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A 52 year old female has been diagnosed with a non small bronchial carcinoma in the left upper lobe. Following
further investigation it is staged as T1, N1, M0. Her FEV1 is 65% of her predicted. Which of the following is the most
appropriate treatment?
Your answer was Pneumonectomy which is correct
Pneumonectomy correct answer
Chemotherapy
Radiotherapy
Palliative care
Corticosteroids
Explanation:
This patient has a non small cell lung cancer confined to one lobe with ipsilateral lymph node involvement
and without metastases or carina involvement. Her FEV1 is also reasonable. From this information then a
surgical approach is the most appropriate. Non small cell lung cancers are not as responsive to
chemotherapy and radiotherapy.
Question category: Respiratory
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A patient with asthma presents with a productive cough and breathlessness. A
Chest X-ray reveals loss of volume in the left hemithorax and there appears to
be an opacity behind the heart shadow and the left hemidiaphragm is
obscured. Which of the following is the most likely cause?
Mucous plugging
Pneumonia
Pleural effusion
Normal variant
Pulmonary Embolus
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