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General Medicine · Respiratory medicine
Sample itemWhat physical finding can occur in a pleural effusion?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Reduced breath sounds at the base
The key Respiratory medicine principle supports Reduced breath sounds at the base; this option most directly explains the clinical pattern, diagnostic priority, or initial management principle given in the stem.
Option by option
A. Wheeze only
Wheeze only does not address the diagnosis or priority described.
B. Reduced breath sounds at the base (correct)
Correct. Reduced breath sounds at the base is directly supported by the key information.
C. Hyperresonance only
Hyperresonance only does not match the stated respiratory medicine feature.
D. Normal vocal resonance always
Normal vocal resonance always has a different clinical context and is not the best answer here.
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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