Deck 26: Cancer of the Lung

Question 1

The most common cause of lung cancer is:

A) smoking tobacco.
B)smoking marijuana.
C)inhaling asbestos.
D)inhaling radon gas.

Answer 1

smoking tobacco.

Question 2

Your patient has metastatic lung cancer that has been identified in several other locations. What is the best way to treat her?

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

Answer 2

Chemotherapy

Question 3

During bronchoscopy, a tumor was found in the right mainstem bronchus. What is the best way to manage the problem?

A) Prophylactic cranial irradiation
B)Brachytherapy
C)Cryotherapy
D)Laser bronchoscopy

Answer 3

Brachytherapy

Question 4

A patient has gone to see her physician after recently developing hoarseness and difficulty swallowing. What does this indicate?

A) Mediastinal cancer
B)Gastroesophageal reflux
C)Stomach cancer
D)Salivary gland cancer

Question 5

Your patient with advanced lung cancer with metastasis to several organs has chosen palliative care. What does this mean?

A) Aggressive chemotherapy
B)Chemotherapy and radiation therapy
C)Surgery, chemotherapy, and radiation therapy
D)Treating his symptoms

Question 6

Staging of a lung cancer is based on its classification by 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, 4

Question 7

Chest radiograph findings indicating lung cancer include all of the following, EXCEPT:

A) a large irregular mass.
B)an enlarged heart.
C)a coin lesion.
D)a pleural effusion.

Question 8

Signs and symptoms that a patient has metastatic lung cancer include:
1) weakness.
2) bone pain.
3) seizures.
4) weight loss.

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

Question 9

Malignant tumors:
1) invade surrounding tissues.
2) grow slowly.
3) cause necrosis.
4) push aside surrounding tissue.

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

Question 10

Your patient with a lung tumor in his right lower lobe is going to need surgery. He is otherwise healthy and has good respiratory reserve. What is the preferred surgical method?

A) lobectomy
B)wedge resection
C)segmentectomy
D)pneumonectomy

Question 11

The major pathologic and structural changes associated with bronchogenic carcinoma include all of the following, EXCEPT:

A) bronchospasm.
B)airway obstruction.
C)destruction of airways and alveoli.
D)atelectasis.

Question 12

Which of the following is/are small cell lung cancer(s)?
1) Undifferentiated carcinoma
2) Squamous carcinoma
3) Adenocarcinoma
4) Oat cell carcinoma

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

Question 13

Which of the following is/are non-small cell lung cancer(s)?
1) Large cell carcinoma
2) Squamous carcinoma
3) Adenocarcinoma
4) Oat cell carcinoma

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

Question 14

When a person has lung cancer, all of the following may happen to the alveoli adjacent to the tumor, EXCEPT:

A) collapse.
B)dry, tenacious secretions.
C)consolidation.
D)filling with fluid.

Question 15

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

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