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 Best of Five 204

 

   

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BOF: 204

A 65-year-old male presents with haemoptysis. He does not smoke but gives a history of having worked in the shipbuilding industry. On clinical examination no abnormalities are seen. CXR show pleural thickening affecting the parietal pleura and calcification if the parietal and diaphragmatic pleura.

In this patient which of the following statements is true regarding the risk of developing bronchial cancer:

a)      The risk is not increased above the normal, as the patient does not smoke.

b)      The risk of bronchial cancer is increased only if there is evidence of parenchymal lung disease

c)      He is at high risk of developing small cell lung cancer

d)      If he was a smoker, the risk of developing lung cancer would have been additive to the risk involved in his condition

e)      Pleural thickening alone confers an increased risk of developing lung cancer, even in non-smokers

 

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