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General Medicine · Respiratory medicine
Sample itemWhat finding suggests a pleural effusion on examination?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Reduced breath sounds and dullness
Pleural fluid dampens sound transmission and percussion resonance, causing reduced breath sounds and stony dullness over the affected lower chest.
Option by option
A. Stridor
Stridor reflects upper-airway narrowing.
B. Hyperresonance
Hyperresonance suggests excess air, such as pneumothorax.
C. Reduced breath sounds and dullness (correct)
Correct: fluid produces dullness and reduced breath sounds.
D. Bilateral wheeze only
Wheeze is an airway narrowing sign, not the defining pleural-fluid finding.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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