Deck 26: Cancer of the Lung

Question 1

Match the stages to the items listed below. Items may be used once, more than once, or not at all.
Stage IV

A)The tumor is any size.
B)The cancer is of any size and involves any of the lymph node groups.
C)The tumor is less than 3 cm.
D)Cancer has invaded neighboring lymph nodes or chest wall.
E)The cancer has spread locally to areas such as the mediastinum.
F)The cancer is limited to the lining of the lung tissue.

Answer 1

The cancer is of any size and involves any of the lymph node groups.

Question 2

Match the cancer types with the growth rates listed below. Items may be used once, more than once, or not at all.
Large-cell carcinoma

A)Slow
B)Moderate
C)Rapid
D)Very rapid

Answer 2

Rapid

Question 3

Match the stages to the items listed below. Items may be used once, more than once, or not at all.
Stage 0

A)The tumor is any size.
B)The cancer is of any size and involves any of the lymph node groups.
C)The tumor is less than 3 cm.
D)Cancer has invaded neighboring lymph nodes or chest wall.
E)The cancer has spread locally to areas such as the mediastinum.
F)The cancer is limited to the lining of the lung tissue.

Answer 3

The cancer is limited to the lining of the lung tissue.

Question 4

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Cancer Of The Lung.
Bronchospasm Clinical Scenario

A)YES-This is associated with cancer of the lung.
B)NO-This is not associated with cancer of the lung.

Question 5

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Cancer Of The Lung.
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with cancer of the lung.
B)NO-This is not associated with cancer of the lung.

Question 6

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Cancer Of The Lung.
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with cancer of the lung.
B)NO-This is not associated with cancer of the lung.

Question 7

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
FRC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 8

Match the cancer types with the growth rates listed below. Items may be used once, more than once, or not at all.
Squamous cell carcinoma

A)Slow
B)Moderate
C)Rapid
D)Very rapid

Question 9

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
FEV_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 10

Match the stages to the items listed below. Items may be used once, more than once, or not at all.
Stage III, A

A)The tumor is any size.
B)The cancer is of any size and involves any of the lymph node groups.
C)The tumor is less than 3 cm.
D)Cancer has invaded neighboring lymph nodes or chest wall.
E)The cancer has spread locally to areas such as the mediastinum.
F)The cancer is limited to the lining of the lung tissue.

Question 11

Match the cancer types with the growth rates listed below. Items may be used once, more than once, or not at all.
Adenocarcinoma

A)Slow
B)Moderate
C)Rapid
D)Very rapid

Question 12

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Cancer Of The Lung.
Atelectasis Clinical Scenario

A)YES-This is associated with cancer of the lung.
B)NO-This is not associated with cancer of the lung.

Question 13

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Cancer Of The Lung.
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with cancer of the lung.
B)NO-This is not associated with cancer of the lung.

Question 14

Match the stages to the items listed below. Items may be used once, more than once, or not at all.
Stage I

A)The tumor is any size.
B)The cancer is of any size and involves any of the lymph node groups.
C)The tumor is less than 3 cm.
D)Cancer has invaded neighboring lymph nodes or chest wall.
E)The cancer has spread locally to areas such as the mediastinum.
F)The cancer is limited to the lining of the lung tissue.

Question 15

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
FVC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 16

Match the stages to the items listed below. Items may be used once, more than once, or not at all.
Stage II

A)The tumor is any size.
B)The cancer is of any size and involves any of the lymph node groups.
C)The tumor is less than 3 cm.
D)Cancer has invaded neighboring lymph nodes or chest wall.
E)The cancer has spread locally to areas such as the mediastinum.
F)The cancer is limited to the lining of the lung tissue.

Question 17

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
FEF _200-1200

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 18

Match the stages to the items listed below. Items may be used once, more than once, or not at all.
Stage III, B

A)The tumor is any size.
B)The cancer is of any size and involves any of the lymph node groups.
C)The tumor is less than 3 cm.
D)Cancer has invaded neighboring lymph nodes or chest wall.
E)The cancer has spread locally to areas such as the mediastinum.
F)The cancer is limited to the lining of the lung tissue.

