Diagnosing and Assessing a Patient (TMC Practice Question)

1 year ago
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The video breaks down a sample TMC practice question about assessing and diagnosing a patient. Do you know the correct answer?
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➡️ Question:
During the assessment of a 64-year-old female patient, you note the following signs: dyspnea, hypotension, and a tracheal shift to the right. The patient has absent breath sounds, reduced chest expansion, and a hyperresonant percussion note, all on the left side. These findings suggest which of the following?
A. Pleural effusion on the left side
B. Pneumothorax on the left side
C. Atelectasis on the left side
D. Consolidation on the left side

To get this one correct, you needed to interpret ALL information provided in the question. This is a common question format that you'll see on the TMC Exam. The question states that the patient has reduced chest expansion, a hyperresonant percussion note, and absent breath sounds on the left side. It also points out a tracheal shift to the right. All of these suggest that the patient has a pneumothorax on the left side.

Remember: The trachea will shift away from the affected side when a pneumothorax is present. Therefore, you can rule out left-sided atelectasis because, if that were the case, the trachea would shift to that side. Pleural effusion and consolidation would cause a dull percussion note, not a hyperresonant note. So, we can also rule those two out as well.

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This content is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please consult with a physician with any questions that you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you watch in this video. We strive for 100% accuracy, but errors may occur, and medications, protocols, and treatment methods may change over time.

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⏰TIMESTAMPS
0:00 - Intro
0:25 - Practice Question
1:00 - Explanation
1:54 - Correct Answer

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