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A 67-year-old man presents to the clinic with one week of fever, productive cough, pain with deep breathing over the left posterior chest wall, and shortness of breath. On physical exam, there is dullness to percussion over the left posterior lung fields to the level of the inferior scapula along with decreased tactile fremitus and diminished breath sounds in that same area. The left upper lobe and entire right lung are clear to auscultation. What finding would be expected to be seen on the chest x-ray?

Identify the structure at the tip of the red arrow.  

A 67-year-old man with lung cancer comes to the clinic for worsening shortness of breath for the past week. He is not coughing and does not have a fever. Vital signs show that he is afebrile, blood pressure is 130/78, heart rate is 80, and respiratory rate is 22. On physical exam, he has dullness to percussion and decreased tactile fremitus over the right lower lobe. What would one expect to hear on auscultation in the right lower lobe?

Which of the following is a function of the structure at the tip of the blue arrow?  

The Baby Doe Law is primarily concerned with which of the following?

What is the most likely cause of this patient’s acutely worsening shortness of breath? 

The Emergency Medical Treatment and Labor Act (EMTALA) states which of the following?

A 65-year-old man was found to have a lung mass and additional testing was ordered. What is this patient’s most likely diagnosis?  

A physician is practicing critical care medicine. Her division chief has created a quality metric dashboard to track individual and team performance around several known metrics and those related to on-going quality improvement projects. Which of the following is the best description for the percent of patients with bacteremia secondary to having a central line in place?

A 58-year-old male current smoker presents with hemoptysis and weight loss. The physician is worried that he may have lung cancer or an infection, so she orders this chest x-ray. No nodules, masses, airspace disease, or effusions are seen. What is the next best step in this patient’s management?