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Lung Cancer- Surgical Diseases 4th Year- PMU

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Lung Cancer- Surgical Diseases 4th Year- PMU

Question 1 of 16

1

If you want Flash Cards go to
https://quizlet.com/_6qr8i5

Select one of the following:

  • True
  • False

Explanation

Question 2 of 16

1

In which position do we place lung cancer as a cause of death from cancer in women?

Select one of the following:

  • first

  • second (after breast cancer)

  • third

  • fourth

  • fifth

Explanation

Question 3 of 16

1

Which is the most important risk factor in the development of lung cancer?

Select one of the following:

  • radon gas

  • asbestos

  • cigarette smoking

  • air pollution

  • iatrogenic radiation exposure

Explanation

Question 4 of 16

1

The most frequent histologic type of lung cancer is

Select one of the following:

  • adenocarcinoma

  • squamous cell carcinoma

  • neuroendocrine tumors

  • salivary gland-type tumors

  • adenosquamous carcinoma

Explanation

Question 5 of 16

1

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?

Select one of the following:

  • salivary gland-type tumors

  • squamous cell carcinoma

  • adenocarcinoma

  • small cell carcinoma

Explanation

Question 6 of 16

1

Which of these statements is true for lung cancer?

Select one of the following:

  • 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

Explanation

Question 7 of 16

1

Which one of these symptoms is the most common symptom of lung cancer that is frequently overlooked both by patients and physicians?

Select one of the following:

  • hemoptysis

  • cough

  • stridor

  • dyspnea

  • chest wall pain

Explanation

Question 8 of 16

1

Which of these symptoms are included in the Pancoast's syndrome?

Select one of the following:

  • 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

Explanation

Question 9 of 16

1

The most unusual and most intriguing symptoms of lung cancer are the result of paraneoplastic processes. Which of these symptoms is not paraneoplastic?

Select one of the following:

  • Syndrome of inappropriate antidiuretic hormone secretion

  • Cushing's syndrome

  • Superior vena cava syndrome

  • Hypercalcemia

  • Digital clubbing

Explanation

Question 10 of 16

1

Lung cancer may cause dyspnea through multiple different mechanisms. Which of the mechanisms cannot cause dyspnea?

Select one of the following:

  • atelectasis distal to the obstruction

  • compression of the pulmonary artery or branches resulting in hypoperfusion

  • pleural effusions

  • pancoast's syndrome

Explanation

Question 11 of 16

1

How do we treat patients with lung cancer and malignant pleural effusions?

Select one of the following:

  • Surgical resection lobectomy or pneumonectomy

  • We perform only wedge or sublobar resection

  • VATS with pleurodesis

  • We don’t perform any surgical intervention

Explanation

Question 12 of 16

1

According to the TNM classification malignant pleural effusions are considered as

Select one of the following:

  • T3 - tumor that directly invades the chest wall

  • T4 - tumor that directly invades mediastinum

  • N3

  • M1 — distant metastasis

  • none of the above

Explanation

Question 13 of 16

1

Which of the following imaging tests is the most common test that we use in the preoperative staging of patients with suspected lung cancer?

Select one of the following:

  • Chest x-ray

  • CT scan of the chest and upper abdomen

  • MRI of the brain

  • FDG-PET scan

  • All of the above

Explanation

Question 14 of 16

1

How do we evaluate the nodal (N) stage in patients with lung cancer?

Select one of the following:

  • Chest CT

  • PET scan

  • Mediastinoscopy

  • Endoscopic bronchial ultrasound

  • All of the above

Explanation

Question 15 of 16

1

What is the standard treatment of patients with stage I and II lung cancer?

Select one of the following:

  • 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

Explanation

Question 16 of 16

1

What is the most commonly used treatment of stage IV lung cancer?

Select one of the following:

  • combination chemotherapy

  • pneumonectomy with mediastinal lymph node dissection

  • radiation therapy

  • all of the above

Explanation

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