A 40-year-old male smoker presents with a history of chronic cough

Sunday, 25 March 2012

Question NO 33

 A 40-year-old male smoker presents with a history of chronic cough. He
has had symptoms of an upper respiratory illness for a few months since
visiting family in Arizona. Physical exam is normal. CXR is shown below in





The next step in management should be



a. Complete pulmonary function tests
b. Fiberoptic bronchoscopy
c. Percutaneous needle biopsy
d. Observation and repeat CXR in 6 to 8 mo

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