MCQ:- A man with history of smoking complains of worsening dyspnea,facial swelling

[raidk]

1. A64-year-old man with a long history of smoking but no significant past medical history presents to his physician’s office complaining of a 1–2 week history of worsening dyspnea, facial swelling, and discoloration. He has also had swelling and discomfort of his right arm. Physical examination reveals edema with plethora of the face and right arm, with prominent collateral veins over the chest wall. What test is most likely to establish the cause of the patient’s symptoms?

A) PA and lateral chest radiograph
B) echocardiogram
C) CT of the chest with intravenous contrast
D) ultrasound with Doppler flow studies of the right arm
E) arteriogram of the carotid and axillary arteries

2. Following the establishment of a diagnosis, what is the most appropriate initial therapy?

A) elevation of the head and monitoring for airway obstruction
B) urgent radiation therapy
C) administration of glucocorticoids
D) empiric chemotherapy for suspected lung cancer
E) surgical evaluation for resection of the obstructing mass


Members may check the correct answer file posted below

[Natthasiri]

Ct chest with IV contrast