Clinical Simulation Pathology (* = Differential
diagnosis) – Questions With Accurate Solutions
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Terms in this set (431)
*COPD: Body build Type A: Emphysema (pink puffer): Thin, underweight
Type B: Chronic Bronchitis (blue bloater): Stocky,
overweight
COPD: Past medical history Type A: Emphysema (pink puffer): Tobacco use
Type B: Chronic Bronchitis (blue bloater): Tobacco
use
*COPD: Cough Type A: Emphysema (pink puffer): Less common,
mucoid secretions
Type B: Chronic Bronchitis (blue bloater): Productive,
copious amounts of purulent sputum
COPD: Appearance of the chest Type A: Emphysema (pink puffer): Barrel chest,
increased A-P diameter, Hoovers sign
Type B: Chronic Bronchitis (blue bloater):
Occasionally barrel chest
COPD: Respiratory pattern Type A: Emphysema (pink puffer): Dyspnea, pursed
lips, accessory muscle use (exacerbation)
Type B: Chronic Bronchitis (blue bloater): Use of
accessory muscles
,*COPD: Color Type A: Emphysema (pink puffer): Reddish skin
Type B: Chronic Bronchitis (blue bloater): Cyanotic
*COPD: Clubbing Type A: Emphysema (pink puffer): Late stage
Type B: Chronic Bronchitis (blue bloater): Common
COPD: Chest percussion Type A: Emphysema (pink puffer):
Hyperresonant/tympanic note
Type B: Chronic Bronchitis (blue bloater): Normal
COPD: Breath sounds Type A: Emphysema (pink puffer): Diminished,
prolonged expiration
Type B: Chronic Bronchitis (blue bloater): Rhonchi,
crackles, wheezes
COPD: CXR Type A: Emphysema (pink puffer): Translucent (dark)
lung fields, increased retrosternal airspace,
depressed or flattened diaphragm, long narrow
heart, hypertrophy of left ventricle
Type B: Chronic Bronchitis (blue bloater): Translucent
(dark) lung field, depressed or flattened diaphragm,
hypertrophy of right ventricle
COPD: ABG Type A: Emphysema (pink puffer): Uncompensated
respiratory alkalosis w/ hypoxemia (mild/moderate),
Compensated respiratory acidosis w/ hypoxemia
(severe)
Type B: Chronic Bronchitis (blue bloater):
Uncompensated respiratory alkalosis w/ hypoxemia
(mild/moderate), Compensated respiratory acidosis
w/ hypoxemia (severe)
,COPD: Pulmonary function Type A: Emphysema (pink puffer): Decreased flow
rates (FEV1, FEF 25-75% decreased DLCO
Type B: Chronic Bronchitis (blue bloater): Decreased
flow rates, Normal DLCO
*COPD: CBC Type A: Emphysema (pink puffer): Increased
RBC/Hb/Hct (late stages); polycythemia
Type B: Chronic Bronchitis (blue bloater): Increased
RBC/Hb/Hct (early stages); polycythemia
*COPD: Sputum Type A: Emphysema (pink puffer): Normal
Type B: Chronic Bronchitis (blue bloater): Strep.
pneumonia, H. influenza, and moraxella catarrhalis
*Emphysema and chronic bronchitis: Low flow FiO2: NC 1-2 liters (24-28% air entrainment
Tx mask)
Rx: SABA, LABA, anticholinergic, corticosteroids,
annual flu vaccines
Procedures: Bronchial hygiene, smoking cessation
program, NPPV (acute exacerbation), nutritional
management, exercise program, secretion clearance
Home use: Oxygen and aerosol therapy, resevoir
cannula, transtracheal catheter
Bronchiectasis: Past medical Hx Recurrent pulmonary infections, CF, and Kartagener's
syndrome
Bronchiectasis: SOB Present, pursed lip breathing
*Bronchiectasis: Cough Productive, purulent foul smelling sputum,
hemoptysis
, Bronchiectasis: Appearance of the Barrel chest, increased A-P diameter
chest
Bronchiectasis: Respiratory pattern Accessory muscle useage
Bronchiectasis: Color Cyanotic
Bronchiectasis: Appearance of the nail Clubbing
beds
Bronchiectasis: Diagnostic chest Hyperresonant/tympanic tone
percussion
Bronchiectasis: BS Wheezing, diminished
Bronchiectasis: CXR Hyperlucent lung fields, depressed or flattened
diaphragm, enlarged or elongated heart
Bronchiectasis: ABG Uncompensated respiratory alkalosis w/ hypoxemia
(mild/moderate)
Compensated respiratory acidosis (severe)
Bronchiectasis: Pulmonary function Decreased flows
Bronchiectasis: CBC Increased RBC/Hb/Hct
Bronchiectasis: Sputum May indicate infection
