PAEA Surgery End Of Rotation (EOR) Practice Exam

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What is NOT a contraindication for lung cancer surgery?

  1. Superior vena cava syndrome

  2. Oat cell carcinoma

  3. Normal pulmonary function tests

  4. Myocardial infarction

The correct answer is: Normal pulmonary function tests

Normal pulmonary function tests indicate that a patient's respiratory system is functioning well and can handle the stresses of surgery. In the context of lung cancer surgery, the ability to maintain adequate oxygenation and ventilation is crucial for recovery and postoperative outcomes. On the other hand, superior vena cava syndrome and myocardial infarction pose significant risks during surgical procedures, as they imply compromised cardiovascular and hemodynamic status potentially affecting the patient's ability to tolerate surgery. Oat cell carcinoma, also known as small cell lung cancer, often correlates with poorer prognosis and may limit surgical options due to aggressive behavior and advanced disease stage. Thus, the presence of normal pulmonary function tests is a favorable factor, making it not a contraindication for lung cancer surgery.