Asthma USMLE Step 1 Practice Question
A 29-year-old tall thin man suddenly develops severe pleuritic chest pain and dyspnea while playing basketball. In the emergency department he is tachycardic, hypotensive, and has absent breath sounds on the right with tracheal deviation to the left and distended neck veins. Which of the following is the best next step in management?
Answer choices
- AStart broad spectrum antibiotics
- BObtain urgent CT angiography
- CAdminister intravenous furosemide
- DImmediate needle decompression followed by chest tube placementCorrect answer
- EUrgent bronchoscopy
- FAdminister high-flow oxygen and observe for spontaneous re-expansion
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