PATIENT ASSESSMENT EXAM 1:
COUGHING QUESTIONS WITH
CORRECT ANSWERS
IfSaSpatientShasSaSproductiveScough,SwhatSthreeSthingsScouldSitSbe?S-ScorrectSanswer-
acuteSbronchitis,SbacterialSpneumonia,SCOPDS(chronicSobstructiveSpulmonarySdisease)
IfStheScoughSisSproductiveSandStheSonsetSisSnearStheSendSofSaSURI,SwhatSisSit?S-ScorrectSanswer-
acuteSbronchitis
IfStheScoughSisSproductiveSandStheSonsetSisSgradual,S7-
10SdaysSafterSonsetSofSviralSURISorSacuteSbronchitis,SwhatSisSit?S-ScorrectSanswer-bacterialSpneumonia
IfScoughSisSproductiveSandSonsetSisSslow,SafterSyearsSofSsmoking,SenvironmentalSorSoccupationalShazardSexp
osure,SwhatSisSit?S-ScorrectSanswer-COPD
IfStheScoughSisSproductiveSandStheSsputumSisSmucoid,SwhatScouldSitSbe?SWhatSifSitSisSworseSinStheSmorningS
andSnight?S-ScorrectSanswer-acuteSbronchitisSandSCOPD
IfSworseSinSmorningSandSnight,SacuteSbronchitis
IfScoughSisSproductiveSwhatSisSitSifStheSfeverSisSlowSgrade?ShighSgrade?Safebrile?S-ScorrectSanswer-
lowSgrade:SacuteSbronchitis
highSgrade:SbacterialSpneumonia
afebrile:SCOPD
IfStheScoughSisSproductive,SandStheSchestSx-raySrevealsSconsolidatedSinfiltratesSwhatSisSit?
ifSchestSx-raySisSnormal,SwhatScouldSitSbe?S-ScorrectSanswer-bacterialSpneumonia
acuteSbronchitisSandSCOPDS(COPDSmayShaveSmarkingSofSemphysema)
, IfScoughSisSproductiveSandSA&PSofSlungsSrevealsSrhonchiSwhichSclear/changeSafterScoughing,SwhatScouldSitS
be?
WhatSifSA&PSofSlungsSrevealsScracklesSwhatSisSit?S-ScorrectSanswer-acuteSbronchitis,SCOPD
bacterialSpneumoniaS(maySalsoShaveSbronchophonySandSegophonySandSinabilityStoShearSbreathSsoundsSov
erSconsolidatedSarea)
IfStheScoughSisSproductive,SandStheSpersonSusesSancillarySmusclesSofSthroatSandSneckStoSbreath,ShasSwellSde
velopedSsternocleidomastoidSmusclesSandScannotSspeakSinScompleteSsentences,SwhatSisSit?S-
ScorrectSanswer-COPD
IfSpersonSwithSproductiveScoughShasStachycardia,Stachypnea,SWBCSgreaterSthanS10,000Sml/microliter,SandS
moreSthanS80%SofStheSdifferentialScountSareSmatureSandSimmatureSneutrophils,SwhatSisSit?S-
ScorrectSanswer-bacterialSpneumonia
ifStheScoughSisSnon-productiveS(dry),Shacking,SwhatScouldSitSbe?S-ScorrectSanswer-
asthma,STB,Scancer,SGERD,SdrugsS(ACESinhibitor),Spertussis
IfStheSdryScoughSoccursSafterSrunningSforSaSshortSwhileSorSdailySatS2-6SAM,SwhatSisSit?S-ScorrectSanswer-
asthma
IfStheSqualitySofStheSdryScoughSisSverySmild,SalmostSlikeSclearingSthroat,SwhatSisSit?S-ScorrectSanswer-
ACESinhibitorScough
IfStheSdryScoughSoccursSinSanSepisodicScoughingSspasm,SwhatSisSit?S-ScorrectSanswer-pertussis
IfStheSdryScoughSstartsSwithinSoneShourSafterSlyingSdown,SwhatSisSit?S-ScorrectSanswer-GERD
IfStheSpersonShasSaSchronicSdryScoughSandShasSaShistorySofSsmokingSorSisSaScurrentSsmoker,SwhatSmightSitSbe
