Lung Cancer

Question 1

What is the most common tumor that produces ectopic ACTH?

Answer 1

Small cell lung carcinoma (SCLC)

Question 2

What is the procedure of choice to identify the site and attempt early therapeutic intervention for massive hemoptysis (> 600 mL/day or > 100 mL/hour)?

Answer 2

Bronchoscopy

Question 3

What is the recommended management after chest CT for solitary pulmonary nodules ≥ 0.8 cm with low to intermediate malignancy risk?

Answer 3

FDG-PETor Biopsy

Question 4

What is the recommended management after chest CT for solitary pulmonary nodules with high malignancy risk?

Answer 4

Surgical excision

Question 5

Features of an intermediate-risk solitary pulmonary nodule include

Answer 5

• size 0.8 - 2 cm
• age 40 - 60
• smoking cessation within the last 5 - 15 years (or current smoker)

Question 6

Squamous cell carcinoma of the lung is the most common tumor in:

Answer 6

male smokers

Question 7

Squamous cell carcinoma of the lung may produce ____ leading to______

Answer 7

PTHrP
hypercalcemia

Question 8

Which type of lung carcinoma may present with cavitations on CXR?

Answer 8

Squamous cell carcinoma

Question 9

3 Paraneoplastic syndromes associated with SCLC:

Answer 9

• Cushing syndrome and
• Lambert-Eaton syndrome
• Syndrome of inappropriate antidiuretic hormone secretion
  (SIADH)

Question 10

What is the procedure of choice to identify the site and attempt early therapeutic intervention for massive hemoptysis (> 600 mL/day or > 100 mL/hour)?

Answer 10

Bronchoscopy

Question 11

What is the likely diagnosis in a patient with significant smoking history who presents with shoulder pain, weight loss, Horner syndrome, atrophy of hand/arm muscles, and edema?

Answer 11

Pancoast (superior sulcus) lung tumor