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Mid 2 Flashcards

1
Q
  1. Fibrosising mediastinitis and its related complications is frequently associated with:

a. Coccidioidomycosis
b. Tuberculosis
c. Actinomycosis
d. Histoplasmosis

A

D. Histoplasmosis

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2
Q
  1. Central versus peripheral lung tumors present with different symptomatology. Which one of the following symptoms would be more likely expected with a peripheral tumor? Mar 1199 2nd Ed.

a. Hemoptysis
b. Dysphagia
c. Horner’s syndrome
d. Hoarseness

A

A. Hemoptysis

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3
Q
  1. Pulmonary metastasis happens through this mechanism most commonly: Mar. P1204 2nd Ed.

a. Direct extension from abdomen
b. Hematogenous
c. Lymphogenous
d. Direct extension from mediastinum

A

B. Hematogenous

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4
Q
  1. A patient with metastatic nodular densities containing calcification would likely have a primary _______________!! Mar P 1207 2nd Ed.

a. Prostate cancer
b. Osteosarcoma
c. Renal cell carcinoma
d. Fibrosarcoma

A

B. Osteosarcoma

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5
Q
  1. Tuberculosis and sarcoidosis have _________ in common which may lead to ________.

a. Air space consolidation, cavitation
b. Fibrotic nodules, conglomerate masses
c. Nodular densities, multiple calcific nodules
d. Cicatrisation, pulmonary arterial hypertension

A

d. Cicatrisation, pulmonary arterial hypertension

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6
Q
  1. Pancoast tumor is a peripheral carcinoma most likely from which group?

a. Bronchogenic cancer
b. Bronchial adenoma
c. Alveolar cell carcinoma
d. Sarcoma

A

A. Bronchiogenic cancer

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7
Q
  1. The presence of hematogenous metastasis usually indicates: Mar P1207 2nd Ed

a. Slow primary growth
b. Lethal outcome
c. The primary lesion is carcinoma
d. The primary lesion is an adenoma

A

B. Lethal outcome

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8
Q
  1. Amycetoma (aspergilloma) would most likely be found within the lung; however, they can also be found in:

a. Paranasal sinus
b. Gastric fundus
c. Large bowel
d. Osseous aneurismal bone cyst

A

A. Paranasal sinus

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9
Q
  1. Which of the following would not be part of the TNM system of tumor staging:

a. N2
b. N3
c. N4
d. N0

A

N4

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10
Q
  1. Indirect radiographic signs of lung collapse include all of the following except:

a. Vascular or bronchial crowding
b. Herniation of lung tissue
c. Tracheal deviation
d. Narrowed rib cage on collapsed side

A

A. Vascular or bronchial crowding

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11
Q
  1. Three direct signs of lung collapse, seen on plain film are:

a. Increased lung lucency, displaced fissures, and hilar elevation
b. Increased lung opacity, displaced fissures, and vascular or bronchial crowding
c. Unlilateral hemidiaphragm elevation, tracheal deviation, displaced fissures
d. Hilar displacement, displaced fissures, hyperlucency of unaffected lung

A

b. Increased lung opacity, displaced fissures, and vascular or bronchial crowding

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12
Q
  1. Five-year survival rates with lung cancers are generally considered to be less than_____. Mar p1199 2nd Ed.

a. 25-30%
b. 30-35%
c. 45-55%
d. 10-13%

A

D. 10-13%

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13
Q
  1. Hilar mediastinal lymphadenopathy is most often due to _____ in young patients and _____ in older patients. Goodman P. 165 3rd Ed

a. Sarcoidosis, lung cancer
b. Histoplasmosis, tuberculosis
c. Coccidioidomycosis, lymphoma
d. Hodgkin’s disease, lung cancer

A

A. Sarcoidosis, lung cancer

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14
Q
  1. Pneumothorax would produce:

a. Unilateral localized hyperlucency
b. Bilateral localized hyperlucency
c. Bilateral widespread hyperlucency
d. No hyperlucency but may produce tracheal deviation

A

A. Unilateral localized hyperlucency

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15
Q
  1. Pleural effusion can cause unilateral localized water density which will move with changing patient positioning. ____ and __________ film are the most sensitive film for this radiographic detection?

a. PA, an upright P.A. projection
b. CT, the lateral decubitus view
c. Apical lordotic, a lateral view
d. MRI, a cross-table lateral projection

A

b. CT, the lateral decubitus view

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16
Q
  1. Which primary malignancy do you think would be responsible for the highest overall pulmonary metastasis?

a. Osteosarcoma
b. Colon cancer
c. Renal cell carcinoma
d. Ewing’s sarcoma
e. Breast cancer

A

E. Breast cancer

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17
Q
  1. The most common primary malignancy of the lungs is:

a. Alveolar cell carcinoma
b. Bronchial adenoma
c. Carcinoid tumor
d. Bronchogenic carcinoma

