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Clinical Medicine > Ultimate Reviewer Chest, Lungs And Breast > Flashcards

Ultimate Reviewer Chest, Lungs And Breast Flashcards

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1
Q

Which is likely the mechanism of cough among patients with heart failure

A

Decrease lung compliance

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2
Q

Which is likely the mechanism of cough among patients with heart failure

A

Decrease lung compliance

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3
Q

50 y.o. patient male with > 5 months cough. He cough when he lays down wearing tight clothes. It is productive with watery whitish sputum

A

Congestive heart failure

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4
Q

45 year old male has cough for 3 months now and claims to clear his throat every morning

A

Post nasal drip

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5
Q

A 62 years old female was found unconscious and at the ER she was noted with very fast and deep breathing with fruity breath. Her pattern of breathing is

A

Kassmauls respiration

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6
Q

17 yo female consulted at the ER because of high grade fever w/o other symptoms. She is observed w/ abnormal respiration. Her abnormal respiration expected to be

A

Hyperpnea

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7
Q

An IV drug user presents to ER due to hemoptysis and DOB but denies any fever and cough. What is the most common cause of hemoptysis

A

Vasculitis

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8
Q

Kussmaul’s respiration is heard among patient with

A

Renal failure

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9
Q

38 y/o female, rushed to ER because of severe retrosternal pain, relieved by nitroglycerine; pain occurs when cold substance ingested

