3.
In case of chronic, organizing empyema in the thoracic cavity full recovery can
Thoracic surgery Qs
be achieved with the following procedure:
1. Select the correct answer: In the treatment of advanced (4. stage) non-small-cell
Select one:
lung carcinoma surgical removal …
a. Decortication or fenestration
Select one:
b. Chest drainage with suction and rinsing
a. can be performed after neo-adjuvant chemo-radiotherapy by an atypical
resection c. Local fibrinolysis
b. is never the choice. Palliative chemo-radiotherapy should be administered. d. Specific selected antibiotic therapy
c. should be the first line of treatment: anatomical resection of the tumour
followed by adjuvant chemo-radiotherapy
4. Select the false answer! In the treatment of pneumothorax...
d. can be an option: in cases when there is only an isolated metastasis (brain,
Select one:
liver, adrenal gland) and the primary tumour can radically be removed,
resection of the lung cancer is possible after the resection of the metastasis. a. In some cases surgery procedure is necessary after chest drainage
It should be followed up with adjuvant chemo-radiotherapy.
b. observation and conservative treatment can be enough in case of a small
amount of air in the pleural cavity.
2. Select the correct answer: Pleural effusion can occur... c. Inserting a chest tube and administering suction does not provide a
permanent solution in most of the cases
Select one:
d. aspiration is an option in emergency situations (tension-pneumothorax).
a. after cancer development
b. All the answers above are correct
c. due to cardiac problems
d. as a result of inflammation
5. Select the false statement regarding chest drainage: 7. Select the correct answer: Anatomical resection is the first choice (if feasible) in
case of...
Select one:
Select one:
a. Typical location is the 2. intercostal space in the medioclavicular line.
a. primary tumours of the lungs
b. Typical location is the 4. intercostal space in the medioclavicular line.
b. benign tumours of the lungs
c. It should always be performed above the ribs, not to harm the anatomical
structures of the intercostal space c. lung metastasis
d. Typical location is the 4. intercostal space in the mid-axillary line. d. mesothelioma
6. Select the false answer! First choice of treatment in pleural mesothelioma can 8. Anatomical lung resections, except:
be...
Select one:
Select one:
a. Pneumonectomy
a. Chemo-radiotherapy
b. Segmentectomy
b. Extra pleural pleuropulomectomy
c. Bilobectomy
c. Fenestration
d. Enucleation
d. Pleurectomy
e. Lobectomy
9. Mandatory examination before lobectomy, except:
Select one:
a. Bronchoscopy
b. Lung function test
c. Mantoux-test
d. Chest CT
10. Which lymp node region's metastatic involvment means always that the lung
cancer is inoperable?
Select one:
a. N1 (hilar, interlobar, peripheral)
b. In case of all the above three
c. N2 (mediastinal)
d. N3 (supraclavicular)
