The Essential cTBNA Bronchoscopist
The Essential Conventional TBNA Bronchoscopist© is the third of six volumes in The Essential Bronchoscopist™ Series. In addition to module-specific competency-oriented learning objectives and post-tests, it contains 30 multiple-choice question/answer sets pertaining to conventional transbronchial needle aspiration (cTBNA). Topics include mediastinal anatomy, proper equipment handling, patient preparation, procedural indications contraindications and complications, bronchoscopic techniques, nodal sampling strategies, lung cancer staging and classification, specimen collection, processing, and expected results for diagnosing malignant and benign mediastinal disorders.
The Essential Conventional TBNA Bronchoscopist© is the third of six volumes in The Essential Bronchoscopist™ Series. In addition to module-specific competency-oriented learning objectives and post-tests, it contains
30 multiple-choice question/answer sets pertaining to conventional transbronchial needle aspiration (cTBNA). Topics include mediastinal anatomy, proper equipment handling, patient preparation, procedural indications contraindications and complications, bronchoscopic techniques, nodal
sampling strategies, lung cancer staging and classification, specimen collection, processing, and expected results for diagnosing malignant and benign mediastinal disorders.
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Question I.1 The right pulmonary artery is most adjacent to the anterior wall of the right main
bronchus at:
A. The level of the carina near the origin of the right main bronchus.
B. The level of the right upper lobe bronchial orifice and origin of the bronchus
intermedius.
C. The origin of the right lower lobe bronchus above the origin of the superior segmental
bronchus.
Answer: B
At the level of the orifice of the right upper lobe bronchus, needle insertion through the anterior
wall of the right main bronchus risks entering the right pulmonary artery, which lies
immediately anterior to the bronchus at this level. Note that the right upper lobe bronchus in
this cast is more vertical than usual.
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