More Phys Dx

Question 0

Bennett’s fracture

Answer 0

Base of first metacarpal

Question 1

Boxers fracture

Answer 1

5th metacarpal

Question 2

Counting ribs

Answer 2

Posteriorly up from 12th rib
7th rib at inferior angle of scapula
Count fibs from C7-T1

Question 3

Costovertebral angle

Answer 3

Below 12th rib
Lateral to spine
Percussion of kidneys

Question 4

Percussion tones:

Loud, low pitch, long, resonant

Answer 4

Healthy lung

Question 5

Percussion tones:

Hyper-resonant, very loud, low pitch, long

Answer 5

Emphysematous lungs

Pneumothorax

Question 6

Percussion tones:

Tympanic, loud, high pitch, moderate duration

Answer 6

Gastric bubble

Question 7

Percussion tones:

Dull, soft-moderate, mod-high pitch, moderate duration

Answer 7

Liver

Question 8

Percussion tones:

Flat, soft, high pitch, short

Answer 8

Muscle

Question 9

Tracheal breath sounds

Answer 9

Inspiration and expiration about equal
Very loud
Relatively high pitch

Question 10

Bronchial breath sounds

Answer 10

Expiration longer than inspiration
Loud
Relatively high pitch

Question 11

Broncho-vesicular breath sounds

Answer 11

Inspiration and expiration about equal
Mod intensity
Mod pitch

Question 12

Vesicular breath sounds

-most of both lung fields

Answer 12

Inspiration longer than expiration
Soft
Relatively low pitch

Question 13

Prominent ribs

Use of accessory muscles

Answer 13

COPD

Emphysema

Question 14

Irregular breathing with long periods of apnea

Answer 14

Biot’s

Caused by increased intracranial pressure, drug resp depression, brain dmg

Question 15

Irregular breathing with intermittent periods of increased and decreased rates and depths alternating with periods of apnea

Answer 15

Cheyne-Stokes

Drug resp depression, CHF, brain dmg

Question 16

Fast and deep breathing

Answer 16

Kussmaul’s

Metabolic acidosis

Question 17

Tactile fremitus

Answer 17

Increased with consolidated pna

Decreased with effusion, COPD, pneumothorax, fibrosis

Question 18

Vibrations thru bronchopulmonary tree

Answer 18

Tactile Fremitus

Question 19

Sonorous “wheeze”

Snoring quality

Answer 19

Rhonchi

Question 20

Sibilant wheeze

High pitched whistle

Answer 20

Wheeze

Question 21

Discontinuous sounds

Answer 21

Crackles (used to be rales)

Question 22

Low pitched continuous sounds

Answer 22

Rhonchi

Question 23

High pitched continuous sounds

Answer 23

Wheezes

Question 24

Mediastinal crunch Loud crackles, clicks and gurgling Synchronous with hear beat

Answer 24

Hamman sign | D/t mediastinal emphysema

Question 25

High pitched wheeze that is high pitched and largely inspiratory Louder in the neck

Answer 25

Stridor Indicates upper airway obstruction

Question 26

Normal air filled lung

Answer 26

Breath sounds predominantly vesicular Words muffled indistinct E sounds like E

Question 27

99 heard louder and clearer even at a distance from larynx

Answer 27

Bronchophony Indicates presence of fluid or solid tissue in alveoli

Question 28

Positive egophany

Answer 28

Means consolidated lung tissue; pna, atelectasis, tumor

Question 29

Decreased with emphysema where lung expansion is increased and air flow was reduced

Answer 29

Vocal resonance

Question 30

Atelectasis

Answer 30

Loss of air from lung or collapse of lung with reduced lung volume

Question 31

Findings in pleural effusions

Answer 31

Dullness to percussion Reduced breath sounds at base Decreased fremitus

Question 32

Pus in pleural space

Answer 32

Empyema

Question 33

Asthma findings

Answer 33

Short inspiration Prolonged expiration High pitch wheeze CXR typically normal

Question 34

``` Flattened diaphragm Increased AP diameter of chest Reduced breath sounds Hyper resonant Use if accessory muscles ```

Answer 34

Emphysema | COPD

Question 35

Forced expiratory time

Answer 35

PT blow out candles | >6 seconds suggests obstructive pulm disease