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