TB Diagnosis: Pertinent Positives and Negatives

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Questions and Answers

What is the significance of a pertinent positive answer in a patient with a cough?

  • It confirms the diagnosis of TB
  • It rules out TB as a cause of the cough
  • It prompts the examiner to look for the presence of concomitant symptoms for TB (correct)
  • It indicates the presence of dyspnea

What is the significance of a pertinent negative answer in a patient with a cough?

  • It indicates the presence of dyspnea
  • It is irrelevant in the assessment of TB
  • It confirms the diagnosis of TB
  • It helps rule out TB as a cause of the cough (correct)

What is the proposed mechanism of dyspnea according to the Length-Tension Inappropriateness theory?

  • Increased respiratory muscle strength
  • Stimulation of juxtacapillary receptors by pulmonary blood vessel congestion
  • Termination of inspiratory effort by the Hering-Breuer reflex
  • A mismatch between the pressure generated by the respiratory muscles and the tidal volume produced (correct)

What triggers the Hering-Breuer reflex in dyspnea?

<p>Pulmonary blood vessel congestion (A)</p> Signup and view all the answers

What factors should be considered in assessing patients with dyspnea?

<p>Cardiac, pulmonary, neuromuscular, and emotional factors (C)</p> Signup and view all the answers

What type of receptors are stimulated by pulmonary blood vessel congestion in dyspnea?

<p>Juxtacapillary receptors (A)</p> Signup and view all the answers

What is the consequence of the mismatch between the pressure generated by the respiratory muscles and the tidal volume produced in dyspnea?

<p>Signal transmission to the brain by intercostal muscle spindles (C)</p> Signup and view all the answers

What is a common breathing pattern adopted by dyspneic patients?

<p>Rapid and shallow breathing (D)</p> Signup and view all the answers

What type of retractions may be visible on chest examination in dyspneic patients?

<p>Supraclavicular, intercostal, and abdominal retractions (C)</p> Signup and view all the answers

Which of the following conditions is an example of increased ventilatory demand?

<p>Severe anemia (C)</p> Signup and view all the answers

What is a common feature of conditions in both groups severe anemia and COPD?

<p>Restriction (B)</p> Signup and view all the answers

Which of the following is NOT a cause of dyspnea?

<p>Hypertension (D)</p> Signup and view all the answers

What is a consequence of recruiting accessory muscles of breathing in dyspneic patients?

<p>Visible upper chest retractions (B)</p> Signup and view all the answers

Which of the following conditions is an example of decreased ventilatory capacity?

<p>Pleural effusion (C)</p> Signup and view all the answers

What is a key difference between the conditions in groups 3 and 4?

<p>One produces restriction, while the other does not (C)</p> Signup and view all the answers

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