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NBME 20 Answers

nbme20/Block 4/Question#19

A 55-year-old man with severe emphysema comes to ...

Percussion: hyperresonant; Tactile fremitus: decreased; Expiratory phase: prolonged

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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.