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A 64-Year-Old Man Is Brought to the Emergency Department After

Question 758

Multiple Choice

A 64-year-old man is brought to the emergency department after a motor vehicle collision in which his chest hit the steering wheel.  The patient has no prior medical conditions and takes no medications.  Temperature is 36.7 C (98 F) , blood pressure is 132/78 mm Hg, pulse is 76/min, and respirations are 14/min.  Physical examination shows mild tenderness over the lower right chest.  Imaging of the neck and chest reveals no fractures or dislocations.  However, the chest CT scan reveals pleural opacities as shown below. A 64-year-old man is brought to the emergency department after a motor vehicle collision in which his chest hit the steering wheel.  The patient has no prior medical conditions and takes no medications.  Temperature is 36.7 C (98 F) , blood pressure is 132/78 mm Hg, pulse is 76/min, and respirations are 14/min.  Physical examination shows mild tenderness over the lower right chest.  Imaging of the neck and chest reveals no fractures or dislocations.  However, the chest CT scan reveals pleural opacities as shown below.   These abnormal findings are most likely to occur in a patient with which of the following occupational histories? A) Aerospace manufacturing B) Coal mining C) Insulation manufacturing D) Hay farming E) Petroleum processing/refining F) Sandblasting These abnormal findings are most likely to occur in a patient with which of the following occupational histories?


A) Aerospace manufacturing
B) Coal mining
C) Insulation manufacturing
D) Hay farming
E) Petroleum processing/refining
F) Sandblasting

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