USMLE Forum Archives - USMLE Step 3 - Respi -Screening
Respi -Screening
harry206 - 06-02-09 12:43
A 56-year-old man comes to the clinic for a pre-employment physical examination. He feels well and denies any health problems. Past medical history is negative except for an appendectomy about 20 years ago. The patient drinks several alcoholic beverages per day and smokes "a lot" of cigarettes. A "screening" chest x-ray, which you ordered because it is asked for on the employment forms, demonstrates a left hilar mass and emphysema.
In considering the most appropriate next step in management, the most relevant question to ask this patient at this time is:
harry206 - 06-02-09 12:43
A 56-year-old man comes to the clinic for a pre-employment physical examination. He feels well and denies any health problems. Past medical history is negative except for an appendectomy about 20 years ago. The patient drinks several alcoholic beverages per day and smokes "a lot" of cigarettes. A "screening" chest x-ray, which you ordered because it is asked for on the employment forms, demonstrates a left hilar mass and emphysema.
In considering the most appropriate next step in management, the most relevant question to ask this patient at this time is:
The correct answer and explanation will be available after you answer.
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#1
Re: Respi -Screening meduploader - 06-02-09 12:47 My answer is: c.
"How many packs of cigarettes do you smoke per day?"
#14
Re: Respi -Screening conym5 - 04-08-10 20:37 ans/B..The next step is a CT scan of the thorax with contrast, and before administering iodinated contrast, an allergy history must be elicited.
#18
Re: Respi -Screening babbu5508 - 08-31-10 00:09 My answer is: c.
smoker,left hilar mass and emphysema...could be a lung carcinoma in a chronic smoker...rule out by biopsy later..
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