Resonant Percussion in Surgery — 42yo Woman | Trauma Surgery | SMLE Q#12401
SMLE Question #12401
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
Last updated: February 2026
A 42-year-old woman is brought to the emergency department after a high-speed head-on motor vehicle collision. She is awake, oriented, and speaking in full sentences. Examination shows anterior chest wall ecchymosis, distended neck veins, normal bilateral air entry with resonant percussion, and mildly muffled heart sounds. The abdomen is soft and non-tender, and there is no tracheal deviation. What is the most likely diagnosis?
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