Lung cancer Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 68-year-old man presents to the office for follow-up after a recent chest CT. He has had two episodes of pneumonia in the last four months, with a poorly defined density seen on the most recent chest X-ray. At the visit, he reports feeling fatigued and states his cough has improved with antibiotics, but has not resolved. Past medical history includes high blood pressure. He has a 45-pack-year smoking history. Temperature is 37.0°C (98.6°F), pulse is 84/min, respiratory rate is 18/min, blood pressure is 132/82 mmHg, and oxygen saturation is 96% on room air.  Lungs are clear to auscultation bilaterally. The CT report states that there is a 4.4 cm right hilar mass with mediastinal extension. Which of the following additional findings is most likely to be present?  

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