Name that Sound
Lung and Breast
Inspection, Percussion, Assessment
Bit of a mix
Its a true Emergency!
100
Name the sound, list two possible differential diagnoses, and state one treatment for each.
What are wheezes and asthma (albuterol) or chronic emphysema?
100
Name 5 subjective data health history questions for the respiratory system
What is
• Cough
• Shortness of breath
• Chest pain with breathing
• Wheezing
• Stridor
• Hiccup
• Cyanosis
• Past history of respiratory
infections
• Smoking history
• Environmental exposure
• Self-care behaviors
100
Name three things when inspecting the chest
What is
• Facial expression and breathing effort
• Observe the rate, rhythm, depth, and effort of breathing
• Observe for signs of respiratory distress – color and rate or
respirations, clubbing
• Listen for audible signs of breathing
• Inspect the neck
• Observe shape of chest
100
Medication that can cause dry hacking cough
What is an ace inhibitor (Lisinopril)?
100
Name a medication given and labs you would monitor for a patient in acute respiratory distress from a CHF exacerbation
What is Lasix and BMP with Mg and Phos?
200
Name the sound, list two possible differential diagnoses with treatment
What is coarse crackles and pneumonia (antibiotics), pulmonary edema (Lasix), atelectasis (pulmonary toileting)?
200
Name 5 subjective data health history questions for the breast system
What is lump or mass, pain or discomfort, nipple discharge, history of breast disease, surgery/trauma, breast cancer risk, and self care (self exam/last mammo)?
200
Name 5 things assessing for PHYSICAL respiratory
What is
1. Estimate diameter of chest wall
2. Inspect posterior chest
3. Respiratory excursion
4. Palpate for tactile fremitus
5. Percuss for symmetry
6. Diaphragmatic excursion
7. Auscultate posterior chest
8. Repeat inspection, palpation, percussion and
auscultation on anterior chest
200
What is scoliosis?
200
When a patient initially presents with stridor and then becomes silent, these immediate actions must be taken to secure the airway and prevent respiratory arrest.
What are activate the emergency response, prepare for intubation, and initiate bag-valve-mask ventilation?
300
Name the sound, list two possible differential diagnoses with FIRST LINE treatment
What is stridor and croup, acute epiglottis, and foreign body inhalation, and racemicepi?
300
Name 4 lifestyle-related risk factors for breast cancer
What is Nulliparity or first child after 30, Long-term use combined HRT, Alcohol intake of 2-5 drinks daily, Obesity and high-fat diet, Physical inactivity, and Not breast-feeding?
300
Lump is found on breast exam, 5 things you want to note
What is location, size, shape, consistency, mobility, distinctness, nipple, overlaying skin, tenderness, and Lymphadenopathy?
300
What is Monilial Intertrigo in the Folds of the Breast?
300
These are the three cardinal signs that may indicate a pulmonary embolism and should prompt immediate evaluation.
What are untreatable tachycardia, hypoxia despite oxygen escalation, and a feeling of impending doom?
400
Name the sound, list one possible differential diagnoses
What is Rhonchi and bronchitis and single bronchus obstruction?
400
2 Voice sounds that may indicate consolidation
What is Bronchophony (When you hear the patient’s voice clearly and distinctly over peripheral lung), Egophony (When patient says “eee,” it sounds
like “aye.”), and Whispered pectoriloquy (When you hear unusually clear whispered sounds over peripheral
lung)?
400
Possible diagnosis for hyperresonanat percussion of chest
What is pneumothorax or COPD?
400
Name this condition and what abnormality it can cause
What is funnel chest (pectus excavatum) and can lead to heart murmors?
400
To evaluate the severity and response to treatment in a patient with status asthmaticus, you should monitor these three key parameters, which assess oxygenation, ventilation, and respiratory effort.
What are oxygen saturation, arterial blood gases (ABGs), and work of breathing (e.g., accessory muscle use, respiratory rate)?
500
Name this sound and possible differential diagnosis with treatment
What is pleural friction rub and pleuritis?
500
Breath pattern most linked to death and description of pattern
What is Cheyne-Stokes and an abnormal breathing pattern that involves a cycle of deeper, faster breathing that gradually decreases into a temporary pause, or apnea?
500
What is Paget's Disease of the nipple?
500
Patient presents with cough and hemoptysis, two most COMMON RESPIRATORY possible diagnoses
What is Tuberculosis, Left heart failure, Lung CA, or Pulmonary embolism?
500
In a coding patient with unequal chest rise and tracheal deviation, this immediate intervention is required before chest tube placement to relieve the life-threatening pressure in the pleural space.
What is needle decompression?