Things to know for the OSCE Resp Exam Flashcards Preview

Year 3 - Clinical Communication Skills > Things to know for the OSCE Resp Exam > Flashcards

Flashcards in Things to know for the OSCE Resp Exam Deck (27)
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1

What are the respiratory signs of clubbing

- lung cancer
- pulmonary fibrosis
- bronchiectasis
- cystic fibrosis
- tuberculosis
- abscess
- empyema

2

What is a falling tremor indicative of

- ask patient to hold out their hands in front of them extended at the wrist for 30s
- CO2 retention

3

What medication can cause a fine tremor of the hand

- over use of beta agonists - salbutamol

4

What is bounding pulse indicative of

co2 retention

5

What are the respiratory cause of pulses paradoxes

- severe acute asthma/COPD

6

What are the signs of Horner syndrome

- Ptosis, mitosis, exophthalmos
- caused by compression of the sympathetic chain in chest cavity - Poncoast tumour, sarcoidosis, fibrosis

7

What can cause red sclera

- anterior uveitis - TB, sarcoidosis

8

What causes tracheal deviation away from the area

- Pneumothorax - large pleural effusion

9

What is causes tracheal deviation towords the area

- lung collapse
- pneumonectomy

10

What lung condition can still present with reduced symmetrical chest expansion

pulmonary fibrosis

11

What lung condition can cause asymmetrical reduced chest expansion

- pneumothorax
- pneumonia
- pleural effusion

12

What causes dull percussion

- increases density

- consolidation
- collapse
- pulmonary oedema
- abscess

13

What can cause stony dull percussion

pleural effusion

14

What can cause hyper-resonance

- over areas of reduced density

- pneumothorax
- emphysematous bullae
- COPD

15

What breathing type is normal

Vesicular

16

What causes bronchial breathing

- Caused by increased density of matter in the peripheral lung allowing sound from the larynx to the stethoscope unchanged
- hollow/blowing quality - consolation, lung abscess at chest wall, dense fibrosis, squashed lung above pleural effusion

17

What causes local lung volume reduction

- effusion
- tumour
- pneumothorax
- pneumonia
- lung collapse

18

What can cause global volume reduction

- COPD or asthma

19

What causes a polyphonic wheeze

- asthma
- COPD

20

When is a wheeze caused

on expiration

21

What causes a monophonic wheeze

- foreign body
- carcinoma

22

What causes stridor

- high-pitched extra-throacic breath sounds - upper airway obstruction

23

When are crackles heard

Inspiration

24

What is the difference between fine and coarse crackles

Coarse - early expiration = fluid and infection

fine - late expiration = fluid and fibrosis

25

What causes hyperresonance vocal resonance

- consolidation
- collapse

26

What causes decreased resonance in vocal resonance

- fluid
- air - pleural effusion and pneumothorax

27

What investigations would you carry out

- full set of abs
- cardiovascular examination
- peak flow
- sputum MC&S
- ABG
- CXR