Graded (A+)
Quiz :A mother brings her infant to you because of a "ratt le" in his
chest with breathing. Which of the following would you hear if there
were a problem in the upper airway? - Answer :Inspiratory sounds
Quiz :All of the following produce a chronic cough except:
Chronic Bronchiti s
Allergic Rhiniti s
Acute viral upper respiratory infecti on - Answer :Acute viral upper
respiratory infecti on
Quiz :A 47-year-old receptionist comes to your offi ce, complaining of
fever, shortness of breath, and a producti ve cough with golden
sputum. She says she had a cold last week and her symptoms have
only gott en worse, despite using over-the-counter cold remedies. She
denies any weight gain, weight loss, or cardiac or gastrointesti nal
symptoms. Her past medical history includes type 2 diabetes for 5
years and high cholesterol. She takes an oral medicati on for both
diseases. She has had no surgeries. She denies tobacco, alcohol, or
drug use. Her mother has diabetes and high blood pressure. Her
father passed away from colon cancer. On examinati on you see a
middle-aged woman appearing her stated age. She looks ill and her
temperature is elevated, at 101. Her blood pressure and pulse are
unremarkable. Her head, eyes, ears, nose, and throat examinati ons
are unremarkable except for edema of the nasal turbinates. On
auscultati on she - Answer :Pneumonia
Quiz :Which of the following is consistent with good percussion
technique? - Answer :Strike the pleximeter over the distal
interphalangeal joint.
, Quiz :Which of the following conditi ons would produce a
hyperresonant percussion note? - Answer :Large Pneumothorax
Quiz :Which of the following is a normal physiological lung sound?
Vesicular
Stridor
Wheezing
Rhonchi - Answer :Vesicular
Quiz :A pati ent complains of shortness of breath for the past few
days. On examinati on, you note late inspiratory crackles in the lower
third of the chest that were not present a week ago. What is the most
likely explanati on for these? - Answer :Heart Failure
Quiz :A 60-year-old baker presents to your clinic, complaining of
increasing shortness of breath and nonproducti ve cough over the last
month. She feels like she can't do as much acti vity as she used to do
without becoming ti red. She even has to sleep upright in her recliner
at night to be able to breathe comfortably. She denies any chest pain,
nausea, or sweati ng. Her past medical history is signifi cant for high
blood pressure and coronary artery disease. She had a hysterectomy
in her 40s for heavy vaginal bleeding. She is married and is retiring
from the local bakery soon. She denies any tobacco, alcohol, or drug
use. Her mother died of a stroke and her father died from prostate
cancer. She denies any recent upper respiratory illness, and she has
had no other symptoms. On examinati on she is in no acute distress.
Her blood pressure is 160/100 and her pulse is 100. She is afebrile
and her respiratory rate is 16. With auscul - Answer :Left -sided heart
failure
Quiz :A male pati ent states that he has diffi culty breathing when he
is lying down but when he sits up, it improves. This is a classic
description of: - Answer :Orthopnea