Cancer Management Test Flashcards
The papillae that separate the anterior 2/3 of the tongue from the posterior 1/3 is/are:
circumvallate
What is the most common symptom associated with childhood brain tumors in the cerebellum?
ataxia
The tonsils are located in the hypopharynx.
False
The node of Rouviere is also called the:
lateral retropharyngeal
Painful swallowing is also called:
odynophagia
Prognosis for cancer of the vocal cords is favorable due to:
no lymph node involvement
The pyriform sinus is located in the hypopharynx
True
What is the tumor staging system for lung cancer?
TNM
The inferior border of the larynx port for the vocal cords treatment anatomically corresponds to:
cricoid cartilage
What is the first treatment of choice for SCLC?
chemotherapy
What is the most common grade of gliomas?
high grade
Which is the TD 5/5 of the heart?
40 Gy
The ______ salivary gland located 2cm anterior and 2cm inferior to the EAM is:
parotid
What is the most common source of brain metastases among the following?
Lung
Which of the following is a characteristic of a benign tumor?
cells appear relatively normal
Which of the following structures is NOT in the oropharynx?
Hard palate
What is the most common form of larynx cancer?
squamous cell
Which of the following is a late effect of brain irradiation in children?
Decreased IQ
Which of the following is not associated with developing brain tumors?
smoking, pesticides and herbicides, toxins from rubber manufacturing
smoking
Which of the following is/are common presenting symptoms of brain tumors in adults? (Choose all that apply)
blurred vision
ataxia
headaches
seizures
blurred vision, headaches, seizures
Mesothelioma is a cancer of which respiratory system component?
pleura
Which of the following terms is used to describe the surgical removal of an entire lung?
Pneumonectomy
symptoms of cancer in nose and sinuses:
obstruction, discharge, facial pain, dipolpia and local swelling
symptoms of cancer in hypopharynx
dysphagia and painful neck nodes
What are symptoms of cancer in the oral cavity?
swelling or an ulcer that fails to heal
What are symptoms of cancer in the nasopharynx?
bloody discharge and difficulty hearing
What are symptoms of cancer in the oropharynx?
painful swallowing and referred otalgia
What are symptoms of cancer in the larynx?
hoarseness and stridor
The treatment of choice for head and neck carcinomas, that are inaccessible to a surgeon’s knife:
radiation therapy
A patient presents with positive Epstein-Barr virus and a painless neck mass. This is most likely a _____ cancer.
nasopharynx
The primary lymphatic drainage of the lower lip would be to:
submental nodes
Treatment fields in the chest should be designed:
with respiratory motion in mind
What is the TD 5/5 for whole lung
17.5 Gy
The area that contains the pyriform sinus, posterior cricoid cartilage and lower posterior pharyngeal wall is the:
hypopharynx
What is the most significant risk factor associated with mesothelioma?
Asbestos exposure
What defines the inferior radiation field border for the treatment of the whole brain for palliation?
suprior orbital ridge
external auditory meatus
What is the tumor staging system for lung cancer?
TNM
In what part of the lung are primary squamous cell carcinomas usually found?
Central
Which of the following is anatomically situated between the vertebral bodies C3 to C6:
hypopharynx
In which portion of the brain do most CNS tumors occur in pediatric patients?
cerebellum
In which portion of the brain do most CNS tumors occur in adults?
cerebrum
When treating a lung cancer, the spinal cord dose not to be exceeded is:
4500cGy
The most common site of cancer in the oropharynx is/are:
tonsils
Which of the following beam arrangements is most typical for treatment of a malignant primary brain tumor?
Small partial brain fields with 1 to 3 cm margins
Which of the following is not located in the oral cavity? Lips, floor of mouth, soft palate, hard palate.
soft palate
Clinical examination of patients includes palpation of the _____ lymph nodes to aid in determining prognosis of head and neck cancer:
posterior cervical
Which of the following do not originate from glial cells?
medulloblastoma
The staging system used for head and neck cancer(s) is:
AJCC/TNM
The major reason wax is placed on lead shields used in electron treatment of the lips or external nose is to:
Prevent electron backscatter
Fields gaps are often shifted two or three times during a course of treatment to:
reduce the risk of overdose in the spinal cord
Which medication helps reduce ICP?
Corticosteroids
Which is not a section of the larynx?
Midglottis
In which of the paranasal sinuses do most cancers arise:
maxillary sinus
In lung cancer EBRT, oblique fields are used to take the tumor beyond 45 Gy because:
Cord tolerance is usually reached using AP/PA
What is the grading of newly diagnosed malignant tumors based on?
degree of differentiation of the cells
At what anatomical location does the trachea bifurcate into the right and left main stem bronchi?
Carina
Which salivary gland is associated with the Stensen duct?
parotid
After what dose of radiation does xerostomia typically first occur?
1000 to 2000 cGy
Which of the following is not a common acute side effect a patient may experience during the course of radiation treatments for lung cancer?
Diarrhea
All of the following are major etiologic factors of head and neck cancer except: smoking, handwashing, poor dental hygeine, alcohol consumption
handwashing
What is the most common symptom associated with lung cancer?
cough
The most common presenting sign/symptom of glottic carcinoma:
hoarseness
The purpose of the staging system for cancer is:
to estimate the geographical extent of disease
The vertebral level used to identify the location of the true vocal cords:
C4
What is the most common type of brain tumor?
Metastatic brain lesions
Which tumors spread through the cerebral spinal fluid?
Medulloblastoma
The treatment of choice for brain metastasis is:
Radiation therapy
What diagnostic imaging tool is most commonly used to detect lung cancers?
Chest x-ray
What is the most effective single-agent chemotherapy drug used in the treatment of respiratory tumors?
cisplatin
What is the TD 5/5 of the spinal cord?
47 Gy
Xerostomia is caused by irradiation of the:
salivary glands
All of the following are major etiologic factors of head and neck cancer except:
handwashing
The layer of meninges closely adhering to the brain tissue is the:
pia mater.
What is the leading cause of non–small cell carcinoma of the lung?
Smoking
Lymphatic metastases from lesions other than those that invade the mediastinum or chest-wall directly, usually pass from _____ to _____ to ____ in an orderly fashion.
intrapulmonary, hilar, mediastinal
Why should a patient’s arms be positioned above his or her head during radiation treatments of a primary lung cancer?
Avoid treating normal tissue
The most common histology of lung cancer in the US is:
adenocarcinoma
The shoulders should be displaced _______ as much as possible to maximize the utility of lateral photon fields.
inferiorly
What is the most common histological type of head and neck cancer?
squamous cell carcinoma
What is included in the oropharynx? hypopharynx, pyriform sinus, hard palate, or base of tongue
base of tongue
If a patient’s lateral thickness measures 25cm. If the left lateral SSD is 89cm, what is the right lateral SSD?
86cm
Which of the following is most commonly used in immobilization of head and neck cancer?
s-frame/aquaplast mask
Which group of bronchogenic carcinomas has the poorest prognosis?
small cell carcinoma
Which of the following is the dose at which radiation necrosis of brain tissue is most likely to occur?
6000 cGy
The anatomic relationship of the esophagus to the trachea and vertebral column is:
The esophagus is posterior to the trachea and anterior to the vertebral column.
Which class of chemotherapy drugs has the ability to cross the blood-brain barrier?
Nitrosoureas
The warning signs for cancer include:
unusual bleedin
change in bowel habits
change in a wart or mole (e.g., color)
a new solid lump, often painless
OR
all the above are warning signs.
all of the above
