Acute Exacerbation of COPD with Type 2 Respiratory Failure — MRCP Part 1 MCQ
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HardRespiratory MedicineAcute Exacerbation of COPD with Type 2 Respiratory FailureMRCP Part 1MRCEM SBAUKMLAPARA
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Correct answer: C — Proceed to surgery without routine preoperative biopsy
The best answer is “Proceed to surgery without routine preoperative biopsy”. For a mass over 4 cm, biopsy is considered only in specified circumstances, including benign-appearing imaging, planned ablation/SABR or a patient request to avoid surgery. When surgery is clearly the first treatment and none applies, routine biopsy is not required.
Reference: NICE NG256, Renal cell carcinoma: diagnosis and management: https://www.nice.org.uk/guidance/ng256/chapter/Diagnosis