Thoracic 24

A patient presents with a 2 cm primary lung cancer in the lingula. Staging workup shows no evidence of nodal or distant metastasis. PFTs show a FEV1 of 45% predicted and a DLCO of 56% predicted. What is the next step in the management of this patient?

A patient is diagnosed with a 3.5 cm mass in the right upper lobe of the lung that is abutting the right mainstem bronchus. A transbronchial biopsy shows adenocarcinoma of the lung. A PET-CT shows the mass in the right upper lobe with a SUV max of 4.7 and no evidence of spread to the lymph nodes. Endobronchial ultrasound is positive at level 10R. An MRI of the brain is negative for metastasis. What is this patient’s TNM stage?

Advantages of endobronchial ultrasound biopsy of mediastinal lymph nodes include

Which of the following statements are false?

The benefits of using silicone stents over metal stents include

Which of the following conditions are indications for rigid bronchoscopy?

Endobronchial Ultrasound (EBUS) can assess all of the following mediastinal lymph node stations except

4. A patient presents to the trauma bay after a motor vehicle collision. She is hypoxemic and evaluation reveals fractures of the right 5-10 ribs with a flail segment. How does her flail chest alter her chest wall mechanics

11. A patient presents with a 2 cm peripheral lung cancer in the right upper lobe. PFTs show a FEV1 of 42% and DLCO of 54%. A cardiopulmonary exercise test shows a VO2max of 12.5 ml/kg/min. She has a good performance status. What is the next best step in management?

19. A patient is diagnosed with a 4 cm lung cancer of the left upper lobe with invasion of the left main bronchus. You determine that he will require a left pneumonectomy in order to complete remove his cancer. His PFTs are notable for an FEV1 of 95% predicted and DLCO of 92% predicted. A quantitative perfusion scan shows that the 67% of the perfusion is going to his right lung. An echocardiogram shows no evidence of pulmonary hypertension and he is otherwise healthy and has a good performance status. What is the next step in management?

6. Which of the following statements regarding the thoracic duct is true?

10. A patient is diagnosed with a 4 cm lung cancer of the left upper lobe with invasion of the left main bronchus. You determine that he will require a left pneumonectomy in order to complete remove his cancer. His PFTs are notable for an FEV₁ of 95% predicted and DLCO of 92% predicted. A quantitative perfusion scan shows that the 67% of the perfusion is going to his right lung. An echocardiogram shows no evidence of pulmonary hypertension and he is otherwise healthy and has a good performance status. What is the next step in management?

7. Which of the following statements regarding the thoracic duct is true?

An 8 cm anterior mediastinal mass seen on CT is heterogeneous with evidence of bone, cystic components, and other mixed tissues. Beta-HCG, LDH, a…