Respiratory Quiz #27, Atelectasis, Pleural Effusions and Pneumothorax  

1. A 72-year-old male with a history of chronic obstructive pulmonary disease (COPD) presents to the emergency department with acute onset shortness of breath and left-sided chest pain that worsens with deep breaths. On physical examination, decreased breath sounds and dullness to percussion are noted on the left side. Chest X-ray reveals a homogeneous opacity with obliteration of the left costophrenic angle. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 65-year-old female undergoes right upper lobectomy for non-small cell lung cancer. Postoperatively, she develops fever, tachypnea, and hypoxia. A chest X-ray reveals elevation of the right hemidiaphragm and a right upper quadrant opacity. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 30-year-old male presents with sudden onset sharp chest pain and shortness of breath while playing basketball. On examination, you note decreased breath sounds and hyperresonance to percussion on the right side. Chest X-ray reveals a collapsed right lung with visible visceral pleural line and no lung markings beyond this line. Which of the following is the most appropriate initial management for this condition? 

Question 3 of 5

4. A 55-year-old female with a history of breast cancer presents with dyspnea and dry cough. Physical examination reveals decreased breath sounds at the left lung base and dullness to percussion. Chest X-ray shows a blunted left costophrenic angle. Which of the following is the most likely cause of these findings? 

Question 4 of 5

5. A 20-year-old male presents to the emergency department with acute onset of chest pain and shortness of breath after a minor traffic accident. On examination, you note tracheal deviation to the left and decreased breath sounds on the right side. Chest X-ray reveals a large right pneumothorax with a shift of the mediastinum to the opposite side. Which of the following is the most immediate step in the management of this patient? 

Question 5 of 5


 

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