Solutions
1. Which technique best determines whether the tissues in the
chest are air-filled, fluid-filled, or solid?
Auscultation
Palpation
Inspection
Percussion Correct Answers Percussion
A 23-year-old patient who has had bronchiectasis since
childhood is likely to have which of the following:
Barrel-shaped chest
Clubbing
Pectus excavatum
Prolonged capillary refill Correct Answers Clubbing
A 24-year-old patient presents to the emergency department
after sustaining multiple traumatic injuries after a motorcycle
accident. Upon examination, you note tachypnea, use of
intercostal muscles to breathe, asymmetric chest expansion, and
no breath sounds over the left lower lobe. It is most important to
suspect:
Pulmonary embolism
Pleural effusion
Pneumothorax
Fracture of ribs Correct Answers Pneumothorax
A 47-year-old receptionist comes to your office, complaining of
fever, shortness of breath, and a productive cough with golden
sputum. She says she had a cold last week and her symptoms
, have only gotten worse, despite using over-the-counter cold
remedies. She denies any weight gain, weight loss, or cardiac or
gastrointestinal symptoms. Her past medical history includes
type 2 diabetes for 5 years and high cholesterol. She takes an
oral medication 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 examination 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 examinations are
unremarkable except for edema of the nasal turbinates. On
auscultation she Correct Answers Pneumonia
A 60-year-old baker presents to your clinic, complaining of
increasing shortness of breath and nonproductive cough over the
last month. She feels like she can't do as much activity as she
used to do without becoming tired. She even has to sleep upright
in her recliner at night to be able to breathe comfortably. She
denies any chest pain, nausea, or sweating. Her past medical
history is significant 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 examination 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 Correct Answers
Left-sided heart failure