*Bronchiectasis: CT scan Increased bronchial wall opacity, end-on signet ring
opacity
diagnosis) – Questions With Accurate Solutions
Save
Terms in this set (431)
*COPD: Body build Type A: Emphysema (pink puffer): Thin, underweight
Type B: Chronic Bronchitis (blue bloater): Stocky,
overweight
COPD: Past medical history Type A: Emphysema (pink puffer): Tobacco use
Type B: Chronic Bronchitis (blue bloater): Tobacco
use
*COPD: Cough Type A: Emphysema (pink puffer): Less common,
mucoid secretions
Type B: Chronic Bronchitis (blue bloater): Productive,
copious amounts of purulent sputum
COPD: Appearance of the chest Type A: Emphysema (pink puffer): Barrel chest,
increased A-P diameter, Hoovers sign
Type B: Chronic Bronchitis (blue bloater):
Occasionally barrel chest
COPD: Respiratory pattern Type A: Emphysema (pink puffer): Dyspnea, pursed
lips, accessory muscle use (exacerbation)
Type B: Chronic Bronchitis (blue bloater): Use of
accessory muscles
,*COPD: Color Type A: Emphysema (pink puffer): Reddish skin
Type B: Chronic Bronchitis (blue bloater): Cyanotic
*COPD: Clubbing Type A: Emphysema (pink puffer): Late stage
Type B: Chronic Bronchitis (blue bloater): Common
COPD: Chest percussion Type A: Emphysema (pink puffer):
Hyperresonant/tympanic note
Type B: Chronic Bronchitis (blue bloater): Normal
COPD: Breath sounds Type A: Emphysema (pink puffer): Diminished,
prolonged expiration
Type B: Chronic Bronchitis (blue bloater): Rhonchi,
crackles, wheezes
COPD: CXR Type A: Emphysema (pink puffer): Translucent (dark)
lung fields, increased retrosternal airspace,
depressed or flattened diaphragm, long narrow
heart, hypertrophy of left ventricle
Type B: Chronic Bronchitis (blue bloater): Translucent
(dark) lung field, depressed or flattened diaphragm,
hypertrophy of right ventricle
COPD: ABG Type A: Emphysema (pink puffer): Uncompensated
respiratory alkalosis w/ hypoxemia (mild/moderate),
Compensated respiratory acidosis w/ hypoxemia
(severe)
Type B: Chronic Bronchitis (blue bloater):
Uncompensated respiratory alkalosis w/ hypoxemia
(mild/moderate), Compensated respiratory acidosis
w/ hypoxemia (severe)
,COPD: Pulmonary function Type A: Emphysema (pink puffer): Decreased flow
rates (FEV1, FEF 25-75% decreased DLCO
Type B: Chronic Bronchitis (blue bloater): Decreased
flow rates, Normal DLCO
*COPD: CBC Type A: Emphysema (pink puffer): Increased
RBC/Hb/Hct (late stages); polycythemia
Type B: Chronic Bronchitis (blue bloater): Increased
RBC/Hb/Hct (early stages); polycythemia
*COPD: Sputum Type A: Emphysema (pink puffer): Normal
Type B: Chronic Bronchitis (blue bloater): Strep.
pneumonia, H. influenza, and moraxella catarrhalis
*Emphysema and chronic bronchitis: Low flow FiO2: NC 1-2 liters (24-28% air entrainment
Tx mask)
Rx: SABA, LABA, anticholinergic, corticosteroids,
annual flu vaccines
Procedures: Bronchial hygiene, smoking cessation
program, NPPV (acute exacerbation), nutritional
management, exercise program, secretion clearance
Home use: Oxygen and aerosol therapy, resevoir
cannula, transtracheal catheter
Bronchiectasis: Past medical Hx Recurrent pulmonary infections, CF, and Kartagener's
syndrome
Bronchiectasis: SOB Present, pursed lip breathing
*Bronchiectasis: Cough Productive, purulent foul smelling sputum,
hemoptysis
, Bronchiectasis: Appearance of the Barrel chest, increased A-P diameter
chest
Bronchiectasis: Respiratory pattern Accessory muscle useage
Bronchiectasis: Color Cyanotic
Bronchiectasis: Appearance of the nail Clubbing
beds
Bronchiectasis: Diagnostic chest Hyperresonant/tympanic tone
percussion
Bronchiectasis: BS Wheezing, diminished
Bronchiectasis: CXR Hyperlucent lung fields, depressed or flattened
diaphragm, enlarged or elongated heart
Bronchiectasis: ABG Uncompensated respiratory alkalosis w/ hypoxemia
(mild/moderate)
Compensated respiratory acidosis (severe)
Bronchiectasis: Pulmonary function Decreased flows
Bronchiectasis: CBC Increased RBC/Hb/Hct
Bronchiectasis: Sputum May indicate infection
*Bronchiectasis: CT scan Increased bronchial wall opacity, end-on signet ring
opacity
