A 53-Year-Old Man Comes to the Emergency Department Due to Increasing

question 114

Multiple Choice

A 53-year-old man comes to the emergency department due to increasing shortness of breath and right-sided pleuritic chest pain over 10 days.  He visited an urgent care center 5 days ago and was diagnosed with pneumonia.  The patient received an unknown antibiotic (which he took as prescribed) , but it has not helped.  He has no other medical problems.  He smokes a pack of cigarettes a day and drinks 2 or 3 beers each night.  Temperature is 38.7 C (101.6 F) , blood pressure is 136/88 mm Hg, pulse is 104/min, and respirations are 18/min.  The patient appears comfortable.  There is no jugular venous distension.  Cardiopulmonary examination shows dullness to percussion over the lower part of the right lung and normal heart sounds.  There is no peripheral edema.  Chest imaging reveals a large, loculated right pleural fluid collection.  Which of the following sets of pleural fluid findings is most likely in this patient?

• A)A
• B)B
• C)C
• D)D

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Definitions:

Sexual Awareness

Consciousness or recognition of one's own sexual identity, preferences, and health.

Internal Locus

The belief that individuals have control over their life events and outcomes, as opposed to external forces.

Control

Control refers to the power to influence or direct people's behavior or the course of events.

Unconscious

The part of the mind that is inaccessible to the conscious mind but that affects behavior and emotions.