Thoracic 12

A 58-year-old male smoker is referred to your office with a cough that has bothered him for the last few months and has not responded to antibiotics and steroids. CT scan is suggestive of an endobronchial lesion. On bronchoscopy you discover a fleshy, pedunculated lesion in the left mainstem bronchus. You remove 90% of the mass using biopsy forceps and the pathology comes back papilloma without dysplasia or signs of invasion. What is the next step in the care of this patient?

Which of the following statements is true regarding non-surgical lung volume reduction modalities?

Which of the following is a contraindication for lung volume reduction surgery?

Which of the following statements is true regarding lung volume reduction surgery?

Which of the following is NOT a contraindication to LVRS?

In which of the following patients would you expect the greatest symptomatic gain from LVRS?

Which of the following statements is true regarding the difference between median sternotomy and VATS techniques in lung volume reduction surgery (LVRS)?

All of the following are true EXCEPT?

Which of the following set of PFTs represents an ideal patient for LVRS?

A patient being evaluated for LVRS has an FEV1 of < 1.5L. Which of the following is the best test for risk stratification and operative planning?

Which of the following statements is FALSE regarding outcomes after LVRS?

A 12-month male has recurrent pneumonia and upper respiratory infections. CXR shows left-sided atelectasis and right-sided mediastinal shift. The ER obtained a CT scan of his chest during his last presentation showing a cystic mediastinal mass above the left mainstem bronchus. Which of the following is the most likely diagnosis?

A woman undergoes prenatal ultrasound revealing a cystic structure in the left hemithorax of her fetus, just cranial to the stomach. There is no evidence of polyhydramnios, and she carries to term, delivering a healthy-appearing male infant with a vigorous cry. He is not cyanotic and has no respiratory distress. Examination is significant for diminished breath sounds on the left and a faint I/VI midsytolic murmur. CXR shows a cystic mass in the left lower hemithorax and a small amount of mediastinal shift to the right. The next procedure to be performed should be which of the following?

A 3 week-old premature infant is noted to have stridor. Her NICU stay has been significant for respiratory distress requiring 4-days of endotracheal intubation. Which of the following vascular rings is most likely to be associated with symptoms?

Alveoli begin to form during which embryonic stage of lung development?

All of the following are true about Congenital Cystic Adenomatoid Malformation (CCAM) except:

A neonate with a newly diagnosed type C TEF becomes unstable prior to planned repair. An echocardiogram shows right ventricular hypertrophy and pulmonic stenosis. He is emergently intubated and develops progressive abdominal distention. Breath sounds are coarse bilaterally, and a repeat CXR shows patchy infiltrates on the left. The best next step is:

Which of the following can be identified on prenatal ultrasound as well-defined, homogenous, echogenic masses with systemic arterial supply?

A premature newborn has excessive secretions, respiratory distress, and a mildly distended abdomen. Insertion of an orogastric tube is attempted but CXR shows coiling of the tube in the esophagus. The most likely diagnosis is:

Which of the following congenital lung lesions can be associated with CDH?