A 66-Year-Old Man Comes to the Office Due to Increasing

question 357

Multiple Choice

A 66-year-old man comes to the office due to increasing shortness of breath over the past 3 weeks.  He has had a nonproductive cough for several months, which he attributes to allergies, but also notes a 9-kg (20-lb) , unintentional weight loss over this time.  The patient has no prior medical conditions and takes no medications.  He has a 50-pack-year smoking history.  Temperature is 36.7 C (98 F) , blood pressure is 120/80 mm Hg, pulse is 72/min, and respirations are 18/min.  Chest x-ray is shown below. Which of the following would be the expected physical examination finding over the right lower chest?

• A)Bronchial breath sounds
• B)Decreased tactile fremitus
• C)Fine inspiratory crackles
• D)Focal, monophasic wheeze
• E)Increased resonance on percussion
• F)Rhonchi that clear with cough

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Definitions:

Romantic Love

A deep emotional and affectionate connection between individuals, often characterized by passion, intimacy, and commitment.

Reciprocal Love

A mutual affection or love shared between two individuals, where each person's feelings are mirrored by the other.

Fatuous Love

A type of love defined by passion and commitment, but lacking in intimacy, according to Sternberg's Triangular Theory of Love.

Developed Nations

Countries that have a high level of economic growth and security, advanced technological infrastructure, and a high standard of living.