UKMLA PLAB AMC USMLE Prometric MCQ

Question Number 1139

Question:
A 70 year old white woman was admitted for treatment of an acute non-Q wave myocardial infarction. Her past medical history is significant for diabetes mellitus and chronic renal insufficiency. Her baseline spirometry results are as follows: FVC = 1.4 L; FEV1 = 0.6 L, and FEV1/FVC = 0.43. Despite an uncomplicated initial course, several days after admission the patient's condition acutely deteriorated with increased respiration respiratory rate, worsening O2 saturation, and chest tightness. A CXR was obtained: this revealed a right sided visible pleural line with absent lung markings peripherally and a deep sulcus on that same side. Physical examination on the right side of the patient is likely to reveal

a) increased resonance on percussion
b) increased hepatic dullness on percussion
c) low jugular venous pressure
d) intercostal recession
e) increased voice transmission