Question 19

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Cancer Of The Lung.
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with cancer of the lung.
B)NO-This is not associated with cancer of the lung.

Question 20

Match the cancer types with the growth rates listed below. Items may be used once, more than once, or not at all.
Small-cell carcinoma

A)Slow
B)Moderate
C)Rapid
D)Very rapid

Question 21

Match the arterial blood gas changes that occur during localized lung cancer to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 22

Match what develops in the oxygen indices of the patient with lung cancer to the items listed below. Items may be used once, more than once, or not at all.
_S/ _T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 23

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
ERV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 24

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
FEF _25%-75%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 25

Match the arterial blood gas changes that occur during extensive or widespread lung cancer to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 26

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
MVV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 27

Match the arterial blood gas changes that occur during localized lung cancer to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 28

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
FEF_50%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 29

Match what develops in the oxygen indices of the patient with lung cancer to the items listed below. Items may be used once, more than once, or not at all.
DO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 30

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
FEV_1%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 31

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
PEFR

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 32

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
IC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 33

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
VC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 34

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
V_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 35

Match the arterial blood gas changes that occur during extensive or widespread lung cancer to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 36

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
TLC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 37

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
RV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 38

Match the arterial blood gas changes that occur during extensive or widespread lung cancer to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 39

Match the arterial blood gas changes that occur during localized lung cancer to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 40

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have cancer of the lungs. Items may be used once, more than once, or not at all.
RV/TLC %

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 41

Although lung cancer accounts for about 13% of all cancers in both men and women, it is responsible for about 31% of all cancer deaths in men.

Question 42

Although lung cancer accounts for about 13% of all cancers in both men and women, it is responsible for about 35% of all cancer deaths in women.

Question 43

Patients with Stage IV lung cancer have the option of chemotherapy.

Question 44

Small-cell carcinoma is also known as oat-cell carcinoma.

Question 45

A tumor that originates in the bronchial mucosa is called bronchogenic carcinoma.

Question 46

Which of the following is/are small-cell lung cancer(s)?

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

Question 47

Lung tumors most commonly originate in the mucosa of the tracheobronchial tree.

Question 48

Lung cavitation is common in large-cell carcinoma.

Question 49

Chemotherapy uses X-rays to kill the cancer cells.

Question 50

Which of the following is/are non-small-cell lung cancer(s)?

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

Question 51

Match what develops in the oxygen indices of the patient with lung cancer to the items listed below. Items may be used once, more than once, or not at all.
SvO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 52

Benign tumors:

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

Question 53

Match what develops in the oxygen indices of the patient with lung cancer to the items listed below. Items may be used once, more than once, or not at all.
C(a-v)

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 54

Surgical resection is the principle form of treatment for patients with Stage I or Stage II lung cancer.

Question 55

Of the four major types of bronchogenic tumors, large-cell carcinoma has the fastest growth.

Question 56

When a bronchogenic tumor invades the left recurrent laryngeal nerve, the patient's voice becomes hoarse.

Question 57

Squamous cell carcinoma is strongly associated with cigarette smoking.

Question 58

Match what develops in the oxygen indices of the patient with lung cancer to the items listed below. Items may be used once, more than once, or not at all.
O₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 59

Adenocarcinoma arises from the mucous glands of the tracheobronchial tree.

Question 60

Match what develops in the oxygen indices of the patient with lung cancer to the items listed below. Items may be used once, more than once, or not at all.
O₂ER

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 61

The terms lung cancer and bronchogenic carcinoma are used interchangeably.

Question 62

Among women the lung cancer death rate is now higher than the death rate of any other cancer-including breast cancer.

Question 63

It is estimated that cigarette smoke contains more than 4000 different chemicals, many of which have proved to be carcinogens.

Question 64

Cigarette smoking is the most common cause of lung cancer.

Question 65

Heavy smokers are about 25% more likely to develop cancer than nonsmokers.

Question 66

Small-cell lung cancer is subdivided into five stages.

Question 67

Passive, or second-hand, smoking is associated with as much as a 30% increase in the risk for lung cancer.