{"id":790,"date":"2020-05-15T11:23:33","date_gmt":"2020-05-15T11:23:33","guid":{"rendered":"http:\/\/app.rguc.co.uk\/?p=790"},"modified":"2024-11-18T08:01:44","modified_gmt":"2024-11-18T08:01:44","slug":"respiratory-examination","status":"publish","type":"post","link":"https:\/\/vapp.rguc.co.uk\/?p=790","title":{"rendered":"Respiratory Examination"},"content":{"rendered":"<p>This episode provides a detailed step-by-step guide to performing the respiratory examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This episode provides a detailed step-by-step guide to performing the respiratory examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-790","post","type-post","status-publish","format-standard","hentry","category-ceip","entry"],"youtubeVideo":"435741062\/60d20a2fc2","question1":"Which of the following features of Horner\u2019s syndrome are incorrect?","answers1":"Enophthalmous | Ipsilateral anhydrosis | Ptosis | Dilated pupil","correctAnswer1":"3","correctAnswerText1":"Horner\u2019s syndrome presents with miosis (constricted pupil) in addition to the features listed above. In the context of respiratory pathology, it is caused by an apical lung cancer that has invaded the cervical sympathetic plexus. The combination of an apical lung cancer and an ipsilateral Horner\u2019s syndrome is called Pancoast\u2019s syndrome.","question2":"A pleural effusion will give what type of percussion note?","answers2":"Hyperresonant | Resonant | Dull | Stony dull","correctAnswer2":"3","correctAnswerText2":"","question3":"A patient presents with breathlessness and is found to have a pleural effusion. It is aspirated and found to have a protein concentration of 24g\/L. This means that this is an exudate.","answers3":"True | False","correctAnswerText3":"A transudate has a protein level of less than 25g\/L\r\nAn exudate has a protein level of greater than 35g\/L\r\nIf the protein level is 25-35g\/L, the pleural fluid is an exudate if one or more of the following criteria are met:\r\nPleural fluid protein divided by serum protein is greater than 0.5\r\nPleural fluid LDH divided by serum LDH is greater than 0.6\r\nPleural fluid LDH more than two-thirds the upper limits of normal serum LDH.","correctAnswer3":"1","question4":"Which of the following conditions is not associated with a transudate pleural effusion?","answers4":"Hypoalbuminaemia | Mesothelioma | Left ventricular failure | Liver cirrhosis","correctAnswer4":"1","correctAnswerText4":"Mesothelioma is associated with an exudates pleural effusion as are other types of lung cancer.","question5":"The following conditions can cause tracheal deviation. Which one causes deviation away from the lung lesion?","answers5":"Tension pneumothorax | Upper lobe collapse | Pneumonectomy | Upper lobe fibrosis","correctAnswer5":"0","correctAnswerText5":"","question6":"A flapping tremor is associated with several pathologies including carbon dioxide retention, and is due to intermittent failure of the parietal mechanisms maintaining posture.","answers6":"True | False","correctAnswer6":"0","correctAnswerText6":"","question7":"Lobar pneumonia will give what type of percussion note?","answers7":"Hyperresonant | Resonant | Dull | Stony dull","correctAnswer7":"2","correctAnswerText7":"Consolidation of the lung tissue results in a dull percussion note. Bronchial breathing may also be present and the patient may have increased vocal resonance.","question8":"Which of the following conditions is not associated with clubbing?","answers8":"Bronchiectasis | Pulmonary fibrosis | Sarcoidosis | Asbestosis","correctAnswer8":"2","correctAnswerText8":"","question9":"Which of the following conditions is not associated with haemoptysis?","answers9":"Newly diagnosed non-small cell lung cancer | Pulmonary embolism | Tuberculosis | Newly diagnosed chronic obstructive pulmonary disease (COPD)","correctAnswer9":"3","correctAnswerText9":"Uncomplicated COPD does is not usually associated with haemoptysis. It may be associated in the presence of infection exacerbating COPD or increased pulmonary venous pressure secondary to advancing COPD.","question10":"A \u201cbarrel-shaped\u201d chest (anteroposterior diameter is greater than lateral diameter) is associated with a hyperinflated chest e.g. chronic obstructive pulmonary disease (COPD).","answers10":"True | False","correctAnswer10":"0","correctAnswerText10":"","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"mid","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/790"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=790"}],"version-history":[{"count":2,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/790\/revisions"}],"predecessor-version":[{"id":792,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/790\/revisions\/792"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=790"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}