. Step 23 of 41
Clinical Stem 3
A patient with right upper lobe adenocarcinoma progressing on biomarker-directed therapy

Question 7
What would you do next?
A. Abort the EBUS procedure and proceed with transbronchial biopsy, brushings and lavage from the right upper lobe mass

B. Change the puncture site again and reattempt EBUS-TBNA from station 4R and 11R superior

C. Perform conventional TBNA of region 4R using a 19 gauge histology needle

D. Abort bronchoscopy and consult interventional radiology
incorrect correct
Each fictitious clinical case scenario is based on a conglomerate of real patient data. Cases have been modified to avoid any possibility for patient identification and to help meet educational objectives. Any resemblance to real persons, living or deceased, is purely coincidental.

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