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The previous question:

A patient is brought in following a collapse. He complained of sudden onset shortness of breath and pleuritic chest
pain. On examination his trachea is deviated to the left and there is hyperresonance on the right side of his chest.
What is the next appropriate management step?
Your answer was Large bore cannula in right second intercostal space mid-clavicular line which is correct
Large bore cannula in right second intercostal space mid-clavicular line correct answer
Large bore cannula in left second intercostal space mid-clavicular line
Chest drain
CXR
CT chest
Explanation:
This patient has a tension pneumothorax as indicated by the tracheal deviation. It is life threatening and a
large cannula should be inserted in the mid clavicular line , second intercostal space. The trachea is deviated
away from the side effected. Management must not be delayed for a CXR.
Question category: Respiratory
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A 50 year old gentleman presents with a dry cough and shortness of breath.
On CXR there is numerous nodules. A biopsy is taken and reveals
multinucleated Langerhans cells, Birbeck granules and CD1a and S100
protein. What is the most likely diagnosis?
Lung metastases
Large cell lung cancer
Histiocytosis X
Small cell lung cancer
Carcinoid
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