PAEA Surgery End Of Rotation (EOR) Practice Exam

What procedure may help address bleeding from a bronchus during hemoptysis treatment?

1. CT scan

2. Bronchoscopy

3. Chest X-ray

4. Thoracentesis

The correct answer is: Bronchoscopy

Bronchoscopy is a valuable procedure for addressing bleeding from a bronchus during the treatment of hemoptysis. This minimally invasive technique allows direct visualization of the airways and bronchi, enabling the healthcare provider to identify the source of the bleeding. Additionally, during bronchoscopy, therapeutic interventions can be performed, such as suctioning blood, applying cautery to control bleeding, or even using stents if indicated. When encountering a patient with hemoptysis, bronchoscopy is often preferred because it allows for both diagnostic evaluation and potential therapeutic measures at the same time. It is particularly useful in cases where the bleeding is coming from the bronchial tree, making it a first-line approach in such situations. In contrast, while other imaging studies like CT scan and chest X-ray can provide valuable information about lung pathology and structural issues, they do not offer immediate treatment options for active bleeding. Thoracentesis is primarily performed to retrieve fluid from the pleural space, not for addressing bronchial bleeding, and is not relevant in the context of treating hemoptysis specifically.