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Ruptured AAA Emergency — RACP Adult Medicine MCQ

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HardCardiologyRuptured AAA EmergencyRACP Adult Medicine

A patient receiving bleomycin reports new dry cough and exertional dyspnoea. Resting saturation and chest radiography are normal. Which next assessment is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Withhold further bleomycin pending CT chest and gas-transfer assessment

Explanation lettering: B = shown as A · C = shown as B · A = shown as C

C is correct. New respiratory symptoms during bleomycin exposure warrant prompt evaluation and withholding further exposure while CT and PFTs including DLCO assess toxicity. A risks progression. B examines airflow, not alveolar–capillary injury. D may be considered if infection is plausible but cannot replace toxicity assessment. E plain radiography may be normal early.

Reference: eviQ, Pulmonary toxicity associated with anti-cancer agents: https://www.eviq.org.au/clinical-resources/side-effect-and-toxicity-management/respiratory/1792-pulmonary-toxicity-associated-with-anti-cance