Mixed_important

Question 1

Percussion: What stony dull sound mean?

Answer 1

Indicative of large pleural effusion

*stony dull = duller than a standard dull sound

Question 2

Percussion: What does dull mean?

Answer 2

• sound heard over solid tissues → indicates a consolidation
• may appear when the lung separates from a chest wall e.g. pleural fluid, thickening or pulmonary collapse

Question 3

Example of condition/ problem if the crackles are present:

A. Fine crackles

B. Coarse crackles

Answer 3

A. Fine crackles → interstitial lung disease

B. Coarse crackles → consolidation, fluid in the alveoli

Question 4

How much steroids to prescribe for the exacerbation of:

• Asthma
• COPD

Answer 4

Exacerbation of:

• Asthma → 40 mg
• COPD → 30 mg

Question 5

Mnemonic for treatment of exacerbation of COPD

Answer 5

Exacerbation of COPD

A - antibiotics

B - bronchodilator

C - corticosteroids