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Retired NBME 29 Answers

nbme29/Block 1/Question#2 (reveal difficulty score)
A 50-year-old man with a temperature of 38.9X ...
Increased tactile fremitus over the right lower lung field ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: pulm

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submitted by โˆ—namesthegame22(13)
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Tactile fremitus relies on the increased transmission of sound waves and vibrations through consolidated lung tissue as compared with normal, aerated lung tissue.

The examiner will note increased vibration against the hand when the patient vocalizes diphthong phrases, indicative of the presence of consolidation and pneumonia

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namesthegame22  Muffled whispered sounds over the right lower lung field (Choice C) is a normal finding! Voice should typically be muffled during lung auscultation, if the whispered voice sound is clear and easily audible it may indicate the presence of consolidation and pneumonia, a finding known as whispered pectoriloquy. +



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