Deck 1: Cancer: An Overview

Question 1

17)What is the most common tumor staging system?

A) AJCC
B) FIGO
C) TNM
D) UICC

Answer 1

C
TNM is the most commonly used staging system.This system has been adopted by AJCC and UICC.FIGO is the staging system used for gynecologic tumors but has no application to the majority of tumors.

Question 2

12)What is the "study of disease incidence"?

A) Etiology
B) Etymology
C) Epidemiology
D) Entomology

Answer 2

C
Epidemiology is defined as the "study of disease incidence." Etiology is the "study of the cause of disease," etymology is the "study of word origins," and entomology is the "study of insects."

Question 3

13)Which of the following make(s)for an effective screening examination?

A) Specific
B) Sensitive
C) Cost-effective
D) Accurate
E) All of the above

Answer 3

E
For a screen tool to be effective, it must be specific, sensitive, accurate, and cost effective.

Question 4

14)What is the "workup"?

A) The initial nursing visit
B) The initial physician visit
C) A series of diagnostic examinations
D) A physical assessment of the patient

Question 5

15)Which of the following is not typically part of the workup?

A) Patient demographics
B) Type, location, and size of tumor
C) Normal tissue invasion
D) Presence of metastases

Question 6

10)Which of the following factors does not affect the incidence of tumor sites?

A) Informational
B) Environmental
C) Technological
D) Geographic

Question 7

16)Which imaging modality is beneficial for distinguishing between recurrent disease and other tissue changes post treatment?

A) CT
B) PET
C) Plain films
D) MR

Question 8

4)Which of the following is not a phase of the mammalian cell cycle?

A) G0
B) G1
C) G2
D) G3

Question 9

2)Which of the following is not a term for genes involved in the cancer process?

A) Anti-oncogenes
B) Oncogenes
C) Proto-oncogenes
D) Somato-oncogenes

Question 10

1)Knowledge of cancer dates back to which of the following?

A) 1600 BC Egypt
B) 1600 AD England
C) 400 BC Greece
D) 1900 AD Germany

Question 11

7)Identify the correct order for the phases of the mammalian cell cycle.

A) G1, G2, M, S
B) G1, G2, S, M
C) G1, M, G2, S
D) G1, S, G2, M

Question 12

19)Tumors are the result of which of the following?

A) Black bile
B) Necrotic tissue
C) Abnormal cellular proliferation
D) Traumatic injury

Question 13

18)A T?N?MX tumor has how many positive lymph nodes?

A) 0
B) 1
C) 2
D) Unknown

Question 14

11)What is defined as the "study of the cause of disease"?

A) Etiology
B) Etymology
C) Epidemiology
D) Entomology

Question 15

9)Which of the following is (are)true of benign tumors?

A) Well differentiated
B) Do not metastasize
C) Encapsulated
D) All of the above

Question 16

3)Tumor-suppressor genes are also known as ___________.

A) anti-oncogenes
B) oncogenes
C) proto-oncogenes
D) somato-oncogenes

Question 17

20)Tumor grade is a measure of ________.
I)aggressiveness
II)differentiation
III)spread

A) I and II
B) I and III
C) II and III
D) I, II, and III

Question 18

5)Which phase of the mammalian cell cycle is composed of functional cells not preparing for DNA replication?

A) G0
B) G1
C) G2
D) S
E) M

Question 19

8)Which of the following is true of anaplastic tumors?

A) Closely resemble the cells of origin
B) Maintain some resemblance of the cells of origin
C) Do not resemble the cells of origin

Question 20

6)In which phase of the mammalian cell cycle does DNA synthesis occur?

A) G0
B) G1
C) G2
D) S
E) M

Question 21

28)Pancreatic cancer may be treated using which technique?

A) Intraluminal
B) Intravascular
C) Intracavitary
D) Intraoperative

Question 22

31)Which classification of chemotherapy agents was the first to be identified as having anticancer activities?

