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MMLU-Pro / 6033 / An 18-year-old man is brought to the emergency department 10 minutes after he…

Problem

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question

An 18-year-old man is brought to the emergency department 10 minutes after he sustained a stab wound to his chest. On arrival, he is unresponsive to painful stimuli. His pulse is 130/min, respirations are 8/min and shallow, and palpable systolic blood pressure is 60 mm Hg. He is intubated and mechanically ventilated, and infusion of 0.9% saline is begun. After 5 minutes, his pulse is 130/min, and blood pressure is 70/40 mm Hg. Examination shows a 2-cm wound at the left sixth intercostal space at the midclavicular line. There is jugular venous distention. Breath sounds are normal. The trachea is at the midline. Heart sounds are not audible. Which of the following is the most appropriate next step in management?

category

health

options

  1. Pericardiocentesis
  2. Perform a CT scan of the chest
  3. Thoracentesis
  4. Bronchoscopy
  5. Administer morphine for pain management
  6. Echocardiography
  7. Chest x-ray
  8. Surgical exploration of the wound
  9. Administer intravenous antibiotics
  10. Administer oxygen therapy

src

ori_mmlu-professional_medicine

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