Friday 18 September 2015

AIIMS MCQ for Medical PG Preparations .. NIME | Lobar pneumonia CMQ

A-.25 year old patient present with high fever, toxaemia and cough with expectoration of four days duration on examination of chest there is imparied percussion note, increased vocal resonance and fine crepitation over the right upper part of the chest the most likely diagnosis is:
A. Lobar pneumonia
B. Pnuemothorax
C. Bronchopneumonia
D. Pleural effusion



Ans. A
The patient is suffering from pneumonia. The points in favour of diagnosis are:
1.  Short history.
2.  High fever, cough and toxaemia.
3.  Impaired percussion-note.
4.  Increased vocal fremitus and vocal resonance.
5.  Fine crepitations.
CXR will show right upper zone consolidation.