usmleasr
Forum Guru
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A 74-year-old man has a cough. On auscultation of the right posterior chest, the patient's spoken "ee" sounds more like "ay." Which of the following conditions on the right is most likely?
A) Bronchopleural fistula
B) Lower lobe consolidation
C) Middle lobe atelectasis
D) Pleural effusion
E) Pleural plaque
F) Pneumothorax
G) Sequestration
please explain... :oops:
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| Idiopathic
Forum Guru
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Positive e to a sign is indicative of consolidation. None of the others even make any sense to me.
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| mjl1717
Forum Hero
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I agree with idiopathic- officially its called egophony-a nasal bleating quality(the lung becomes airless or solid) [as in lobar pneumonia or near the upper border of a large pleural effusion] :shock:
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| Malaysian
Forum Guru
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This sign is due to Consolidation(solidification) of the lung parenchyma.....there fore the answer is B.Plus the lower lobe is usually best auscultated on the back.
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