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NBME 20 Answers

nbme20/Block 4/Question#19 (26.5 difficulty score)
A 55-year-old man with severe emphysema comes ...
Percussion: hyperresonant; Tactile fremitus: decreased; Expiratory phase: prolongedπŸ”
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 +8 
submitted by haliburton(208),
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 +1 
submitted by aoa05(21),

An increase in tactile fremitus indicates denser or inflamed lung tissue, which can be caused by diseases such as pneumonia. A decrease suggests air or fluid in the pleural spaces or a decrease in lung tissue density, which can be caused by diseases such as chronic obstructive pulmonary disease or asthma.




 +0 
submitted by okokok1(0),

this image helps make COPD among other lung disorders clear with various sounds in a table. https://images.search.yahoo.com/yhs/search;_ylt=AwrEZ7mf9MZeFVUA4Dg