Lung Cancer

Question 1

Biopsy of a lung cancer adjacent to the trachea, what test do you use?

Answer 1

Endoscopic Ultrasound / Bronchoscopy (EUS is better)

Question 2

Biopsy of a lung cancer in the middle of the lung parenchyma, what test do you use?

Answer 2

VATS (Video Assisted Thorascospic Surgery)

Question 3

Biopsy of a lung cancer on the periphery, what test do you use?

Answer 3

Percutaneous Biopsy, CT guided

Question 4

Cushing’s Syndrome and lung cancer = ?

Answer 4

Small Cell ACTH

Question 5

How do you screen lung cancer?

Answer 5

CT Scan

Question 6

Hyponatremia and lung cancer = ?

Answer 6

Small Cell and SIADH

Question 7

Lung Cancer and Hypercalcemia could be what?

Answer 7

Metastatic disease OR PTH-rp from Squamous cell carcinoma

Question 8

Ship-yards, construction, and lung cancer =?

Answer 8

Asbestosis, pleural plaques, adenocarcinoma (mesothelioma)

Question 9

How do you evaluate Lung Cancer?

Answer 9

CT scan

Question 10

Wheezing, flushing, diarrhea, lung cancer, what’s the diagnosis?

Answer 10

Carcinoid, 5-HIAA in the urine

Question 11

Who do you screen for lung cancer?

Answer 11

55-80 years old, >30 pack years, ongoing smoker (within 15 years)