3 Months Of Persistent in Medicine / Internal Medicine — 62yo Man | Respiratory / Pulmonology | SMLE Q#12131
SMLE Question #12131
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 62-year-old man with a 50-pack-year smoking history presents with 3 months of persistent cough, intermittent hemoptysis, and unintentional 6-kg weight loss. He reports mild dyspnea on exertion. Examination shows decreased breath sounds over the right upper lung field. Chest X-ray demonstrates a right hilar mass suspicious for lung malignancy. Tissue confirmation is required for diagnosis and histopathology. Which diagnostic test provides the highest diagnostic yield to confirm this suspected central lung cancer?
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