Lung cancer

Question 1

4 main types of lung cancer in order of frequency

Answer 1

Adenocarcinoma
Squamous cell
Small cell
Large cell

Question 2

Type of lung cancer most commonly associated with paraneoplastic syndromes

Answer 2

Small cell

Question 3

Hoarse voice in the context of lunch cancer can be caused by

Answer 3

recurrent laryngeal nerve palsy

Question 4

raising the hands over the head causes facial congestion and cyanosis in the context of lung cancer is known as what sign

Answer 4

Pemberton’s sign, indicative of SVC obstruction

Question 5

What causes Horner’s syndrome

Answer 5

Pancoast tumour (tumour in pulmonary apex)

Question 5

Horner’s syndrome triad

Answer 5

ptosis, anhidrosis and miosis

Question 6

hypercalcaemia is most associated with what type of lung cancer

Answer 6

squamous cell

Question 7

The NICE guidelines on suspected cancer recommend offering a chest x-ray, carried out within 2 weeks, to patients over 40 with:

Answer 7

clubbing
lymphadenopathy
recurrent or persistent chest infection
thrombocytosis
chest signs of lung cancer

Question 8

two key examination findings that automatically indicate an urgent chest x-ray

Answer 8

clubbing
supraclavicular lymphadenopathy

Question 9

CXR findings that suggest lung ca

Answer 9

hilar enlargement
peripheral opacity
unilateral pleural effusion
lung collapse

Question 10

lung cancer with worst prognosis

Answer 10

small cell