Deck 30: Respiratory System Tumors

Question 1

5)Mesothelioma is a cancer of which respiratory system component?

A) Pleura
B) Primary bronchi
C) Carina
D) Alveoli

Answer 1

A
Mesotheliomas are pleural-based diseases.

Question 2

15)Which of the following symptoms is not associated with Horner syndrome?

A) Ipsilateral miosis
B) Ptosis
C) Exophthalmos
D) Anhidrosis

Answer 2

C
Horner syndrome is associated with enophthalmos but not exophthalmos.

Question 3

6)What is the most effective single-agent chemotherapy drug?

A) Cisplatin
B) Paclitaxel
C) Vinorelbine
D) Gemcitabine

Answer 3

B
The most effective single-agent drug continues to be cisplatin, with additional agents such as paclitaxel, docetaxel, vinorelbine, gemcitabine, and irinotecan.

Question 4

13)What is the most significant risk factor associated with mesothelioma?

A) Asbestos exposure
B) Smoking
C) Sun exposure
D) Radiation exposure

Question 5

17)Which of the following terms is used to describe the surgical removal of an entire lung?

A) Lobectomy
B) Segmentectomy
C) Pneumonectomy
D) Wedge resection

Question 6

19)What performance status score is assigned to patients with disabilities who require special care and assistance but not hospitalization?

A) 20
B) 30
C) 40
D) 50
E) 60

Question 7

10)What is the leading cause of non-small cell carcinoma of the lung?

A) Smoking
B) Asbestos
C) Radiation
D) Genetics

Question 8

11)What is the 5-year survival rate for small cell and non-small cell lung cancers?

A) 0.5%
B) 15%
C) 60%
D) 85%

Question 9

3)Cancer in which lobe of the lung will typically never include treatment of the contralateral hilar lymph nodes unless proved positive?

A) Upper
B) Middle
C) Lower
D) None of the above

Question 10

14)Which of the following syndromes is commonly associated with Pancoast tumors?

A) Paraneoplastic syndrome
B) Down syndrome
C) Tourette syndrome
D) Horner syndrome

Question 11

4)In what part of the lung are primary squamous cell carcinomas usually found?

A) Superior
B) Central
C) Lateral
D) Peripheral

Question 12

9)What is the primary function of the respiratory system?

A) Immunity
B) Exchange of gases
C) Production of somatostatin
D) Metabolism

Question 13

1)Assume the initial treatment portals are AP/PA; after about how many fractions does the typical lung cancer patient start receiving oblique boost treatments?

A) 10
B) 20
C) 30
D) 40

Question 14

12)What is the 5-year survival rate for early-stage lung cancers?

A) 10%
B) 15%
C) 60%
D) 85%

Question 15

8)What is the total dose delivered to a primary lung cancer?

A) 3000 cGy
B) 4000 cGy
C) 5000 cGy
D) Greater than 6000 cGy

Question 16

20)What T stage is a lung cancer measuring 2.5 cm in its greatest dimension?

A) T1
B) T2
C) T3
D) T4

Question 17

7)According to the American Cancer Society, what is the percentage of lung cancers caused by smoking?

A) 37%
B) 67%
C) 87%
D) 97%

Question 18

2)At what anatomical location does the trachea bifurcate into the right and left main stem bronchi?

A) Pleura
B) Primary bronchi
C) Carina
D) Alveoli

Question 19

16)Which of the following is not a common acute side effect a patient may experience during the course of radiation treatments for lung cancer?

A) Dermatitis
B) Erythema
C) Esophagitis
D) Diarrhea

Question 20

18)Why should a patient's arms be positioned above his or her head during radiation treatments of a primary lung cancer?

A) Patient comfort
B) Avoid treating normal tissue
C) Capture an additional device charge
D) Physician preference

Question 21

24)The tolerance dose (TD)5/5 for the whole lung is approximately _____ Gy.

A) 20
B) 35
C) 45
D) 55

Question 22

22)One symptom associated with superior vena cava syndrome is orthopnea.Orthopnea is ____________________.

A) difficulty breathing
B) a bluish color of the skin
C) difficulty swallowing
D) inability to lie flat

Question 23

21)What diagnostic imaging tool is most commonly used to detect lung cancers?

A) Chest x-ray
B) CT
C) MR
D) PET

Question 24

23)The clinical symptoms of a Pancoast tumor include ___________.

A) dysphagia
B) hoarseness
C) arm pain
D) persistent cough