Resp signs

Question 1

Describe the abnormality/ies

Answer 1

Foreign body

Question 2

What can hyper-resonance suggest?

Answer 2

Pneumothorax

Question 3

Describe the abnormality/ies

Answer 3

Cardiomegaly

Question 4

Describe the abnormality/ies

Answer 4

Cannonball metastases (most commonly from renal cell carcinoma)

Question 5

What can cause increased lung tissue density?

Answer 5

• Consolidation
• Fluid
• Tumour
• Collapse

Question 6

Describe the abnormality/ies

Answer 6

Tension pneumothorax

(with tracheal deviation)

Question 7

Describe the abnormality/ies

Answer 7

Pneumoperitoneum

Question 8

What is this scar form?

Answer 8

Chest drain

Question 9

What can cause a flapping tremor?

Answer 9

CO2 retention

Question 10

What is this scar from?

Answer 10

Thoracotamy

Question 11

What is quite breathsounds on auscultation a sign of?

Answer 11

Reduced air entry

Question 12

Describe the abnormality/ies

Answer 12

• Multiple rib fractures
• Right sided pneumothorax

Question 13

Describe the abnormality/ies

Answer 13

Sail sign (left lower lobe collapse)

Question 14

What is the main abnormality on this CXR and how do you know?

Answer 14

• Hyperinflation
  
  • Flattened diaphragm
  • More than 7 anterior ribs visible

Question 15

What is this?

Answer 15

Tar stainining secondary to cigarette smoking

Question 16

Is JVP normally visible at 45˚?

Answer 16

Nope so if you can’t see it don’t pretend you can

Question 17

Describe the abnormality/ies

Answer 17

Hilar shadowing

(Hilar lymphadenopaty)

Question 18

What can cause deviation of the trachea away from the pathology?

Answer 18

• Tension pneumothorax
• Large pleural effusions

Question 19

Where does aspirated material most commonly sit?

Answer 19

Right bronchus

Question 20

What is an auditory wheeze suggestive of?

Answer 20

• Asthma
• COPD

Question 21

What is this?

Answer 21

Peripheral cyanosis

Question 22

What is this sign and what can it be a sign of?

Answer 22

Clubbing

• Lung cancer
• ILD
• Bronchiectasis

Question 23

What can cause a fine tremor?

Answer 23

Salbutamol and other beta-agonists

Question 24

Describe the abnormality/ies

Answer 24

• Bilateral pleural effusion
  
  • Loss of costophrenic recesses
  • Meniscus

Question 25

What is barrel chest (hyperinflation) a sign of?

Answer 25

COPD

Question 27

What can this be a sign of?

Answer 27

Anaemia

Question 28

What is this?

Answer 28

Central cyanosis

Question 29

What does a dull percussion note say about the underlying tissue?

Answer 29

Dense

Question 30

What causes treacheal deviation towards the lesion?

Answer 30

* Lobar collapse * Pnemonectomy

Question 31

What can crackles suggest?

Answer 31

* Pneumonia * Atelectasis * Pulmonary oedema

Question 32

Describe the abnormality/ies

Answer 32

Middle zone shadowing | (lobar pneumonia)

Question 33

What can reduced chest expansion be a result of?

Answer 33

* Lung collapse * Pneumonia