for some questions on the exam the nbrc loves to include a lot of details and it's up to you to break it all down in order to determine the correct answer in this video we're going to take you through one of those questions which involves looking at the patient's signs and symptoms in order to figure out what's going on so if you're ready let's get into the question during the assessment of a 64-year-old female patient you note the following signs dnia hypotension and a tracheal shift to the right the patient has absent breath sounds reduced chest expansion and a hyperresonant percussion note all on the left side these findings suggest which of the following a plural effusion on the left side B numo thorax on the left side C atelectasis on the left side or D consolidation on the left side to get this one correct you needed to interpret all information provided in the question this is a common question format that you'll see on the TMC exam the question states that the patient has reduced chest expansion a hyperresonant percussion note and absent breath sounds on the left side it also points out a tracheal shift to the right all of these suggest that the patient has a numo thorax on the left side because remember the trachea will shift shift away from the affected side when a pneumothorax is present therefore you can roll out left-sided atelectasis because if that were the case the trachea would shift to that side plural effusion and consolidation would cause a dull percussion note not a hyperresonant percussion note so we can also rule out those two as well therefore by reading the question carefully and breaking down all the details that were provided we could determine that the correct answer is B numo thorax on the left side if you enjoy practice questions like this definitely consider checking out our TMC test bank it's a massive Bank of practice questions with helpful explanations like this one that students are using to pass the TMC exam it also comes with four plus sample TMC practice exams to help you test your knowledge and prepare for the real thing if you're interested I'll drop a link below this video if you want to learn more including some helpful premium bonuses that are only included for a limited time but if you want to support the Channel please like And subscribe I would greatly appreciate and there should be some other helpful videos popping up on your screen right about now that I think you will enjoy and just a quick reminder we are not doctors this video is for informational purposes only thank you so much for watching have a blessed day and as always bre easy my friend