Respiratory

Question 1

What could dullness on percussion mean?

Answer 1

Pleural Effusion
Collapse
Consolidation

Question 2

What could reduced breath sounds mean?

Answer 2

Pleural Effusion
Collapse
Pneumothorax

Question 3

What could wheeze suggest?

Answer 3

Bronchospasm

Asthma etc.

Question 4

What do crackles on auscultation suggest?

Answer 4

Pulmonary Oedema
Fibrosis
Consolidation

Question 5

What are the signs of consolidation?

Answer 5

Dull on percussion
Crackles on auscultation
Bronchial breathing

Question 6

What oxygen do you give to someone with Chronic Type 2 Resp Failure or severe COPD?

Answer 6

FiO2 to patient’s baseline (if known), or 90-92%

Question 7

What manoeuvre is used to open the airway of a patient with a suspected neck injury?

Answer 7

Jaw thrust

Question 8

What constitutes a poor resp. effort?

Answer 8

Low resp rate

Shallow, weak breaths

Question 9

How to manage a poor resp. effort?

Answer 9

Emergency - seek help
Manually ventilate with bag-valve mask
Consider naloxone if suspicious of opioid toxicity

Question 10

How would you manage a patient with severe resp. distress and signs of tension pneumothorax?

Answer 10

Emergency needle aspiration