If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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ACES for PACES

Medical Revision

Clinical Skills Blogspot

Web ydr.org.uk acesforpaces.com medicalrevision.org

BOF: 32

A 65-year-old male presents with a chronic cough. He is a heavy smoker of over 40 cigarettes a day. CXR shows a peripheral right-sided lesion, which on CT guided lung biopsy, is shown to be squamous carcinoma. No regional lymph nodes are involved. Lung function tests show a FEV₁ of less than 1.5 litres.

The treatment most likely to benefit this patient would be:

a)      Surgery

b)      Chemotherapy

c)      High dose radiotherapy

d)      Combination chemotherapy and radiotherapy

e)      Combination chemotherapy and surgery

Answer:

c)

A FEV₁ of less than 1.5 litres is not compatible with an active life following surgery. High dose radiotherapy can produce good results and is the treatment of choice in patients with poor lung function.

Revision Tip

Revise bronchial carcinoma KEYS to SUCCESS in Medicine page 196-199

 

 

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