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A 36-Year-Old Woman with a Known History of Emphysema (Dilatation

Question 14

Multiple Choice

A 36-year-old woman with a known history of emphysema (dilatation of alveoli and destruction of alveolar walls with a tendency to form cystic spaces) suddenly experiences a severe pain in the left side of her chest, is breathless, and is obviously in a state of shock.
-Examination of this patient reveals the following findings except which?


A) The trachea is displaced to the right in the suprasternal notch.
B) The apex beat of the heart can be felt in the fifth left intercostal space just lateral to the sternum.
C) The right lung is collapsed.
D) The air pressure in the left pleural cavity is at atmospheric pressure.
E) The air has entered the left pleural cavity as the result of rupture of one of the emphysematous cysts of the left lung (left-sided pneumothorax) .
F) The elastic recoil of the lung tissue caused the lung to collapse.

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