Hemoptysis And Lung Cancer

Question 0

Horners – caused by? Symptoms?

Answer 0

Compression of superior cervical ganglion. Ptosis, miosis, anhydrosis

Question 1

Massive hemoptysis?

Answer 1

100 – 600 mL of blood in 24 hours

Question 2

Most common causes of Hemoptysis now? Previously?

Answer 2

Bronchitis and lung cancer.

Tuberculosis, lung abscess, bronchiectasis

Question 3

Chronic copious sputum production suggest?

Answer 3

Bronchiectasis

Question 4

Hemoptysis with an acute onset of pleuritic chest pain and dyspnea suggests?

Answer 4

PE

Question 5

Work up for hemoptysis?

Answer 5

Chest x-ray to look for mass

If chest x-ray reveals mass, fiber-optic bronchoscopy to biopsy

Question 6

Types of non-small cell lung cancer?

Answer 6

Squamous cell carcinoma, adenocarcinoma, large cell carcinoma

Question 7

Cancer most likely to form cavitary lesions?

Answer 7

Squamous cell cancer

Question 8

Peripheral cancers?

Answer 8

Adenocarcinoma and large cell carcinoma

Question 9

One cancer with least association with smoking? See instead?

Answer 9

Adenocarcinoma. Pulmonary fibrosis/scarring

Question 10

On cancer that tends to metastasize to CNS and mediastinum? Associated with?

Answer 10

Large cell cancer. Associated with SVC syndrome and hoarseness (consequence of laryngeal paralysis)

Question 11

Patient with history of this asbestos exposure: cancer?

Answer 11

Squamous cancer, adenocarcinoma, mesothelioma

Question 12

Cancer that is more likely to respond to chemotherapy?

Answer 12

Small cell carcinoma

Question 13

Unlike other cancers, this is not observed with small cell cancer?

Answer 13

Cavitation

Question 14

Small cell cancer: location? Association with smoking? Cavitation? Time before metastases? Extrapulmonary manifestations?

Answer 14

Central, yes, rare , early,

SIADH, ACTH, Eaton-Lambert, Cushing, peripheral neuropathy

Question 15

Squamous cell: location? Association with smoking? Cavitation? Time before metastases? Extrapulmonary manifestations?

Answer 15

Central, yes, most likely, late, hypercalcemia

Question 16

Adenocarcinoma: location? Association with smoking? Cavitation? Time before metastases? Extrapulmonary manifestations?

Answer 16

Peripheral, no, no, early, thrombophlebitis

Question 17

Large cell: location? Association with smoking? Cavitation? Time before metastases? Extrapulmonary manifestations?

Answer 17

Peripheral, yes, no, late, SVC syndrome and hoarseness

Question 18

Findings that suggest solitary pulmonary nodule is benign?

Answer 18

1. Calcifications
2. Size <2.5 cm
3. No growth after two years