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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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The Essential cTBNA Bronchoscopist

Module I Post-test

Question 1. Which of the following statements about cTBNA sampling technique and smears is

correct?

A. Delayed sample processing may result in coagulation of material inside the needle.

B. The quantity of sample fluid should be only a small drop.

C. When excessive force is applied between slides, diagnostic material can be destroyed.

D. Presence of bubbles on the slide can cause uneven distribution of sample material.

E. All of the above.

Question 2. Which anatomic structure could be penetrated during conventional TBNA of a

level 7 node?

A. Azygos vein.

B. Left brachiocephalic artery.

C. Left atrium.

D. Right atrium.

E. Left ventricle.

Question 3. Which of the following statements is correct?

A. Higher yields may be obtained by obtaining aspirates from the periphery of the node.

B. Higher yields may be obtained by obtaining aspirates from the center of the node.

C. Higher yields may be obtained by obtaining aspirates from the most heterogeneous part

of the node.

D. The yield is the same either by obtaining aspirates from the periphery, the center or the

most heterogeneous part of the node.

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