DOT Certification Practice Exam

How many incidences of spontaneous pneumothorax may occur prior to surgical intervention?

1. 1

2. 2

3. 3

4. 4

The correct answer is: 2

When considering the management of spontaneous pneumothorax, it is generally accepted that if a patient experiences multiple episodes, specifically two or more, surgical intervention is often indicated. This is due to the risk of recurrence and the potential for worsening respiratory complications. Patients who have had a second spontaneous pneumothorax generally face a higher likelihood of experiencing further episodes, which can significantly impair lung function and quality of life. Therefore, the medical community frequently recommends surgical options, such as pleurodesis or thoracoscopic procedures, after the second occurrence to prevent future recurrences and address any underlying issues that may predispose the patient to these events. In contrast, if a patient has had only one spontaneous pneumothorax, they may be managed conservatively, especially if it resolves spontaneously without significant symptoms. However, if they continue to experience occurrences, it usually necessitates a shift toward surgical intervention after the second incident. This rationale translates into clinical practice, where the threshold for surgical intervention is typically set after two incidences, making the answer clear.