A) Alkylating agents
B) Antimetabolites
C) Antibiotics
D) Hormonal agents
E) Nitrosoureas f.Vinca alkaloids

Question 23

22)Which of the following biopsy methods cannot evaluate tumor architecture?

A) Fine needle aspiration
B) Core needle
C) Incisional
D) Excisional

Question 24

29)Which of the following is a systemic treatment?

A) Surgery
B) Radiation therapy
C) Chemotherapy
D) All of the above

Question 25

36)Which of the following acts as a radioprotector?

A) Amifostine
B) Actinomycin D
C) Adriamycin
D) Etoposide

Question 26

38)Which of the following best describes tumor spread?

A) Exophytic
B) Multicentric
C) Dissemination
D) Ulceration

Question 27

39)Which of the following factors is not considered when determining a prognosis?

A) Tumor stage
B) Nodal status
C) Gender
D) All are considered

Question 28

24)When compared with surgery, benefits of radiation therapy include all except which of the following?

A) Instantaneous cure
B) Better cosmetic results
C) Preservation of function
D) Noninvasive

Question 29

35)Which of the following is a radiosensitizing chemotherapy agent?

A) Cyclophosphamide
B) 5-Fluorouracil
C) Doxorubicin
D) Cisplatin

Question 30

30)Which of the following routes of administration is used when treating bladder cancer with chemotherapy?

A) Oral
B) Intra-arterial
C) Intracavitary
D) Intrathecal

Question 31

40)Randomized studies are, by definition, which phase?

A) I
B) II
C) III
D) IV

Question 32

33)Which classification of chemotherapy agents is derived from the periwinkle plant?

A) Alkylating agents
B) Antimetabolites
C) Antibiotics
D) Hormonal agents
E) Nitrosoureas f.Vinca alkaloids

Question 33

23)Factors that may exclude a patient from having surgery include all except which of the following?

A) Preexisting medical conditions
B) Tumor location
C) Patient preference
D) Classification

Question 34

34)In which classification are the chemotherapy agent's lipids soluble and capable of crossing the blood-brain barrier?

A) Alkylating agents
B) Antimetabolites
C) Antibiotics
D) Hormonal agents
E) Nitrosoureas f.Vinca alkaloids

Question 35

21)Which of the following biopsy methods results in the removal of the entire tumor?

A) Fine needle aspiration
B) Core needle
C) Incisional
D) Excisional

Question 36

37)Injecting monoclonal antibodies is an example of which type of treatment?

A) Surgery
B) Radiation therapy
C) Chemotherapy
D) Immunotherapy

Question 37

27)High-dose after loading equipment is used in association with which treatment technique?

A) External beam
B) Intraoperative
C) Brachytherapy
D) IMRT

Question 38

32)Which of the following are not cell cycles specific?
I)Alkylating agents
II)Antimetabolites
III)Antibiotics
IV)Hormonal agents
V)Nitrosoureas
VI)Vinca alkaloids

A) I and II
B) I and III
C) I, III, and V
D) II, IV, and VI
E) II, III, and VI

Question 39

26)Which of the following is not used for brachytherapy treatments?

A) Cesium
B) Cobalt
C) Iodine
D) Iridium

Question 40

25)Which of the following treatment techniques uses radioactive sources?

A) External beam
B) Intraoperative
C) Brachytherapy
D) IMRT

Question 41

42)Which staff member is most responsible for the quality assurance to the treatment equipment?

A) Medical physicist
B) Radiation oncologist
C) Dosimetrist
D) Radiation therapist

Question 42

44)A cancer designated with an N1 classification using the TNM staging system likely indicates which of the following?

A) No positive lymph nodes are involved.
B) Positive lymph nodes are involved at distant sites.
C) Positive lymph nodes are involved near the site.
D) Lymph nodes cannot be accessed.

Question 43

43)Which of the following is an example of an etiologic factor?

A) Gender
B) Sex
C) Race
D) Social habits

Question 44

41)Which staff member is most responsible for designing the patient's treatment plan?

A) Medical physicist
B) Radiation oncologist
C) Dosimetrist
D) Radiation therapist