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A 74 year old lady suddenly develops shortness of breath, chest pain and haemoptysis. She has a pulse of 118 which is irregular. Which one of the following is an important diagnosis to consider in this patient?
Squamous cell carcinoma of the lung
Allergic alviolitis
Pulmonary Embolus
Fungal Pneumonia
Pulmonary fibrous
Dullness to percussion on the chest wall can indicate which one of the following pathologies?
Pneumothorax
Chronic obstructive pulmonary disease
Normal lung
Consolidation
Asthma
Hyper inflation of the chest can be signalled by which one of the following findings?
A Pulseitile liver
A lengthened Crico-Sternal distance
An enlarged liver
A Shortened Crico-Sternal distance
An impalpable liver
In a person with a tension pneumothorax how is the Jugular venous pressure most likely to change?
Become impalpable
Stay the same
Become un detectable
Become raised
Become reduced
In a person with hard fixed lymph nodes in the neck what is the most appropriate course of action?
Treat with broad spectrum antibiotics
Advise them that no further care is needed and they will resolve spontaneously
Refer urgently under a two week suspected cancer rule
Advise them to have them reassessed in two weeks time
Arrange investigation for assess the competence of the immune system
In patients with an area of consolidated lung you can expect to find which change to breath sounds?
Reduced breath sounds
Louder tubular breath sounds (Bronchial Sounds)
Vesicular sounds
An added clicking sound that occurs in tune with the pulse
A total absence of breath sounds
Look at the image shown. Which one of the following best describes this phenomenon?
Chest wall tumour
Hyper inflation
Pectus Carinatum
Kyphoscoliosis
Pectus Excavitum
The added sound of crackles can be heard in patients with which one of the following diagnosis?
Plural effusion
Pulmonary oedema
Pulmonary embolism
Plural plaques
Which one of the following clinical signs can indicate that a person is retaining carbon dioxide?
Increased capillary refill time
Cold extremities
A week pulse
Rusty colour sputum
A flap in the hands
Which one of the following is most likely to cause deviation of the tracheca TOWARDS the side of the diseased lung?
A simple pneumothorax
A tension pneumothorax
A large plural effusion