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Lung Cancer- Surgical Diseases 4th Year- PMU

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Lung Cancer- Surgical Diseases 4th Year- PMU
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student over 5 years ago
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Resource summary

Question 1

Question
If you want Flash Cards go to https://quizlet.com/_6qr8i5
Answer
  • True
  • False

Question 2

Question
In which position do we place lung cancer as a cause of death from cancer in women?
Answer
  • first
  • second (after breast cancer)
  • third
  • fourth
  • fifth

Question 3

Question
Which is the most important risk factor in the development of lung cancer?
Answer
  • radon gas
  • asbestos
  • cigarette smoking
  • air pollution
  • iatrogenic radiation exposure

Question 4

Question
The most frequent histologic type of lung cancer is
Answer
  • adenocarcinoma
  • squamous cell carcinoma
  • neuroendocrine tumors
  • salivary gland-type tumors
  • adenosquamous carcinoma

Question 5

Question
The disease is characterized Dy an aggressive tendency to metastasize. It often spreads early to mediastinal lymph nodes and distant sites. Chemoradiotherapy is generally used for treatment, These are all characteristics of which type of lung cancer?
Answer
  • salivary gland-type tumors
  • squamous cell carcinoma
  • adenocarcinoma
  • small cell carcinoma

Question 6

Question
Which of these statements is true for lung cancer?
Answer
  • lung cancer rarely metastasizes to the lymph nodes
  • the most common histologic type is squamous cell carcinoma
  • patients with lung cancer often present with early stage disease because of the specific symptoms
  • patients with lung cancer often present with advanced stage disease and symptoms
  • none of the above

Question 7

Question
Which one of these symptoms is the most common symptom of lung cancer that is frequently overlooked both by patients and physicians?
Answer
  • hemoptysis
  • cough
  • stridor
  • dyspnea
  • chest wall pain

Question 8

Question
Which of these symptoms are included in the Pancoast's syndrome?
Answer
  • harshness of stridor or musical wheezing
  • hemoptysis and cough
  • facial anhydrosis, miosis, and ptosis
  • fullness and swelling in-the face and arms
  • distended neck veins and large superficial chest and neck collaterals

Question 9

Question
The most unusual and most intriguing symptoms of lung cancer are the result of paraneoplastic processes. Which of these symptoms is not paraneoplastic?
Answer
  • Syndrome of inappropriate antidiuretic hormone secretion
  • Cushing's syndrome
  • Superior vena cava syndrome
  • Hypercalcemia
  • Digital clubbing

Question 10

Question
Lung cancer may cause dyspnea through multiple different mechanisms. Which of the mechanisms cannot cause dyspnea?
Answer
  • atelectasis distal to the obstruction
  • compression of the pulmonary artery or branches resulting in hypoperfusion
  • pleural effusions
  • pancoast's syndrome

Question 11

Question
How do we treat patients with lung cancer and malignant pleural effusions?
Answer
  • Surgical resection lobectomy or pneumonectomy
  • We perform only wedge or sublobar resection
  • VATS with pleurodesis
  • We don’t perform any surgical intervention

Question 12

Question
According to the TNM classification malignant pleural effusions are considered as
Answer
  • T3 - tumor that directly invades the chest wall
  • T4 - tumor that directly invades mediastinum
  • N3
  • M1 — distant metastasis
  • none of the above

Question 13

Question
Which of the following imaging tests is the most common test that we use in the preoperative staging of patients with suspected lung cancer?
Answer
  • Chest x-ray
  • CT scan of the chest and upper abdomen
  • MRI of the brain
  • FDG-PET scan
  • All of the above

Question 14

Question
How do we evaluate the nodal (N) stage in patients with lung cancer?
Answer
  • Chest CT
  • PET scan
  • Mediastinoscopy
  • Endoscopic bronchial ultrasound
  • All of the above

Question 15

Question
What is the standard treatment of patients with stage I and II lung cancer?
Answer
  • VATS with biopsy
  • Wedge resection or segmentectomy with mediastinal lymph node dissection
  • Lobectomy with systematic mediastinal lymph node dissection/sampling
  • Pneumonectomy with mediastinal lymph node dissection

Question 16

Question
What is the most commonly used treatment of stage IV lung cancer?
Answer
  • combination chemotherapy
  • pneumonectomy with mediastinal lymph node dissection
  • radiation therapy
  • all of the above
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