#march2020mccqe1
A 45-year-old man presents with respiratory difficulty and right chest pain. His temperature is 37.7 C (99.9 F) and respirations are 24/min and shallow. Chest examination reveals decreased tactile fremitus over the right hemithorax, with an extensive area of dullness to percussion and marked diminution of breath sounds on auscultation. Just above this area, egophony is appreciated. Which of the following is the most likely diagnosis?
(A) Pleural effusion
(B) Acute respiratory distress syndrome
(C) Spontaneous pneumothorax
(D) Carcinoma of the lungs
(E) Bronchiectasis
(F) Pneumocystis carinii pneumonia
(G) Chronic obstructive pulmonary disease (COPD)
A 45-year-old man presents with respiratory difficulty and right chest pain. His temperature is 37.7 C (99.9 F) and respirations are 24/min and shallow. Chest examination reveals decreased tactile fremitus over the right hemithorax, with an extensive area of dullness to percussion and marked diminution of breath sounds on auscultation. Just above this area, egophony is appreciated. Which of the following is the most likely diagnosis?
(A) Pleural effusion
(B) Acute respiratory distress syndrome
(C) Spontaneous pneumothorax
(D) Carcinoma of the lungs
(E) Bronchiectasis
(F) Pneumocystis carinii pneumonia
(G) Chronic obstructive pulmonary disease (COPD)
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