lung therapy - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam

Thread Tools Search this Thread Display Modes
Old 06-14-2012
tyagee's Avatar
USMLE Forums Master
Steps History: ---
Posts: 1,366
Threads: 649
Thanked 685 Times in 406 Posts
Reputation: 695
Lungs lung therapy

A 58-year-old man presents to the emergency department with
complaints of a cough and shortness of breath. He has a history
of smoking two-packs per day for 40 years. Physical
examination reveals a well-developed, well-nourished male
appearing older than the stated age. He is afebrile. His chest is
clear with distant breath sounds. The rest of the physical
examination is benign.

Chest x-ray reveals a 2-cm mass in the right upper lobe. CT scan
of the chest reveals a 2-cm spiculated mass with unilateral hilar
lymph nodes. The patient undergoes fiberoptic bronchoscopy
with biopsy of the endobronchial lesions and is noted to have

What is the best therapy?

(A) Cisplatin and etoposide
(B) Radiation
(C) Surgical resection
(D) Palliation only
Reply With Quote Quick reply to this message

Old 06-14-2012
K06100's Avatar
USMLE Forums Master
Steps History: 1+CK+CS+3
Posts: 730
Threads: 90
Thanked 491 Times in 308 Posts
Reputation: 501

Try Not To Become A Man Of Success But A Man Of Value.
Reply With Quote Quick reply to this message
Old 06-14-2012
USMLE Forums Veteran
Steps History: 1+CK+CS
Posts: 274
Threads: 9
Thanked 342 Times in 129 Posts
Reputation: 352

Standard care (correct me if I'm wrong) for this, which is early stage would be

1) Surgery then
2) Radiation (to eliminate any metastasized cancer).

If it were bigger, then you'd do chemo 1st to shrink tumor before trying to remove, though non small cell isnt always as responsive to chemo.

Source: surgery clinical rotation preceptor
Reply With Quote Quick reply to this message
The above post was thanked by:
patelMD (06-14-2012), stepdoc1 (06-16-2012)


Pulmonology-, Step-2-Questions, Surgery-

Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
Electroconvulsive therapy (ECT) Indications Hope2Pass USMLE Step 1 Forum 6 03-30-2012 08:00 PM
anabolic steroid therapy chienpolska USMLE Step 1 Forum 4 07-13-2011 12:11 PM
H Pylori Eradication Therapy? Breex USMLE Step 2 CK Forum 3 06-11-2011 01:23 AM
What is the most common site of adenocarcinoma of the colon? dakshmalhotra USMLE Step 1 Forum 3 03-09-2011 08:55 AM
Why hypokalemia in B12 Therapy Homer88 USMLE Step 2 CK Forum 4 09-22-2010 07:56 AM

Find Us on Facebook
Powered by vBulletin® Version 3.8.8
Copyright ©2000 - 2020, vBulletin Solutions, Inc.
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2019)