Question 1

A patient is diagnosed with gastric cancer after presenting with cachexia, small bowel obstruction, hepatomegaly, and ascites. What will the provider tell this patient about treatment and possible cure?

A) A complete resection will be curative.
B) Chemotherapy is the only option.
C) Palliative resection may be performed.
D) Radiation therapy is preferred for metastasis.

C

Accepted Answer

Based on the symptoms described in the question, it is likely that the cancer has metastasized beyond the stomach, making complete resection and cure unlikely. Chemotherapy may still be an option, but the fact that the patient has already presented with several advanced symptoms suggests that palliative care may be the most realistic approach at this point. Radiation therapy may also be used in combination with other treatments as a palliative measure, but it is not preferred for metastasis.

Question 2

A patient is diagnosed with cancer of the colon and is scheduled for surgical resection. A carcinoembryonic antigen (CEA) test prior to surgery is not elevated. What is the significance of this finding?

A) A negative CEA indicates a reduced need for surgery.
B) The CEA should be repeated every 3 months.
C) The test is not informative and will not be repeated.
D) This result indicates a better prognosis for cure.

C

Accepted Answer

C

Question 3

A patient with a history of esophageal reflux reports difficulty swallowing. The provider notes fixed cervical and axillary lymphadenopathy on exam. What is the significance of these findings if esophageal carcinoma is suspected?

A) A tumor is likely confined to the upper esophagus.
B) Lymphadenopathy indicates advanced disease.
C) The prognosis for cure is poor.
D) This type of cancer responds well to radiation.

C

Accepted Answer

C

Deck 125: Tumors of the Gastrointestinal Tract