Hyperresonance To Percussion in Surgery — 32yo Man | Trauma Surgery | SMLE Q#860

SMLE Question #860

Surgery Trauma Surgery

Objective: OBJ-TRM-AIRWAY-01

Last updated: February 2026
A 32-year-old man is brought to the emergency department after a high-speed motor vehicle collision. He is awake but in severe respiratory distress. Examination shows tracheal deviation to the left, distended neck veins, and markedly decreased breath sounds on the right with hyperresonance to percussion. Heart sounds are normal in intensity. What is the most likely diagnosis?

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