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A TALL THIN WOMAN AGED 26 PRESENTS WITH SUDDEN-ONSET LEFT-SIDED PLEURITIC CHEST PAIN AND BREATHLESSNESS. EXAMINATION SHOWS HER TO BE TALL AND THIN, WITH A STRAIGHT BACK, OXYGEN SATURATION 99% ON AIR, HEART RATE 70 BPM, BP 110/75 AND DECREASED BREATH SOUNDS TO THE LEFT HEMITHORAX. THE LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING

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A. Acute coronary syndrome B. Aortic dissection C. Pneumonia D. Pneumothorax ✓ E. Pulmonary embolus

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A TALL THIN WOMAN AGED 26 PRESENTS WITH SUDDEN-ONSET LEFT-SIDED PLEURITIC CHEST PAIN AND BREATHLESSNESS. EXAMINATION SHOWS HER TO BE TALL AND THIN, WITH A STRAIGHT BACK, OXYGEN SATURATION 99% ON AIR, HEART RATE 70 BPM, BP 110/75 AND DECREASED BREATH SOUNDS TO THE LEFT HEMITHORAX. THE LIKELY DIAGNOSIS IS WHICH OF THE FOLLOWING

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