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:

Cyber-stalking

Utilizing the internet or digital methods to pursue or bother a person, group, or organization.

Cyber-extortion

The act of using online threats or actual hacking to demand money or another form of compensation from individuals or organizations.

Cyber-fraud

The act of committing fraud using the internet or digital communications technology to deceive and illicitly gain from others.

Cyber-spoofing

The act of disguising one's identity online, typically by falsifying email addresses or manipulating caller ID information, often to deceive or defraud.