Trial Written Exam April 2023

Section 1: 5 Questions. 50 minutes

A 47-year old man presents to ED after a significant coughing event whilst eating dinner at home during which he reports aspirating.

He is haemodynamically stable with saturations of 97% on 4L oxygen via nasal prongs.

No other past medical history.

Examination findings:

Chest examination reveals poor air entry and coarse crepitations in the right mid and basal zones.

Ptosis bilaterally.

A CT is performed:

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Thymoma CT 2 Trial Written Exam August 2020.png

Thymoma CT 3 Trial Written Exam August 2020.png

Question 1

What further workup and investigations should be considered for this patient?

Question 2

What factors need to be taken into account when considering timing of surgery for this patient? How could these factors be optimized?

Question 3

His imaging reveals that his tumour is likely primarily resectable. What would be your preferred incision to resect this patients tumour? Describe your operative steps and key aspects of the operation.

Question 4

Given this patient’s pre-operative aspiration pneumonia how would you evaluate and mitigate his risk of aspiration post-operatively?

Question 5

Explain the relevant staging system and prognosis for the possible stages for this patient's disease.

Name

First Name

Last Name

Section 1: Questions 1-5

Section 2: Questions 6-8

Section 3: Questions 9-10

Section 4: Question 11

Section 5: Question 12-14

Section 6: Question 15