recalls first post for step 2 - recall

[ArchivalUser]

A 52-year-old white male who has untreated bronchogenic carcinoma comes to your office with a 1-week history of dyspnea, facial edema, and marked neck vein distention which has been progressive over the last 2 days. A chest roentgenogram confirms a mass in the right hilum with a small pleural effusion in the right hemithorax.

Immediate management should consist of

a.pericardicentesis
b.mediastinoscopy
c.exploratory thoracotomy
d.radiation therapy