If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

 BOF 74

 

   

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

 

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

 

 

 

Google
Web ydr.org.uk
acesforpaces.com medicalrevision.org

BOF: 74

A 28 year old paddy farmer in Thailand presents with a history of right sided chest pain aggravated by breathing of a week’s duration.

On examination he was febrile , the pulse rate was 110 beats per minute, heart sounds were normal , the trachea was in the midline but respiratory movements were decreased at the right base , percussion note was decreased at the right base and there were diminished breath sounds at the right base.

He had marked intercostal tenderness on the right side 9th intercostal space mid axillary line.

Hb 14 g/dl

WBC 21 x109/L

Platelets 570 x109/L

ESR 80 mm in 1st hour

In this patient which of the following tests is most likely to enable you to reach a preliminary diagnosis and facilitate initial treatment?

a)      Chest X-ray

b)      Bronchoscopy

c)      Pleural aspiration

d)     Sputum culture

e)      Abdominal ultrasound scan

Back
Up
Next

Up ] Answer BOF 74 ]