1.

Which of the following is most common source of bleeding in a patient with massive hemoptysis
secondary to post cavitary tuberculosis aspergilloma ball
A. bronchial artery
B. Internal mammary artery
C. pulmonary artery
D. subclavian artery
E. intercostal artery
2. Which of the following statements about bronchoscopy is false?
A. The morbidity and mortality are approximately 0.2% and 0.08%, respectively.
B. The most common complications of bronchoscopy are related to premedication of patients.
C. Adjunctive cancer therapy such as laser treatment and brachytherapy may be administered
via this route.
D. A chronic cough and unilateral wheezing are accepted indications for bronchoscopy.
E. Early postoperative bronchoscopy for atelectasis is contraindicated following pulmonary
resection.
3. Which of the following correctly describe a patient with spontaneous pneumothorax?
A. The patient is almost always elderly and debilitated.
B. An unsuspected primary or metastatic lung tumor may be present.
C. The administration of supplemental oxygen is of little benefit to the patient.
D. The patient should always be treated with an intercostal tube and closed pleural drainage.
E. Video-assisted thoracic surgery (VATS) should be considered for ALL patients with secondary
spontaneous pneumothorax.
4. Which statements about squamous papillomatosis of the trachea is correct?
A. It is the most common type of benign tracheal tumor in adults.
B. It is the most common type of benign tracheal tumor in children.
C. Most are treated with segmental tracheal resection.
D. There is no risk of malignant degeneration.
E. It is associated with herpes virus.
5. A solitary pulmonary nodule is discovered in an asymptomatic 55-year-old smoker with no
evidence of extra thoracic dissemination. The most appropriate management would be to:
A. Obtain serial chest films every 3 months to determine the growth potential of the nodule.
B. Perform transthoracic needle aspiration (TTNA) before considering pulmonary resection to
confirm malignancy.
C. Conduct an extensive systematic evaluation to exclude the possibility that the nodule
represents a metastatic lesion.
D. Proceed with pulmonary resection after ascertaining that the patient would tolerate removal
of the requisite amount of lung.
E. Obtain baseline serum levels of carcinoembryonic antigen and p53.
6. In contrast to NSCLC, small cell lung cancer (SCLC) is characterized by:
A. Greater response rate to chemotherapy.
B. Inability to achieve surgical cure.
C. Less frequent association with paraneoplastic syndromes at the time of diagnosis.
D. Lower likelihood of metastases present at the time of diagnosis.
E. Slower growth.
7. Systemic conditions frequently associated with mediastinal tumors include all except:
A. Myasthenia gravis.
B. Hypercalcemia.
C. Malignant hypertension.
D. Carcinoid syndrome.
E. hyperthyroidism.