#june2020mccqe1
A 24-year-old man is evaluated in the emergency department for a 10-day history of increasing shortness of breath and dry cough. Before this time, the patient was healthy and took no medications. On physical examination, temperature is 37.9°C (100.3°F), blood pressure is 105/70 mm Hg, pulse is 106/min, and respirations are 32/min. A lung examination reveals dullness to percussion, decreased tactile fremitus, and decreased breath sounds at the right base. The remainder of his physical examination is unremarkable.
Which of the following is the most likely diagnosis?
(A) Heart failure
(B) Lobar consolidation
(C) Pleural effusion
(D) Pneumothorax
A 24-year-old man is evaluated in the emergency department for a 10-day history of increasing shortness of breath and dry cough. Before this time, the patient was healthy and took no medications. On physical examination, temperature is 37.9°C (100.3°F), blood pressure is 105/70 mm Hg, pulse is 106/min, and respirations are 32/min. A lung examination reveals dullness to percussion, decreased tactile fremitus, and decreased breath sounds at the right base. The remainder of his physical examination is unremarkable.
Which of the following is the most likely diagnosis?
(A) Heart failure
(B) Lobar consolidation
(C) Pleural effusion
(D) Pneumothorax
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