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USMLE · Question #491

A 16-year-old boy is admitted to the emergency department because of a knife wound to the left side of his chest. An x-ray of the chest shows an air-fluid level in the left side of the chest, partial

The correct answer is A. Hemopneumothorax, not under tension. See the full explanation below for the reasoning.

Question

A 16-year-old boy is admitted to the emergency department because of a knife wound to the left side of his chest. An x-ray of the chest shows an air-fluid level in the left side of the chest, partial collapse of the left lung, and elevation of the stomach bubble. The mediastinum is in the midline. Which of the following is the most likely diagnosis?

Options

  • AHemopneumothorax, not under tension
  • BHemothorax, not under tension
  • CPneumothorax, not under tension
  • DTension hemopneumothorax
  • ETension hemothorax
  • FTension pneumothorax

How the community answered

(61 responses)
  • A
    75% (46)
  • B
    11% (7)
  • C
    2% (1)
  • D
    7% (4)
  • E
    2% (1)
  • F
    3% (2)

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