Q:

Which of the following statements about bronchoscopy is false?

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Which of the following statements about bronchoscopy is false?


  1. The morbidity and mortality are approximately 0.2% and 0.08%, respectively
  2. The most common complications of bronchoscopy are related to premedication of patients
  3. Adjunctive cancer therapy such as laser treatment and brachytherapy may be administered via this route.
  4. A chronic cough and unilateral wheezing are accepted indications for bronchoscopy.
  5. Early postoperative bronchoscopy for atelectasis is contraindicated following pulmonary resection

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E. Early postoperative bronchoscopy for atelectasis is contraindicated following pulmonary resection

DISCUSSION: The stated complication rates are true and reported from a comprehensive review of over 24,000 patients. Although the most common complications are related to the premedication, significant hemorrhage, pneumothorax, bronchospasm, and dysrhythmias have been reported. In addition to laser and brachytherapy, phototherapy and immunotherapy have been given by bronchoscopy. Unilateral wheezing may represent a bronchial foreign body, and a chronic cough could signify myriad pulmonary disorders. Accordingly, both are amenable to diagnostic bronchoscopy. Most thoracic surgeons favor early bronchoscopy for lobar atelectasis following pulmonary surgery. 

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