Lung Flashcards

1
Q

Primary tumors of the lung that arise in the bronchi are called

A

Bronchogenic

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2
Q

Lung cancer is the most common ___ ___ in the U.S.

A

Invasive malignancies

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3
Q

Two classes of lung cancer are

A
  • Small cell
  • non-small cell
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4
Q

Prognosis dependant on ___ and ___ of disease

A
  • Stage
  • Extent
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5
Q

Advanced thoracic disease
- KPS
- Weight loss greater than ___%
- Rarely survive longer than ___

A
  • Below 70
  • 5%
  • 2 Years
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6
Q

What type of lung cancer is increasing the most

A

Malignant “mesothelioma” of pleura surfaces

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7
Q

lung cancer is the worlds ___ ___ cancer

A

most common

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8
Q

Lung cancer has a higher incidence in ___

A

Women

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9
Q

Lunger cancer incidence
- Women
- Men

A
  • 1:17
  • 1:15
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10
Q

Most diagnosed at age ___+

A

65

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11
Q

Race most as risk are

A

African Americans

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12
Q

1 cancer killer in ___

A

U.S.

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13
Q

Lung cancer etiology (5)

A
  • Tabacco exposure
  • 2nd hand somke
  • Air pollution
  • Occupational (radon)
  • Asbestos
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14
Q

The respiratory system consists of (5)

A
  • Nose
  • Pahrynx
  • Larynx
  • Trachea
  • Lungs
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15
Q

The trachea is a ___ providing a pathway for air from the __ to the ___

A
  • Tube
  • Laryngopharynx
  • Lungs
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16
Q

The trachea is ___ (location) to the esophagus

A

Anterior

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17
Q

Trachea is lined with ___ cells

A

epithelial

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18
Q

Trachea is the ___ border of the larynx to the ___ vertebra

A
  • Inferior
  • T5
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19
Q

Carina is located at ___ - ___ vertebra

20
Q

The carina divides onto air ducts called the ___

21
Q

___ is where blood, lymphatic vessels and nerves enter and exit the lungs

22
Q

Right lung has ___ lobes
Left lung has ___ lobes

23
Q

O2 and Co2 exchange is called __

A

ventilation

24
Q

Gas excange into lung capillaries is called

A

external respiration

25
Oxygentaed blood to interstitial fluid is called
Internal respiration
26
Lung pressure, diaphragm, movement of chest wall and local organs is influenced by
Lymphatic flow
27
Clinical presentaion (4)
- Weight loss - Cough - Hemoptysis (coughing blood) - Dyspnea
28
Cough - Present ___% of the time - ___% of the time its sever and nremitting
- 75% - 40%
29
Clinical presentation - Regional disease: (4) All Central mediastinal, paratracheal, para-hilar subcarinal lymph nodes
- Pain - Coughing - Dyspnea - Abscess
30
Clinical presentation - Regional disease: (3) Mediastinim
- Chest pain - Dysphagia - SVC compression
31
Clinical presentation - Regional disease: (1) Compression or invasion
Hoarsness
32
Clinical presentation - Regional disease: (1) Phrenic nerve involvement
Diaphragmatic paralysis
33
Clinical presentation - Regional disease: Pancoast tumors (4)
- Pain around shoulders and down the arm - Atrophy of the hand - Horner syndrome - Bone erosion
34
Clincal presestation - Metastatic disease (3)
- Anorexia - Weight loss - Fatigue
35
Group of rare sisorders that are triggerred by an abnorma; immune system responce to cancerous tumor is called
Para-neoplastic syndrome
36
Hypertrophic pulmonary osteoarthropathy is manifested by
clubbing of fingertips
37
Screening recommended by ACS - Low dose ___ - Ages ___ - ___ - Smoker or quit in past ___ years with ___ pack/year
- CT - 55 - 74 - 15 years - 30 pack/year
38
MUST HAVE A ___ TO DIAGNOSE CANCER
Biopsy
39
Spirometry test used to measure (2)
- Oul-on-ary volume - Air flow (tx tolerance)
40
Sputum cytology looks at ___ under a microscope
Mucus
41
Procedure to remove fluid or air from around the lungs is called
Thora-cen-tesis
42
Diagnosis methods (6)
- Sputum cytology - Bronchoscopy - Mediastinoscopy - CT guided needle biopsy - Thoracentesis - Pleural biopsy
43
Non-small cell 5 year survival %
15-20% (Better prognosis)
44
Adeno cell - Most common type in ___ ___ - More common in ___ (gender) - More likely in ___ individuals - Located more ___ - ___ Growing
- Non smokers - Women - Younger - Peripherally - Slow
45
Squamous cell - Associated with ___ - More common in ___ (gender) - Located in ___ bronchial
- Tobacco - men - proximal
46
Large cell - Appear in ___ - ___ common
- Periphery (outer edge) - Least