A

Esophageal spasm

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10
Q

Acute onset of Difficulty of Breathing precipitated by valsalva maneuver

A

Pneumothorax

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11
Q

Most common cause of hemoptysis

A

Bronchiectasis

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12
Q

Patient with heart failure

A

Orthopnea

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13
Q

Dry cough and unilateral effusion

A

Trepopnea

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14
Q

Pneumococoniosis is due to exposure to

A

Coal

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15
Q

Bagasse

A

Sugar cane

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16
Q

Primary malignancy

A

Silica

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17
Q

Psittacosis

A

Parrot

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18
Q

Lagging of one side of the chest is best identified by

A

Palpation

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19
Q

Where is the landmark for the posterior rib

A

Inferior scapular line

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20
Q

Referenced used in identifying posterior ribs

A

Inferior scapular line

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21
Q

Tactile fremitus is usually decreased with

A

Emphysema

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22
Q

Stridor

A

Epiglottis

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23
Q

Normal breath sound heard in intrascapular area

A

Bronchovesicular

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24
Q

Sounds of secreations produce on bronchi

A

Rhonchi

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25
Bilateral  hyperresonance
Emphysema
26
Shorter  I:E  ratio
Metabolic acidosis
27
Describe  the  type  of  breathing  for  patient  with  heart  failure
Cheyenne stokes
28
Fremitus  is  decreased
Atelectasis
29
Early  inspiratory  crackles  is  heard  at
Chronic bronchitis
30
Breast  extends  from
2nd-6th ICS
31
Most  frequently  palpable  lymph  node  in  Breast  Ca
Central lymphnode
32
Mastitis
Lactation
33
Dividing  into  quadrants  is  toL
Staging
34
Seen  in  acute  onset  and  chronic  progressive  DOB
Asthma
35
Orange  peel  in  breast  cancer
Protrusion of mass
36
Diaphragmatic  excursion  except
Pneumonia
37
Brassy  cough
Emphysema
38
Brassy
Trachea
39
Barky
Glottis
40
Pink  puffer
Emphysema
41
Man  can’t  keep  up  with  friend  at  same  age
Grade 2
42
Occupational  asthma  common  among  workers  exposed  to  which  of  the  following  dust
Cotton dust
43
Pneumocosis
Coal
44
Heart  Failure
Orthopnea
45
Apex  above  clavicle
2-4 cm
46
COPD
10x
47
Lung  cancer  in  women
13x
48
Basilan
Paragoniasis
49
Rusty  color  of  sputum
S. Pneumonia
50
Pursed  lip
Emphysema
51
Crescendo=decrescendo  with  apnea
Cheynestrokes
52
Afferent  limb
IX
53
Decreased  or  low  fremitus
Thick chest wall
54
Soft  and  low
Vesicular
55
Early  inspiratory  crackles
Chronic bronchitis
56
Most  common  palpable  lymph  node  of  breast  cancer
Central node
57
High  (4x)  breast  density
Highest to relative risk of breast cancer
58
Modifiable  risk  for  breast  cancer
Obesity
59
Chronic  cough
2 months
60
Cough  complication
Pneumothorax
61
IE  ration  is  decreased  in  fever
Chronic bronchitis
62
Chest  pain  associated  with  chest  tenderness  pathology  of
Chest wall
63
Below  are  hereditary  diseases  except
Leprosy
64
SPONTANEOUS  UNILATERAL  BLODDY  DISHARGE  FROM      ONE/TWO  WARANTS  FURTHER  EVALUATION
Intraductal carcinoma
65
OBESITY,  LATE  AGE  ETC
1.1-2.0
66
SMALL,  ROUNDED  ELEVATION  FORMED  BY  SEBACCEOUS  GLANDS      ,  SWEAT  GLANDS  &  ACCESSORY  AREOLAR  GLANDS
Surface of areola
67
EXTENDS  ACROSS  THE  ANTERIOR  AXILLARY  FOLD
Tail of spence
68
CLAVICLE,  2ND  RIB  DOWN  TO  THE  6TH  RIB  AND  FROM  THE  STERNUM  ACROSS  TO  THE  MIDAXILLARY  LINE
Female breast
69
During  cough,  the  speed  of  airflow  in  the  airway  is  as  fast  as  the  speed  of
Sound
70
What  is  etiology  of  cough  in  pleural  effusion
Decrease pulmonary compliance
71
18  y.o.  female  with  acute  onset  of  cough  associated  with  runny  nose,  sore  eyes,  and  chest  discomfort.  What  condition
Tracheobronchitis
72
Chronic  cough,  sputum  purulent,  often  copious  and  foul-‐smelling
Bronchioectasis
73
Patient  with  which  of  the  following  lung  problem  would  present  with  sudden  onset  of  difficulty  of  breathing  preceded  by  pleuritic  chest  pain
Pneumothorax
74
Sudden  onset  of  difficulty  of  breathing  precipitated  by  exposure  to  grass  pollen
Asthma
75
Alpha  I  antitrypsin  increase  risk
Emphysema
76
49  y.o.  DB,  he  has  DOB  for  3  years.  Lately,  he  can’t  keep  up  with  his  friends  of  the  same  age.  What  is  the  grade  or  American  Thoracic  Dyspnea  Scale
Grade 2
77
Considered  as  the  most  common  cause  of  hemoptysis
Bronchioectasis
78
Lung  parenchyma,  common  cause  of  hemoptysis
Bronchioectasis
79
Squeezing  retrosternal  pain  felt  after  ingestion  of  cold  liquid  and  relieved  by  nitroglycerin  is  felt  in
GIT
80
40  y.o.  female  with  rheumatoid  arthritis  of  more  than  15  years  now  and  taking  methotrexate.  Started  to  have  cough  and  difficulty  of  breathing  2  years  ago.  What  respiratory  disease  is  the  most  likely  the  cause
Intestinal infiltrative disease
81
Which  of  the  following  occupational  inorganic  substances  will  cause  pneumoconiosis
Coal
82
Exposure  to  which  of  the  following  dusts  increases  the  risk  of  lung  cancer
Bagasse
83
Smoking  increases  lung  cancer  mortality  in  men  by
23x
84
Alcoholics  have  higher  risk  of  getting  pneumonia  and  they  are  more  prone  to  develop
Aspiration pneumonia
85
To  decrease  tension  pneumothorax  where  will  you  insert  the  big  bore  needle
2nd ICS MCL
86
Which  of  the  following  vertebrae  has  the  most  prominent  spinous  process
C7
87
Needle  insertion  of  thoracocentesis
8ICS
88
The  apex  of  the  lungs  is  extended  above  the  inner  1/3  of  the  clavicle  by  as  much  as
2-4 cm
89
Diaphragmatic  excursion  from  resting  to  full  inspiration  is  at
5-6cm
90
Bifurcation  of  trachea  at
Sternal angle
91
Blue  bloater
Chronic bronchitis
92
Ribs  angle  is  usually  more  horizontal  compared  to  normal  individual  if  patient  have  which  of  the  following  problem
COPD
93
Normal  angle  of  the  rib
45 degrees
94
Which  among  the  following  abnormal  respiratory  rhythm  is  seen  in  the  lesion  of  the  PONS
Apneustic
95
Type  of  respiration  associated  with  morphine  overdose
Cheyen stroke
96
Clubbing  of  fingers  are  seen  in  this  pathologic,  except
Mesothelioma
97
Which  of  the  following  breath  sounds  have  intermediate  pitch  and  loudness
Broncho vesicular
98
Which  of  the  following  breath  sounds  has  loud  and  high  pitched  sound
Bronchial
99
Mid  inspiratory  &  expiratory  crackles  usually  heard  in  patients  with
Bronchioectasis
100
Normally  breast  tissue  extend  from  the  sternum  to
MAL
101
Rounded  elevations  seen    in  the  areola  is  caused  by  the  following  except
Fat globule
102
Fibroadenoma  of  the  breast  is  a  common  cause  of  breast  mass  among  female  aging
15-20 yo
103
Which  of  the  following  can  decrease  the  risk  of  breast  CA
Breast feeding
104
MRI  of  the  breast  is  recommended  for  the  following  except
Older woman
105
Galactorrhea  may  be  seen  in  patient  with
Pituitary adenoma
106
Benign  condition  of  breast  may  cause  bloody  breast  discharge
Intraductal papilloma
107
Breast  malignancy  is  most  likely  to  have  if  breast  tumor  is  about
5cm
108
Breast  malignancy  is  highly  considered  if  the  patient  have
Palpable mass
109
Acute  onset  but  chronic  progressive
Smoking

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