Deck 26: Cancer of the Lung, Prevention and Palliation

Question 1

During bronchoscopy, a tumor was found in the right mainstem bronchus. What is the recommended treatment?

A) Pneumonectomy
B) Brachytherapy
C) Cryotherapy
D) Photodynamic therapy

Answer 1

Brachytherapy

Question 2

A patient presents in the emergency department complaining of fatigue, headaches, and mouth sores. His CBC indicates a low while blood cell count. Current medications include Cyramza and Combivent. Which of the medications are likely causing his symptoms?

A) Cyramza
B) Combivent
C) The combination of these medications is contributing to his complaints.
D) None of these medications are contributing to his complaints.

Answer 2

Cyramza

Question 3

A patient with lung cancer has learned the cancer has metastasized to three other locations. What is the recommended treatment option?

A) Radiation therapy to all known tumors
B) Surgical removal of all known tumors
C) Chemotherapy
D) Needle aspiration of the tumors

Answer 3

Chemotherapy

Question 4

Benign tumors:
1) are metastatic.
2) grow slowly.
3) are usually encapsulated.
4) grow in a disordered manner.

A)1, 4
B)2, 4
C)2, 3
D)1, 3, 4

Question 5

When a patient develops drooping eyelid and small pupil in the same eye, which of the following syndromes is present?

A) Superior vena cava syndrome
B) Paraneoplastic syndrome
C) Horner's syndrome
D) Cushing's syndrome

Question 6

Which of the following is the most common form of lung cancer among those who have never smoked cigarettes or other tobacco products?

A) Squamous cell carcinoma
B) Adenocarcinoma
C) Large cell carcinoma
D) Small cell carcinoma

Question 7

Chest radiograph findings associated with lung cancer include a(n):
1) large irregular mass.
2) enlarged heart.
3) coin lesion.
4) pleural effusion.

A)1
B)2, 3
C)2, 3, 4
D)1, 3, 4

Question 8

Signs and symptoms associated with metastatic lung cancer include:
1) fatigue.
2) bone pain.
3) seizures.
4) weight gain.

A)1, 4
B)2, 3
C)1, 3, 4
D)1, 2, 3

Question 9

What is the preferred surgical treatment for a large, single tumor located in the right lower lobe?

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

Question 10

Which of the following is considered a small cell lung cancer?

A) Oat cell carcinoma
B) Undifferentiated carcinoma
C) Squamous carcinoma
D) Adenocarcinoma

Question 11

The most common cause of lung cancer is:

A) cigarette smoking.
B) air pollution.
C) exposure to asbestos.
D) exposure to radon gas.

Question 12

Which of the following are non-small cell lung cancers?
1) Large cell carcinoma
2) Squamous carcinoma
3) Adenocarcinoma
4) Oat cell carcinoma

A)1, 3
B)2, 4
C)1, 2, 3
D)2, 3, 4

Question 13

Malignant tumors:
1) invade surrounding tissues.
2) grow slowly.
3) cause necrosis.
4) may be metastatic.

A)1, 4
B)2, 3
C)1, 2, 4
D)1, 3, 4

Question 14

Staging of a lung cancer is based on which of these criteria?
1) L, for location of the tumor
2) M, for extent of metastasis
3) N, for lymph node involvement
4) T, for extent of the primary tumor

A)1, 4
B)2, 3
C)2, 3, 4
D)1, 2, 3

Question 15

Which form of lung cancer has the poorest prognosis?

A) Large cell carcinoma
B) Adenocarcinoma
C) Small cell carcinoma
D) Squamous cell carcinoma

Question 16

Which of the following are pathologic or structural changes associated with bronchogenic carcinoma?
1) Excessive mucous production
2) Inflammation of the airways
3) Alveolar consolidation
4) Fibrocalcific pleural plaques

A)1, 3
B)1, 2, 4
C)2, 3, 4
D)1, 2, 3