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MMLU-Pro / 6117 / A 42-year-old woman is brought to the emergency department 10 minutes after…

Problem

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question

A 42-year-old woman is brought to the emergency department 10 minutes after being involved in a high-speed motor vehicle collision in which she was a restrained passenger. On arrival, she has shortness of breath and abdominal pain. Her pulse is 135/min, respirations are 30/min, and blood pressure is 80/40 mm Hg. Breath sounds are decreased at the left lung base. An x-ray of the chest shows opacification of the left lower lung field with loss of the diaphragmatic shadow. Placement of a chest tube yields a small amount of air followed by greenish fluid. Which of the following is the most appropriate next step in management?

category

health

options

  1. Immediate intubation
  2. Administration of supplemental oxygen
  3. Thoracotomy
  4. Intravenous administration of broad-spectrum antibiotics
  5. CT scan of the chest
  6. Laparotomy
  7. Placement of a second chest tube
  8. CT scan of the abdomen
  9. Thoracoscopy
  10. Repeat chest x-ray

src

ori_mmlu-professional_medicine

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