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Cystic fibrosis pneumothorax — SCE Respiratory MCQ

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HardCystic FibrosisCystic fibrosis pneumothoraxSCE Respiratory

A 22-year-old woman with cystic fibrosis presents with acute pleuritic pain and breathlessness. CXR shows a 2 cm right apical pneumothorax. FEV1 is 42% predicted and she is awaiting transplant assessment. What is the most appropriate management?

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Correct answer: E — Joint CF and pleural specialist management preserving transplant options

Pneumothorax in CF with advanced lung disease requires active specialist management and early discussion because pleural interventions can affect future transplantation surgery. Discharge without follow-up is unsafe. Pleurodesis may be needed in recurrent or persistent cases but should be planned with CF/transplant context.

Reference: https://www.brit-thoracic.org.uk/quality-improvement/guidelines/