sfk Forum Elite
Topics: 43 Posts: 294
| | 08/28/07 - 01:09 PM  
 
   
 
|   #1 |
A 40-year-old male has had increasing cough with hemoptysis for 2 weeks. He is febrile, and a chest radio- graph shows a right upper lobe area of consolidation that improves with antibiotic therapy. However, his cough and the hemoptysis persist. Bronchoscopy reveals an obstruct- ing mass filling the bronchus to the right upper lobe. Which of the following neoplasms is most likely to pro- duce these findings? O (A) Hamartoma O (B) Adenocarcinoma O (C) Large cell carcinoma O (D) Kaposi sarcoma O (E) Carcinoid tumor
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| new_n_lost Politically InCorrect

Topics: 653 Posts: 6,086
| | 08/28/07 - 05:13 PM  
 
   
 
|   #2 |
(B) Adenocarcinoma
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| sfk Forum Elite
Topics: 43 Posts: 294
| | 08/28/07 - 07:02 PM  
 
   
 
|   #3 |

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| hope4dabest Forum Elite

Topics: 16 Posts: 433
| | 08/28/07 - 07:16 PM  
 
   
 
|   #4 |
D
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| new_n_lost Politically InCorrect

Topics: 653 Posts: 6,086
| | 08/28/07 - 09:02 PM  
 
   
 
|   #5 |
(C) Large cell carcinoma ??
___________________ FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mikky Forum Elite

Topics: 15 Posts: 338
| | 08/29/07 - 02:04 AM  
 
   
 
|   #6 |
e
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| Ujk Forum Guru

Topics: 42 Posts: 446
| | 08/29/07 - 07:04 AM  
 
   
 
|   #7 |

___________________ “When a person really desires something, all the universe conspires to help that person to realize his dream.”
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| hope4dabest Forum Elite

Topics: 16 Posts: 433
| | 08/29/07 - 12:42 PM  
 
   
 
|   #8 |
now u have all the choices in the posts so just spill the answer
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| po Forum Elite
Topics: 39 Posts: 356
| | 08/29/07 - 12:53 PM  
 
   
 
|   #9 |
 it is e,I looked into robins q ;was thinking hamartoma but they occur perpherally.
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| sfk Forum Elite
Topics: 43 Posts: 294
| | 08/29/07 - 01:09 PM  
 
   
 
|   #10 |
The answer is (E) Most pulmonary carcinoids are central, obstruct- ing masses involving a bronchus. They are neuroendocrine tumors with a somewhat unpredictable behavior, although many are resectable and follow a benign course. They typically present with hemoptysis and consequences of bronchial obstruction. In this case, the pneumonia in the right upper lobe probably resulted from obstruction to drainage caused by the tumor. Adenocarcinomas are com- mon lung tumors but are typically peripheral. A hamartoma is an uncommon but benign pulmonary lesion that is also located peripherally. Large cell carcinomas are typically large, bulky, peripheral masses. Kaposi sarcoma can be seen involving the lung in some patients with AIDS, and the tumor often has a bronchovascular distribution, but obstruction is uncommon.
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