Respiratory System OSCE Examination Quiz

Focused SBA-style practice, followed by the answer and explanation for every question.

Focused SBA-style practice, followed by the answer and explanation for every question.

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1
A 34-year-old woman has a fever, a cough productive of green sputum and chest pain that is worse on breathing in. Over the right lower chest, expansion is reduced and the percussion note is dull. Which finding on listening to the chest would most strongly point to lobar consolidation rather than a pleural effusion or pneumothorax?
2
On inspecting the chest, which finding is classically caused by long-term over-inflation of the lungs in COPD?
3
A 48-year-old woman has a fever, a productive cough and chest pain that is worse on breathing in. You suspect a patch of consolidation at the right base. Which finding on feeling the chest would most directly support this?

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