Podcast
Questions and Answers
What is the most useful diagnostic modality for establishing a diagnosis of dyspnea?
What is the most useful diagnostic modality for establishing a diagnosis of dyspnea?
- Imaging studies
- Physical examination
- Laboratory tests
- History (correct)
What percentage of instances is the diagnosis established by history in studies of dyspnea?
What percentage of instances is the diagnosis established by history in studies of dyspnea?
- 90%
- 50%
- 100%
- 75% (correct)
What causes exertional dyspnea in both cardiac and pulmonary diseases?
What causes exertional dyspnea in both cardiac and pulmonary diseases?
- Paroxysmal nocturnal dyspnea
- Wheezing
- Airway obstruction (correct)
- Excessive airway secretions
Which misconception is commonly associated with paroxysmal nocturnal dyspnea?
Which misconception is commonly associated with paroxysmal nocturnal dyspnea?
What can cause dyspnea and force a patient to sit up to clear the airway due to airway obstruction?
What can cause dyspnea and force a patient to sit up to clear the airway due to airway obstruction?
What manifestation is wheezing considered in relation to heart failure and obstructive lung disease?
What manifestation is wheezing considered in relation to heart failure and obstructive lung disease?
What symptoms should a physician inquire about if embolization is suspected?
What symptoms should a physician inquire about if embolization is suspected?
Why is careful inquiry for historical evidence of recurrent pulmonary embolization important?
Why is careful inquiry for historical evidence of recurrent pulmonary embolization important?
What might weight increase indicate in a patient?
What might weight increase indicate in a patient?
What does the observation of contractions of the accessory muscles of respiration suggest?
What does the observation of contractions of the accessory muscles of respiration suggest?
Which sign implies critical tracheal stenosis?
Which sign implies critical tracheal stenosis?
How can air flow obstruction be observed in a patient?
How can air flow obstruction be observed in a patient?
What is the most informative measurement for detecting obstructive and restrictive defects during pulmonary function tests?
What is the most informative measurement for detecting obstructive and restrictive defects during pulmonary function tests?
Which test is important when an infiltrate is detected and tuberculosis is suspected?
Which test is important when an infiltrate is detected and tuberculosis is suspected?
In restrictive lung disease, which of the following is true?
In restrictive lung disease, which of the following is true?
What should be considered when patients are suspected of having tracheal stenosis?
What should be considered when patients are suspected of having tracheal stenosis?
Which measurement is associated with a poor 5-year survival rate among patients with COPD?
Which measurement is associated with a poor 5-year survival rate among patients with COPD?
When are sputum cytology tests indicated according to the text?
When are sputum cytology tests indicated according to the text?
Which study reviewed the comparative advantages and disadvantages of computed tomography and older imaging approaches for acute pulmonary embolism?
Which study reviewed the comparative advantages and disadvantages of computed tomography and older imaging approaches for acute pulmonary embolism?
Which trial found significant palliation among COPD patients with 20 mg of sustained-release morphine per day?
Which trial found significant palliation among COPD patients with 20 mg of sustained-release morphine per day?
Which review argued that a high degree of accuracy can be achieved in diagnosing and excluding emphysema with validated criteria?
Which review argued that a high degree of accuracy can be achieved in diagnosing and excluding emphysema with validated criteria?
Which trial found no effect on clinical outcomes or health services use in emergency department patients with dyspnea?
Which trial found no effect on clinical outcomes or health services use in emergency department patients with dyspnea?
Which study found limited usefulness in screening for left ventricular hypertrophy and systolic dysfunction using plasma natriuretic peptides?
Which study found limited usefulness in screening for left ventricular hypertrophy and systolic dysfunction using plasma natriuretic peptides?
Which review critically assessed the uses of blood gas determinations?
Which review critically assessed the uses of blood gas determinations?
Which lung condition is most likely characterized by retraction of the intercostal muscles on inspiration?
Which lung condition is most likely characterized by retraction of the intercostal muscles on inspiration?
What is the significance of coarse crackles heard in early inspiration and throughout expiration on lung auscultation?
What is the significance of coarse crackles heard in early inspiration and throughout expiration on lung auscultation?
Why is eliciting wheezing on maximal forced exhalation not recommended for diagnosing asthma?
Why is eliciting wheezing on maximal forced exhalation not recommended for diagnosing asthma?
When would fine crackles be heard during lung auscultation?
When would fine crackles be heard during lung auscultation?
What does increased anterior–posterior diameter of the chest suggest?
What does increased anterior–posterior diameter of the chest suggest?
Why do normal findings on lung examination not rule out pulmonary pathology?
Why do normal findings on lung examination not rule out pulmonary pathology?
