Cancer

Question 1

patients with cancer who will require surgery

Answer 1

90%

Question 2

Liver complications associated with TBI

Answer 2

sinusoidal obstruction syndrome

Question 3

ROS is

Answer 3

asking questions

Question 4

Work up for mediastinal mass

Answer 4

CXR, CT, MRI

would ideally shrink with steroids or radiation first

Question 5

with history of radiation to head and neck think of

Answer 5

permanent tissue fibrosis

• carotid artery
  hypothyroidism
  difficult ventilation!
  difficult intubation

Question 6

if bruits are present

Answer 6

probably 70-90% occlusion, may need revascularization prior to OR
— ** if large fluid shifts will occur in surgery

Question 7

mediastinal radiation associated with

Answer 7

accelerated CAD
valvular fibrosis
conduction abnormalities

-

Question 8

lung adenocarcinoma think

Answer 8

hyper coagulability and also osteoarthritis

Question 9

Large cell lung carcinoma think

Answer 9

gynecomastia

Question 10

small cell lung carcinoma think

Answer 10

Eaton Lambert /MG
SIADH
cushings

Question 11

myelosuppresion nadir happens

Answer 11

6-14 days after chemo

Question 12

chance of thromboembolic events in cancer

Answer 12

chances increase 6 fold

Question 13

corticosteroid induced neuromuscular toxicity can occur when prednisone dosing is

Answer 13

60-100mg/day

Question 14

radiation + methotrexate =

Answer 14

irreversible dementia

Question 15

radiation therapy can reactive

Answer 15

Hep B

Question 16

pre-operative goals with cancer patients

Answer 16

correction of nutrition deficiencies

electrolyte abnormalities

anemia

coagulopathies

steroid replacement

Question 17

lung cancer (SCLS) metastasizes to

Answer 17

brain most often