Resp

Question 1

Fine physiologic tremor resp

Answer 1

Beta 2 agonists

Question 2

Cricosternal distance decreased in

Answer 2

COPD

hyperinflation

Question 3

TUG on inspiration

Answer 3

COPD

hyperinflation

Question 4

Trachea deviation towards

Answer 4

Upper lobe collapse
Upper lobe fibrosis
Pneumonectomy

Question 5

Trachea deviation away

Answer 5

Massive pleural effusion

Tension pneumothorax

Question 6

Lobectomy/ pneumonectomy

Answer 6

Bronchogenic carcinoma
Bronchiectasis

Trauma
TB

Question 7

Hoovers sign

Answer 7

Intercostal in drawing
COPD
hyperinflation

Question 8

Chest expansion decreased one side

Answer 8

Pulmonary fibrosis 
Pleural effusion
Pneumothorax
Collapse 
Consolidation

Question 9

Chest expansion decreased BOTH sides

Answer 9

COPD
Airway limitation
Diffuse pulmonary fibrosis

Question 10

Normal chest expansion

Answer 10

Anterior 2cm

Posterior 5cm

Question 11

Mediastinal shift

Answer 11

Collapse
Tension
Pneumonectomy
Pneumothorax
BIG EFFUSION

Question 12

Dull on percussion

Answer 12

Consolidation
Collapse
Pneumonectomy

Question 13

Stony dull

Answer 13

Effusion

Question 14

Hyper resonant

Answer 14

Pneumothorax

Question 15

3 things to comment on breath sounds

Answer 15

Quality: normal or vesicular
Intensity: normal or reduced
Added sounds: wheeze or creps

Question 16

Bronchial breath sounds

Answer 16

LOUD and BLOWING
insp= exp
Audible gap between insp and exp
Reproducible by placing over trachea

Question 17

Wheeze

Answer 17

Airway obstruction

COPD, asthma

Question 18

Creps/crackles= fluid

Answer 18

Edema
Pus

Cough– listen again, normal secretions clear with cough

Question 19

Fine creps

Answer 19

Pulmonary edema

ILD

Question 20

Coarse creps

Answer 20

BCB

bronchiectasis
CF
bibasal pneumonia

Question 21

Consolidation

Answer 21

BS bronchial or decreased

VR increased

Question 22

Collapse

Answer 22

BS AND VR

decreased or absent

Question 23

Effusion

Answer 23

BS AND VR

decreased or absent

Question 24

Pneumothorax

Answer 24

BS AND VR

Decreased or absent

Question 25

Pneumonectomy

Answer 25

BS AND VR | ABSENT

Question 26

Signs of hyperinflation

Answer 26

``` Decreased Cricosternal distance +/- tracheal tug Hovers sign Increased AP Impalpable apex beat HYPERtesonant ```

Question 27

Raised hemidiaphragm

Answer 27

Injury to phrenic nerve | = to effusion findings

Question 28

Injury to phrenic nerve

Answer 28

Surgery Trauma Malignancy

Question 29

ILD causes

Answer 29

``` Idiopathic= Cryptogenic fibrosing alveolitis Inhaled antigen= EAA- bird, farmers Inhaled irritant- SI, asbestosis, CWP Systemic- SLE, RA, sarcoidosis, sclero Drugs- amiodarone, MTX ```

Question 30

Upper lobe ILD | APEST

Answer 30

``` Ankylosing spond Pneumoconiosis EAA Sarcoidosis + silicosis TB Radiation Histipcytosis X ```

Question 31

Lower lobe ILD

Answer 31

card Crypto Asbestosis RA and other systemic Drugs

Question 32

Drugs that cause ILD

Answer 32

``` Amiodarone Busulphan Bleomycin MTX NItrofurantoin High dose oxygen ```

Question 33

Causes of Horners

Answer 33

1. central lesion 2. T1 root lesion 3. Brachial plexus lesion 4. Neck lesion 5. Cluster headaches

Question 34

Central lesions

Answer 34

Stroke/Tumor/ MS | Syringobulbia

Question 35

T1 root lesion

Answer 35

Spondylosis | Neurofibroma

Question 36

Brachial plexus lesions

Answer 36

Pancoats Cervical rib Klumpke

Question 37

Neck lesion

Answer 37

Tumor Carotid artery aneurysm Sympathectomy

Question 38

Transudate pleural effusions

Answer 38

LVF FLUID OVERLOAD Hypoalbuminaemia Meigs

Question 39

Meigs syndrome

Answer 39

Pleural effusion Ascites Fibromas

Question 40

Exudate pleural effusions

Answer 40

EMIII Malignancy Infection Inflammation Infarction

Question 41

Malignancy exudate

Answer 41

Bronchogenic | Mesothelioma

Question 42

Infection exudate

Answer 42

Pneumonia | TB

Question 43

Inflammation exudate

Answer 43

RA | SLE

Question 44

Infarction exudate

Answer 44

PE

Question 45

Clubbing causes resp

Answer 45

Carcinoma ILD Suppurative lung disease