o. female with rheumatoid arthritis of more than 15 years now and taking methotrexate. Started to have cough and difficulty of breathing 2 years ago. What respiratory disease is the most likely the cause

A

Intestinal infiltrative disease

81
Q

Which of the following occupational inorganic substances will cause pneumoconiosis

A

Coal

82
Q

Exposure to which of the following dusts increases the risk of lung cancer

A

Bagasse

83
Q

Smoking increases lung cancer mortality in men by

A

23x

84
Q

Alcoholics have higher risk of getting pneumonia and they are more prone to develop

A

Aspiration pneumonia

85
Q

To decrease tension pneumothorax where will you insert the big bore needle

A

2nd ICS MCL

86
Q

Which of the following vertebrae has the most prominent spinous process

A

C7

87
Q

Needle insertion of thoracocentesis

A

8ICS

88
Q

The apex of the lungs is extended above the inner 1/3 of the clavicle by as much as

A

2-4 cm

89
Q

Diaphragmatic excursion from resting to full inspiration is at

A

5-6cm

90
Q

Bifurcation of trachea at

A

Sternal angle

91
Q

Blue bloater

A

Chronic bronchitis

92
Q

Ribs angle is usually more horizontal compared to normal individual if patient have which of the following problem

A

COPD

93
Q

Normal angle of the rib

A

45 degrees

94
Q

Which among the following abnormal respiratory rhythm is seen in the lesion of the PONS

A

Apneustic

95
Q

Type of respiration associated with morphine overdose

A

Cheyen stroke

96
Q

Clubbing of fingers are seen in this pathologic, except

A

Mesothelioma

97
Q

Which of the following breath sounds have intermediate pitch and loudness

A

Broncho vesicular

98
Q

Which of the following breath sounds has loud and high pitched sound

A

Bronchial

99
Q

Mid inspiratory & expiratory crackles usually heard in patients with

A

Bronchioectasis

100
Q

Normally breast tissue extend from the sternum to

A

MAL

101
Q

Rounded elevations seen in the areola is caused by the following except

A

Fat globule

102
Q

Fibroadenoma of the breast is a common cause of breast mass among female aging

A

15-20 yo

103
Q

Which of the following can decrease the risk of breast CA

A

Breast feeding

104
Q

MRI of the breast is recommended for the following except

A

Older woman

105
Q

Galactorrhea may be seen in patient with

A

Pituitary adenoma

106
Q

Benign condition of breast may cause bloody breast discharge

A

Intraductal papilloma

107
Q

Breast malignancy is most likely to have if breast tumor is about

A

5cm

108
Q

Breast malignancy is highly considered if the patient have

A

Palpable mass

109
Q

Acute onset but chronic progressive

A

Smoking

Clinical Medicine (6 decks)

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