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Recurrent spontaneous pneumothorax — SCE Respiratory MCQ

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ModeratePleural DiseaseRecurrent spontaneous pneumothoraxSCE Respiratory

A 30-year-old woman with her third right spontaneous pneumothorax asks about recurrence prevention. She has no diffuse cystic lung disease on CT and recovered after chest drain insertion. She works as a professional diver. What is the most appropriate management?

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Correct answer: B — Referral for surgical pleurodesis and definitive recurrence prevention

Recurrent pneumothorax and occupational diving both justify definitive recurrence prevention, usually surgical pleurodesis after specialist discussion. Repeated conservative care or needle aspiration does not adequately address recurrence risk in this context. Oxygen and inhaled corticosteroid do not prevent pleural recurrence.

Reference: BTS Pleural Disease Guideline 2023