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5565 Medicine

50 year old male known case of emphysema presents to OPD with complaint of shoness of breath for 2 weeks. Chest X Ray revealed 3 cm pneumothorax on the right side. What shall be the management approach for the patient ?

ARepeated aspirations as chest drain inseion is dangerous if bullae are present
BHigh flow oxygen and carefully monitor the patient
CInseion of Seldinger intercostal chest drain to cause resolution of pneumothorax
DInse a large bore chest drain as there may be a significant Air leak
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5569 Medicine

All statements are true regarding non-ST elevation acute coronary syndromes (NSTE-ACS) and ST elevation myocardial infarctions (STEMI) except ?

AThe relative incidence of NSTEMI is rising due to the increasing burden of diabetes and chronic kidney disease in an aging population.
BPump failure is now the primary cause of in-hospital death from STEMI
CInfarction of >=60% of the left ventricle usually results in cardiogenic shock
DPCI is the treatment of choice for patients with acute coronary syndromes
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