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* NBME question Form 1.
 #143357  
  adrenaline2176 - 12/05/06 01:17
 
  q.49 yr old man with 1 wk h/o SOB without fever, chils or cough. Beath sounds are decreased in left lower lobe. There is deceased vocal and tactlie fremitus and dullness to percussion in the affected area. What the most likely diagnosis:

1) Bronchiectasis
2) Bronchospasm
3) Emphsema
4) Pleural effusion
5) Lobar consolidation
6) Pneumothoral

I chose choice 4 - pl. effusion, the answer key says Lobar consolidation. Pl. explain.
 
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* Re:NBME question Form 1.
#579295
  vijired - 12/05/06 01:25
 
  I just listened to Goljan resp. lecture and a/c to him
In pneumonia - Breath sounds decresed - tactile fremitus increased- Egophony present - whispeirng pectoriloqy present

In PF - breath sounds are decreased

I would also choose 4.
 
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* Re:NBME question Form 1.
#579298
  adrenaline2176 - 12/05/06 01:35
 
  thanxs vijired......i always thought VR/VF is increased in consolidation while its decreased in pl. effusion (solid objects resonate and make more noise).

I guess, we shudnt always go with the answer key in nbme...afterall, its discussed right here in this forum :)
 
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* Re:NBME question Form 1.
#1433404
  rizowana - 08/26/08 13:40
 
  lobar consoliation  
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* Re:NBME question Form 1.
#1433531
  docjaideep - 08/26/08 15:10
 
  rizo...i guess they r right... vocal and tactile reson is surely increased in lobar consolidation.

PE
 
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* Re:NBME question Form 1.
#1433650
  mesons - 08/26/08 17:26
 
  4 . it is either a fluid or solid snce thereis dullness,decreased tactile fremitus and decreased breath sound  
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* Re:NBME question Form 1.
#1433653
  corpas - 08/26/08 17:29
 
  I go for lobar consolidation  
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* Re:NBME question Form 1.
#1433667
  usmlednar - 08/26/08 17:39
 
  No fever, no increased vocal fremitus so not lobar consolidation.

Has to be pleural effusion.
 
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* Re:NBME question Form 1.
#1433713
  r111010 - 08/26/08 18:41
 
  to rizowana and others..
see page 433 of FA2007
so 4 is ans.
 
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* Re:NBME question Form 1.
#1505226
  rizowana - 10/11/08 06:20
 
  NBME question Form 1.
#143357
adrenaline2176 - 12/05/06 01:17

q.49 yr old man with 1 wk h/o SOB without fever, chils or cough. Beath sounds are decreased in left lower lobe. There is deceased vocal and tactlie fremitus and dullness to percussion in the affected area. What the most likely diagnosis:

1) Bronchiectasis
2) Bronchospasm
3) Emphsema
4) Pleural effusion
5) Lobar consolidation
6) Pneumothoral

I chose choice 4 - pl. effusion, the answer key says Lobar consolidation. Pl. explain.
Report Abuse












* Re:NBME question Form 1.
#579295
vijired - 12/05/06 01:25

I just listened to Goljan resp. lecture and a/c to him
In pneumonia - Breath sounds decresed - tactile fremitus increased- Egophony present - whispeirng pectoriloqy present

In PF - breath sounds are decreased

I would also choose 4.
Report Abuse



* Re:NBME question Form 1.
#579298
adrenaline2176 - 12/05/06 01:35

thanxs vijired......i always thought VR/VF is increased in consolidation while its decreased in pl. effusion (solid objects resonate and make more noise).

I guess, we shudnt always go with the answer key in nbme...afterall, its discussed right here in this forum :)
Report Abuse



* Re:NBME question Form 1.
#1433404
rizowana - 08/26/08 13:40

lobar consoliation
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* Re:NBME question Form 1.
#1433531
docjaideep - 08/26/08 15:10

rizo...i guess they r right... vocal and tactile reson is surely increased in lobar consolidation.

PE
Report Abuse



* Re:NBME question Form 1.
#1433650
mesons - 08/26/08 17:26

4 . it is either a fluid or solid snce thereis dullness,decreased tactile fremitus and decreased breath sound
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* Re:NBME question Form 1.
#1433653
corpas - 08/26/08 17:29

I go for lobar consolidation
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* Re:NBME question Form 1.
#1433667
usmlednar - 08/26/08 17:39

No fever, no increased vocal fremitus so not lobar consolidation.

Has to be pleural effusion.
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* Re:NBME question Form 1.
#1433713
r111010 - 08/26/08 18:41

to rizowana and others..
see page 433 of FA2007
so 4 is ans.
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* Re:NBME question Form 1.
#1505239
  pankyash - 10/11/08 06:50
 
  its definitely a pleural effusion.. consolidation has inc VF..  
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