?S-ScorrectSanswer-cancer
COUGHING QUESTIONS WITH
CORRECT ANSWERS
IfSaSpatientShasSaSproductiveScough,SwhatSthreeSthingsScouldSitSbe?S-ScorrectSanswer-
acuteSbronchitis,SbacterialSpneumonia,SCOPDS(chronicSobstructiveSpulmonarySdisease)
IfStheScoughSisSproductiveSandStheSonsetSisSnearStheSendSofSaSURI,SwhatSisSit?S-ScorrectSanswer-
acuteSbronchitis
IfStheScoughSisSproductiveSandStheSonsetSisSgradual,S7-
10SdaysSafterSonsetSofSviralSURISorSacuteSbronchitis,SwhatSisSit?S-ScorrectSanswer-bacterialSpneumonia
IfScoughSisSproductiveSandSonsetSisSslow,SafterSyearsSofSsmoking,SenvironmentalSorSoccupationalShazardSexp
osure,SwhatSisSit?S-ScorrectSanswer-COPD
IfStheScoughSisSproductiveSandStheSsputumSisSmucoid,SwhatScouldSitSbe?SWhatSifSitSisSworseSinStheSmorningS
andSnight?S-ScorrectSanswer-acuteSbronchitisSandSCOPD
IfSworseSinSmorningSandSnight,SacuteSbronchitis
IfScoughSisSproductiveSwhatSisSitSifStheSfeverSisSlowSgrade?ShighSgrade?Safebrile?S-ScorrectSanswer-
lowSgrade:SacuteSbronchitis
highSgrade:SbacterialSpneumonia
afebrile:SCOPD
IfStheScoughSisSproductive,SandStheSchestSx-raySrevealsSconsolidatedSinfiltratesSwhatSisSit?
ifSchestSx-raySisSnormal,SwhatScouldSitSbe?S-ScorrectSanswer-bacterialSpneumonia
acuteSbronchitisSandSCOPDS(COPDSmayShaveSmarkingSofSemphysema)
, IfScoughSisSproductiveSandSA&PSofSlungsSrevealsSrhonchiSwhichSclear/changeSafterScoughing,SwhatScouldSitS
be?
WhatSifSA&PSofSlungsSrevealsScracklesSwhatSisSit?S-ScorrectSanswer-acuteSbronchitis,SCOPD
bacterialSpneumoniaS(maySalsoShaveSbronchophonySandSegophonySandSinabilityStoShearSbreathSsoundsSov
erSconsolidatedSarea)
IfStheScoughSisSproductive,SandStheSpersonSusesSancillarySmusclesSofSthroatSandSneckStoSbreath,ShasSwellSde
velopedSsternocleidomastoidSmusclesSandScannotSspeakSinScompleteSsentences,SwhatSisSit?S-
ScorrectSanswer-COPD
IfSpersonSwithSproductiveScoughShasStachycardia,Stachypnea,SWBCSgreaterSthanS10,000Sml/microliter,SandS
moreSthanS80%SofStheSdifferentialScountSareSmatureSandSimmatureSneutrophils,SwhatSisSit?S-
ScorrectSanswer-bacterialSpneumonia
ifStheScoughSisSnon-productiveS(dry),Shacking,SwhatScouldSitSbe?S-ScorrectSanswer-
asthma,STB,Scancer,SGERD,SdrugsS(ACESinhibitor),Spertussis
IfStheSdryScoughSoccursSafterSrunningSforSaSshortSwhileSorSdailySatS2-6SAM,SwhatSisSit?S-ScorrectSanswer-
asthma
IfStheSqualitySofStheSdryScoughSisSverySmild,SalmostSlikeSclearingSthroat,SwhatSisSit?S-ScorrectSanswer-
ACESinhibitorScough
IfStheSdryScoughSoccursSinSanSepisodicScoughingSspasm,SwhatSisSit?S-ScorrectSanswer-pertussis
IfStheSdryScoughSstartsSwithinSoneShourSafterSlyingSdown,SwhatSisSit?S-ScorrectSanswer-GERD
IfStheSpersonShasSaSchronicSdryScoughSandShasSaShistorySofSsmokingSorSisSaScurrentSsmoker,SwhatSmightSitSbe
?S-ScorrectSanswer-cancer