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Kaplan Qbank USMLE



Author10 Posts
  #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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  #2

(B) Adenocarcinoma

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  #3

disapproval

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  #4

D

  #5

(C) Large cell carcinoma ??


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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."

  #6

e

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  #7

shaking head

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  #8

now u have all the choices in the posts so just spill the answergrin

  #9

nodnodit is e,I looked into robins q ;was thinking hamartoma but they occur perpherally.


  #10

nod 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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