Patient With Cough And Chest Infection

9 Questions | Total Attempts: 426

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Patient With Cough And Chest Infection

A chest infection is an infection of the lungs or airways. The main types of chest infection are bronchitis and pneumonia caused by viruses and bacteria. How knowledgeable are you when it comes to dealing with a patient with cough and chest pains? Take up the quiz and see if you need more studying.


Questions and Answers
  • 1. 
    A 66 year old female patient noted acute onset of right mid back pain and then developed rigors just 6 hours ago.  She then fainted when she got up to go the bathroom and her husband called 911.  You see her in the Emergency Department.  She has fever, tachypnea, and has just started to cough, productive of thick yellow sputum.  There are a few crackles present on the right anterolateral aspect of her chest.  Chest x-ray: Which of the following do you also expect to find on respiratory exam?
    • A. 

      Hyperresonance over right posterolateral chest

    • B. 

      Increased tactile vocal fremitus over right anterolateral chest

    • C. 

      Diffuse bilateral rhonchi

    • D. 

      Elevated CO2 on pulse oximetry

    • E. 

      Stridor

  • 2. 
    A 35 year old Bahamian woman presents with a 2 day history of cough productive of green-yellow sputum.  She complains of fever, chills, and dyspnea.  On physical examination, her temperature is 102.40F and her respiratory rate is 26/min.  Her blood pressure is 110/65 mm Hg and her heart rate is 125 bpm.   Microscopic evaluation of the sputum reveals gram positive cocci and numerous neutrophils. On physical exam, one would expect to find:
    • A. 

      Pleural rub and bronchophony

    • B. 

      Late inspiratory crackles and increased tactile fremitus

    • C. 

      Vesicular breath sounds and early inspiratory crackles

    • D. 

      Bronchial breath sounds with normal tactile fremitus

  • 3. 
    A 34 year old nursing student is referred to your office because of the onset of a recent cough productive of dark colored sputum.  She is febrile but does not appear ill.  She has been able to continue working with her symptoms.  Examination of the posterior thorax is normal but there is dullness at the anterior right hemithorax below the fifth rib.  Crackles as well as localized pectoriloquy are audible over the same area.  Which of the following is the most likely diagnosis?
    • A. 

      Right lower lobe pneumonia

    • B. 

      Right lower lobe atelectasis

    • C. 

      Right middle lobe pneumonia

    • D. 

      Right upper lobe pneumonia

  • 4. 
    Bronchiectasis can be a complication associated with:
    • A. 

      AIDS

    • B. 

      Congestive Heart Failure

    • C. 

      Community acquired pneumonia

    • D. 

      Working as a construction worker

  • 5. 
    A 50 year old male who owns and manages an organic farm presents with a low grade fever of 100.2 F and a month long history of rust colored sputum.  His chest xray shows: Most likely diagnosis would be:
    • A. 

      Tuberculosis

    • B. 

      Community acquired pneumonia

    • C. 

      Bronchiectasis

    • D. 

      Cystic Fibrosis

  • 6. 
    Which clinical finding is associated with this chest x-ray?
    • A. 

      Early inspiratory crackles over the affected area

    • B. 

      Absence of bronchophony

    • C. 

      Increased tactile vocal fremitus

    • D. 

      Dull percussion note on the posterior chest wall over the affected area

  • 7. 
    While working in the ER, the ambulance arrives with a 70 year old man. He is dyspneic, cyanosed, and is semi-stuporous. As you begin your physical examination you notice that he is warm to touch. He coughs up a large amount of greenish yellow sputum. You would assume that the most likely diagnosis is:
    • A. 

      Asthma

    • B. 

      Cystic Fibrosis

    • C. 

      Carcinoma of the lungs

    • D. 

      Pneumonia

  • 8. 
    While working in the ER, the ambulance arrives with a 70 year old man. He is dyspneic, cyanosed, and is semi-stuporous. As you begin your physical examination you notice that he is warm to touch. He coughs up a large amount of greenish yellow sputum. On physical examination you find there is dullness to percussion, decreased chest expansion and bronchial breathing in the right lower lobe. The most likely organism to find in his sputum is:
    • A. 

      Pseudomonas

    • B. 

      E. Coli

    • C. 

      Pneumococcus

    • D. 

      H. Influenzae

  • 9. 
    While working in the ER, the ambulance arrives with a 70 year old man. He is dyspneic, cyanosed, and is semi-stuporous. As you begin your physical examination you notice that he is warm to touch. He coughs up a large amount of greenish yellow sputum. On physical examination you find there is dullness to percussion, decreased chest expansion and bronchial breathing in the right lower lobe This patient should be treated:
    • A. 

      In ambulatory care

    • B. 

      As an outpatient

    • C. 

      In quarantine at home

    • D. 

      In hospital

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