Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Respiratory > Respiratory exam > Flashcards

Respiratory exam Flashcards

(41 cards)

Start Studying
1
Q

What would you look for general inspection?

A
  • Medications
  • Supplemental oxygen supply
  • Sputum pot
  • Does the patient have expiratory wheeze at rest?
  • Does the patient have stridor?
  • Does the patient looked cyanosed, pale and sweaty?
  • Is the patient SOB/pain or any discomfort?
  • Is the patient using their accessory muscles for breathing while at rest?
  • Depth of breathing normal or symmetrical?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What would you look for when inspecting hands?

A
  • Warmth
  • Vasodilation
  • Peripheral cyanosis
  • Clubbing
  • Tar staining
  • Koilonuchia
  • Asterixis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do you check pulse?

A
  • Feel the pulse on both sides.

- If normal, check pulse on one hand.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do you obtain a pulse?

A
  • Count the number of beats in 15 seconds.

- Multiply this number by 4 to calculate your bpm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do you obtain a respiratory rate?

A
  • Count the number of breaths for a 30 seconds.

- Multiply the number by 2 to get respiratory rate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What would you look for when inspecting the face?

A
  • Central cyanosis
  • Polycythemia
  • Conjunctival pallor
  • Horner’s syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When inspecting the neck, what will you look for?

A
  • Assess the JVP

- Examine for lymphadenopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What would you look for when doing a general inspection of the chest wall?

A
  • Surgical scars
  • Deformity
  • Superior cena caval obstruction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where can apex heart beat be located?

A

5th left intercostal space on mid-clavicular line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When is vocal fremitus performed?

A

If dullness is detected upon percussion on mid axillary line.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is vocal fremitus performed?

A
  • By placing edge of your hand on the chest.
  • Ask the patient to say 99
  • Vibrations transmitted through the lung substance and are felt by the hand.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Vocal resonance?

A

The sound of the patient’s voice detected through the stethoscope.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are possible of decreased fremitus?

A
  • Excess air in lungs

- Increased thickness of chest wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are possible causes of increased fremitus?

A
  • Lung consolidation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What further investigation will you offer after respiratory exam?

A
  • SpO2
  • Blood pressure
  • Assess NEWS chart
  • Spirometry
  • Inspect contents of sputum pot
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What symptoms would patients with pneumonia present with?

A
  • Cough
  • Sputum
  • Fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What would you feel upon palpating someone with pneumonia?

Study These Flashcards
A
  • Increased tactile fremitus

- Decreased chest expansion (unilateral)

18
Q

What would you feel upon percussion someone with pneumonia?

19
Q

What would you listen upon auscultation of someone with pneumonia?

Study These Flashcards
A
  • Bronchial breathing
  • Crackles and wheeze
  • Increased resonance
20
Q

What symptoms would patients with pneumothorax present with?

Study These Flashcards
A
  • Dyspnoea
  • Chest pain
  • Increased JVP
21
Q

What would you feel upon palpating someone with pneumothorax?

Study These Flashcards
A
  • Decreased tactile fremitus
  • Tracheal deviation (away from affected side)
  • Decreased chest expansion (Unilateral)
22
Q

What would you feel upon percussion someone with pneumothorax?

Study These Flashcards
A

Hyper-resonant

23
Q

What would you listen upon auscultation of someone with pneumothorax?

Study These Flashcards
A
  • Decreased vesicular breath sounds

- Added sounds might be present

24
Q

What symptoms would patients with pleural effusion present with?

Study These Flashcards
A
  • Dusponea
  • Mild non-productive cough
  • Chest cough
25
What would you feel upon palpating someone with pleural effusion?
- Decreased tactile fremitus | - Tracheal deviation (away from affected side)
26
What would you feel upon percussion someone with pleural effusion?
Stony dull
27
What would you listen upon auscultation of someone with pleural effusion?
- Decreased vesicular breath sounds - Crackles at the upper edge of the effusion - Pleural friction rub - Muffled vocal resonance
28
What symptoms would patients with COPD present with?
- Chronic smoking - Repeated chest infections - Dyspnea - Cough
29
What would you feel upon palpating someone with COPD?
Decreased chest expansion (bilaterally)
30
What would you feel upon percussion someone with COPD?
Hyper-resonant
31
What would you listen upon auscultation of someone with COPD?
- Decreased vesicular breath sounds - Added sounds may include: - Wheeze and crackles
32
What is the cause of paroxysmal cough?
- Chronic bronchitis - Asthma - Pulmonary vasculitis
33
What is the cause of associated stridor cough?
- Tracheal obstruction
34
What is heamoptysis?
Coughing up blood from the lungs or bronchial tubes.
35
What are common causes of heamoptysis?
- Bronchial carcinoma - Pulmonary tuberculosis - Pulmonary embolism - Pulmonary edema - Upper respiratory tract infection (acute bronchitis)
36
How would you Inspect contents of sputum pot?
- Colour - Yellow/green - related to an infection - Pink/red/bloody - related to an infection or cancer - White - allergies, asthma, viral infections - Charcoal/grey - Environmental factors (coal mine and/or factory workers or heavy smokers) - Brown - chronic lung disease, cystic fibrosis - Consistency - Highly viscous sputum with plugs - Asthma - Viscous sputum - viral respiratory infections - Odour - Offensive smell - Lung abscess
37
What conditions are associated with increased effort of breathing?
- COPD - Asthma - Pneumonia - Pneumothorax - Pulmonary embolism - Congestive cardiac failure
38
Suggest examination findings of someone with emphysema
- The patient may be distressed and sitting forward - Increased respiratory rate - Pursed, pink lips - Hyper-inflated chest (barrel chest) - Use of accessory muscles and intercostal in-drawing - Quiet chest on auscultation; occasional wheeze may be present
39
Suggest examination findings of someone with asthma
- Maybe normal between attacks - During attack: - Patient may be sitting forward - Distressed - Acute dyspnoea - Hyper-inflated chest - Wheeze throughout the chest on auscultation
40
Suggest examination findings of someone with COPD
- The patient may be distressed and sitting forward - Use of accessory muscles and intercostal in-drawing - Bounding pulse and coarse tremor of fingers - Prolonged expiratory phase and expiratory wheezes - Downward displacement of liver
41
Name one cause of displacement of apex beat
Pneumothorax

Respiratory (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions