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  #1  
Old 12-21-2012
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Lungs A 67-year-old man with lung mass

A 67-year-old man presents with flulike symptoms and cough. He also reports a 2.3-kg (5-lb) weight loss over the past 2 months. The patient has a 40 pack-year history of smoking but quit 10 years ago. His past medical history and physical examination are unremarkable. Complete blood cell count and liver function tests are normal. His stool is negative for occult blood. X-ray of the chest revealed a 3.5-cm right lobe mass and widening of the mediastinum. CT scan shows a right middle lobe mass, and in addition two mediastinal lymph nodes are seen that measure 1.5 and 2 cm in diameter, respectively. Biopsies of the lung nodule obtained by bronchoscopy indicate malignancy. What is the appropriate next best step in management of this patient?

(A) Mediastinoscopy
(B) Pulmonary function tests
(C) Thoracentesis
(D) Ventilation-perfusion lung scan
(E) Video-assisted thoracoscopic surgery
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Old 12-21-2012
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(A) Mediastinoscopy to stage the disease.
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Old 12-21-2012
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a)mediastinoscoy
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Old 12-25-2012
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Yeah you are correct
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Old 01-10-2013
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Correct Answer: E

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Pulmonology-, Step-2-Questions, Surgery-

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