05-24-2011, 10:24 PM
A 56-year-old man comes to the clinic for a pre-employment physical examination. He feels well and denies any health problems. Past medical history is negative except for an appendectomy about 20 years ago. The patient drinks several alcoholic beverages per day and smokes "a lot" of cigarettes. A "screening" chest x-ray, which you ordered because it is asked for on the employment forms, demonstrates a left hilar mass and emphysema.
In considering the most appropriate next step in management, the most relevant question to ask this patient at this time is:
A. "Are your affairs in order?"
B. "Do you have any allergies?"
C. "How many packs of cigarettes do you smoke per day?"
D. "What are your thoughts on end of life care?"
E. "Would you consent to a lung biopsy?"
F. "Would you consider chemotherapy or radiation treatment for cancer?"
In considering the most appropriate next step in management, the most relevant question to ask this patient at this time is:
A. "Are your affairs in order?"
B. "Do you have any allergies?"
C. "How many packs of cigarettes do you smoke per day?"
D. "What are your thoughts on end of life care?"
E. "Would you consent to a lung biopsy?"
F. "Would you consider chemotherapy or radiation treatment for cancer?"