AMBOSS Facebook ad: “Test Your Clinical Knowledge”

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Exam quiz time! A 55-year-old woman comes to the physician because of a 3-day history of chest pain and cough productive of blood-tinged sputum. The chest pain is sharp, stabbing, and exacerbated by coughing. Ten days ago, she had a sore throat and a runny nose. She was diagnosed with multiple sclerosis at the age of 40 years and uses a wheelchair for mobility. She has smoked one pack of cigarettes daily for the past 40 years. She does not drink alcohol. Current medications include ocrelizumab and dantrolene. Temperature is 37.9°C (100.2°F), pulse is 105/min, and blood pressure is 110/60 mm Hg. Auscultation of the lungs discloses a few scattered inspiratory crackles in the right lower lung. Cardiac examination shows no abnormalities. Neurologic examination shows stiffness and decreased sensation of the lower extremities; there is diffuse hyperreflexia. An x-ray of the chest is shown. Which of the following is the most likely diagnosis? A - Pericarditis B - Sarcoidosis C - Bacterial pneumonia D - Pulmonary embolism E - Pneumothorax F - Bronchogenic carcinoma G - Pulmonary edema Continue testing your knowledge with thousands of Step 2 CK questions in the AMBOSS Qbank.

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