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Retired NBME 20 Answers

 +11  upvote downvote
submitted by โˆ—haliburton(224)
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resonant sound is normal. hyperresonant with overexpansion. tactile fremitus is increased /c solid mass or fluid, and decreased with air/fluid level or overexpansion. prolonged expiratory phase -> obstructive conditions.

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 +2  upvote downvote
submitted by โˆ—aoa05(34)
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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.

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submitted by โˆ—okokok1(38)
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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

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