Cough

Question 1

Red flag questions for cough

Answer 1

SOB
Hx heart failure, asthma

Question 2

Name the cough ddx:

Acute onset
Low grade fever
Rhinorrhea
Cough esp at night
Nasal mucosa swollen and red
Pharynx mildly red

Answer 2

Nasopharyngiits

Question 3

Nasopharyngitis tx

Answer 3

Decongestants
Soothing throat teas/lozenges
Elderberry

Question 4

Name the cough ddx:

Worsening dyspnea
Inc wheezing or coughing
Smoker
Prurulent sputum
Fever
Inc RR and HR

Answer 4

COPD exacerbation

Question 5

COPD exacerbation tx

Answer 5

Bronchodilators - beta 2 agonists

Question 6

Name the cough ddx:

Persistent hacking cough
Inspiratory whoop
Vomiting
Coryza

Answer 6

Pertussis

Question 7

Pertussis tx

Answer 7

Antibiotics

Question 8

Name the cough ddx:

Noisy cough
Dyspnea
Pleuritic chest pain
Sputum production
Chills
Fever
Inc HR/RR
Inspiratory crackles

Answer 8

Pneumonia

Question 9

Name the cough ddx:

Cough
Nasal congestion
Sore throat
Fever
Chills
Myalgias
Pharyngitis
Enlarged lymph nodes

Answer 9

Viral URI

Question 10

Viral URI tx

Answer 10

Decongestant
Nasal wash
NSAIDs for pain

Question 11

Name the cough ddx:

Dry cough
Malaise
Sore throat
Headache
Fever
Rales and rhonchi

Answer 11

Mycoplasma pneumonae

Question 12

Name the cough ddx:

Grunting
Sneezing
Cough
Anoxia
Exposure to passive smoke
Fever
Wheezing on auscultation
Inc RR/HR

Answer 12

Bronchiolitis (RSV)

Question 13

Bronchiolitis/RSV tx

Answer 13

Bronchodilators
Nasal wash

Question 14

Name the cough ddx:

<3 mo
Winter months
URI for 3-4 days
Loose hacking cough that becomes productive
A febrile
Coarse fine crackles

Answer 14

Acute bronchitis

Question 15

Acute bronchitis tx

Answer 15

Fluids
Rest
Vit C

Question 16

Name the cough ddx:

Hx URI
Brassy, barking cough at night
Low grade fever
Inspiratory strider
Flaring of nares

Answer 16

Croup (acute laryngotracheobronchitis)

Question 17

Croup tx

Answer 17

Rest
Fluids
If persistent - steroids

Question 18

Name the cough ddx:

Chronic cough
Sore throat
Cobblestone post pharynx

Answer 18

Postnasal drainage

Question 19

Postnasal drainage tx

Answer 19

humidifier
Neti pot
Decongestant

Question 20

Name the cough ddx:

Dry hacking chronic cough
Esp at night and with laughter
End expiratory long wheeze

Answer 20

Asthma

Question 21

Asthma treatment

Answer 21

Bronchodilators

Question 22

Name the cough ddx:

Chronic cough worse at night
Sour taste in mouth, heartburn
Normal chest exam

Answer 22

GERD

Question 23

Name the cough ddx:

Chronic cough
Mild dyspnea
Hx COPD
Hx smoking
Yellow sputum
Hacking, raspingcough
Barrel chest
Wheezing, rhonchi

Answer 23

Chronic bronchitis

Question 24

Chronic bronchitis tx

Answer 24

Beta 2 agonists
Steroids

Question 25

Name the cough ddx: Cough with hemoptysis Hx smoking Wt loss SOB Enlarged supraclavicualr nodes

Answer 25

Bronchogenic carcinoma

Question 26

Name the cough ddx: Chronic cough Bulky stools Fhx Nasal polyps Clubbin of fingernails Sputum

Answer 26

Cystic fibrosis

Question 27

Cystic fibrosis tx

Answer 27

Steroids for polyps Bronchodilators

Question 28

Name the cough ddx: Recent choking episode Asymmetric exam findings

Answer 28

Foreign body aspiration

Question 29

Name the cough ddx: Hx sneezing, cough Rhinorrhea clear and watery “Shiners”

Answer 29

Allergic rhinitis

Question 30

Allergic rhinitis tx

Answer 30

Antihistamines Neti pot Hot and cold compresses over the sinuses

Question 31

Name the cough ddx: Rhinorrhea >7-10 days Mucopurulent rhinorrhea

Answer 31

Chronic sinusitis

Question 32

Chronic sinusitis treatment

Answer 32

Neti pot Allergy meds Corticosteroids

Question 33

Name the cough ddx: Weakness Malaise Weight loss Brassy cough Fever, night sweats

Answer 33

TB