Deck 39: Pediatric Solid Tumors

Question 1

The craniospinal treatment technique is used to treat what specific type of pediatric cancer?

A) medulloblastoma
B) neuroblastoma
C) rhabdomyosarcoma
D) retinoblastoma

Answer 1

A
Craniospinal irradiation is a treatment option for medulloblastomas.

Question 2

Wilms tumors are cancers of which organ?

A) kidney
B) bone
C) skeletal muscle
D) smooth muscle

Answer 2

A
Wilms tumor is a malignant embryonal cancer of the kidney.

Question 3

Which pediatric cancer is most commonly associated with leukocoria?

A) leukemia
B) medulloblastoma
C) neuroblastoma
D) retinoblastoma

Answer 3

D
Retinoblastoma is usually discovered as a result of an abnormal retinal light reflex (white rather than red).

Question 4

Which pediatric cancer occurs in the sympathetic nervous system ganglia?

A) medulloblastoma
B) neuroblastoma
C) primary brain lesions
D) retinoblastoma

Question 5

Treatment of rhabdomyosarcoma with radiation therapy is most effective when the cancer is located where?

A) orbit
B) bladder
C) skeletal muscle
D) kidney

Question 6

Which pediatric cancer occurs in the testes and ovaries?

A) germ cell tumor
B) neuroblastoma
C) rhabdomyosarcoma
D) Wilms' tumor

Question 7

Children are most likely to develop which type of leukemia?

A) ALL
B) AML
C) CLL
D) CML

Question 8

Which pediatric cancer spreads through the cerebrospinal fluid (CSF)?

A) leukemia
B) medulloblastoma
C) neuroblastoma
D) retinoblastoma

Question 9

Trilateral retinoblastoma includes cancer of which other cranial structure?

A) pituitary gland
B) pineal gland
C) parotid gland
D) paranasal sinuses

Question 10

What is the most common intracranial tumor in children?

A) medulloblastoma
B) metastatic lesion
C) astrocytoma
D) craniopharyngioma

Question 11

This pediatric cancer is closely associated to nephroblastomatoses.

A) Ewing sarcoma
B) medulloblastoma
C) rhabdomyosarcoma
D) Wilms tumor

Question 12

Which area is least likely to develop rhabdomyosarcoma?

A) testis
B) head and neck
C) lower extremity
D) upper extremity

Question 13

Children are most likely to develop which type of cancer?

A) retinoblastoma
B) primary brain
C) osteosarcoma
D) Hodgkin's disease (HD)

Question 14

Successful treatment of Langerhans cell histiocytosis requires what dose?

A) 200 to 400 cGy
B) 400 to 1200 cGy
C) 1500 to 2500 cGy
D) greater than 4000 cGy

Question 15

What is the most common presenting symptom of a soft tissue sarcoma of the extremity?

A) pain
B) mass
C) loss of mobility
D) headache

Question 16

MIBG is most closely related to which pediatric cancer?

A) germ cell tumors
B) neuroblastoma
C) rhabdomyosarcoma
D) Wilms tumor

Question 17

Ewing sarcomas are cancers of which organ?

A) kidney
B) bone
C) skeletal muscle
D) smooth muscle

Question 18

Medulloblastomas typically begin in which area of the brain?

A) brain stem
B) cerebellum
C) cerebrum
D) hypothalamus

Question 19

Which pediatric cancer has the best overall survival?

A) ALL
B) neuroblastoma
C) Wilms tumor
D) Hodgkin disease

Question 20

Rhabdomyosarcomas are cancers of which organ?

A) kidney
B) bone
C) brain
D) mesenchymal

Question 21

Retinoblastoma is the most common pediatric cancer,affecting 1100 children annually.

Question 22

Radiation therapy is the treatment of choice for Ewing sarcoma.

Question 23

Which pediatric brain tumor often mimics medulloblastomas?

A) ependymomas
B) low-grade astrocytomas
C) high-grade astrocytomas
D) CNS germ cell tumors

Question 24

Secondary brain lesions are common in children.

Question 25

To what dose are medulloblastomas traditionally treated?

A) 2600 cGy
B) 3600 cGy
C) 4600 cGy
D) 5600 cGy
E) 6600 cGy