A

D. Bronchiogenic carcinoma

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18
Q
  1. Pneumocystis Carinii Pneumonia (PCP) is pulmonary infection:

a. Most commonly seen in patient with HIV
b. Caused by a parasite found in South Asia
c. That occurs in newborns with inactivated surfactant
d. That commonly complicates comatose or quadriplegic patients

A

a. Most commonly seen in patient with HIV

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19
Q
  1. Which of the following is not considered to be an associated cause of bronchogenic cancer:

a. Cigarette smoking
b. Asbestosis
c. Pulmonary fibrosis
d. History of histoplasmosis

A

D. History of histoplasmosis

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20
Q
  1. Cicatricial atelectasis would be associated radiographiccally with:

a. Localized hyperlucency
b. Hilar displacement away from density
c. Mediastinal shift away from densitty
d. Elevated hemidiaphragm

A

D. Elevated hemidiaphragm

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21
Q
  1. Clinical suspicion of bronchiectasis is confirmed by which imaging procedure?

a. Plain film chest series
b. Bronchography
c. Pulmonary MRI
d. Pulmonary CT

A

D. Pulmonary CT

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22
Q
  1. A common cause of reticular pulmonary pattern is:

a. Pulmonary fibrosis
b. Tuberculosis
c. Staphylococcus aureus
d. Silicosis

A

A. Pulmonary fibrosis

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23
Q
  1. Enlargement of bronchi secondary to destruction of the muscular elements and elastic fibers of the bronchial walls caused by chronic infection is referred to as

a. Acute bronchitis
b. Congenital lung system
c. Emphysema
d. Bronchiectasis

A

D. Bronchiectasis

24
Q
  1. All of the following are considered to be acute infectious pneumonias with the exception of:

a. Pneumococcal pneumonia
b. Staph aureus pneumonia
c. Klebsiella pneumonia
d. Viral pneumonia
e. Nocardiosia pneumonia

A

E. Nocardiosia pneumonia

25
Q
  1. Kartagener”s is assoiciated with which pulmonary disorder?

a. Asthma
b. Emphysema
c. Bronchiectasis
d. Chronic bronchitis
e. Bronchiolitis

A

C. Bronchiectasis

26
Q
  1. Acute diffuse interstitial lung disease is usually due to pulmonary edema or ___________ pneumonia.

a. Viral/mycoplasma
b. Staph aureus
c. Streptococcus
d. Aspiration

A

B. Staph aureus

27
Q
  1. Occupational disease related due to mineral dust inhalation produce which form of pulmonary disease?

a. Subsegmental air space only
b. Interstitial
c. Lobar consolidation
d. Widespread acinonodular consolidation
e. Lobar atelectasis

A

B. Interstitial

28
Q
  1. Which of the following are considered to be fibrogenic pneumoconiosis?

a. Silicosis
b. Asbestosis
c. Black lung disease
d. Bagassosis
e. Talcosis

29
Q
  1. Early stage silicosis is characterized by which radiographic finding?

a. Basilar fibrosis
b. Fibrotic masses adjacent to upper mediastinum
c. Patchy air space consolidation
d. Military nodules
e. Widespread honeycomb lung

A

D. Miliary nodules

30
Q
  1. Of the causes of infective/abscess cavitation, which one might be considered by location:

a. Fungal pneumonia
b. Staph aureus pneumonia
c. Streptococcus pneumoniae
d. Aspiration pneumonia

A

d. Aspiration pneumonia

31
Q
  1. Of the acute infections, cavitation is most likely to be associated with:

a. Streptococcus pneumoniae
b. Staph aureus pneumonia
c. Viral pneumonia
d. Mycoplasma pneumonia
e. Tuberculous pneumonia

A

B. Staph A. pn

32
Q
  1. Which radiographic cause of a cystic cavitary space is not directly related to tissue necrosis?

a. Squamous cell carcinoma
b. Pulmonary metastasis
c. Traumatic cyst
d. Wegener’s granulomatosis

A

C. traumatic cyst

33
Q
  1. Hypersensitivity pneumonitis could be associated with which two of the following work groups or jobs?

a. Sandblasting
b. Chicken farming
c. Oil refining
d. Mushroom farming
e. Construction and demolition

A

B. Chicken farming

D. mushroom farming

34
Q

Which pulmonary caviation has a strong affinity for upper lung location?

a. Klebsiella
b. Infective abscess
c. Rheumatoid nodule
d. Pneumatocele

A

A. Klebsiella

35
Q
  1. Metastasis to the lung from testicular cancer may initially present as:

a. A solitary cavitating lesion
b. Multiple pulmonary nodules > 8mm
c. Multiple cavitating nodules >2cm
d. Multiple evenly distributed nodules 3-5mm in size

A

d. Multiple evenly distributed nodules 3-5mm in size

36
Q

Aspiration pneumonitis

A

Right lung base bronchopneumonia pattern

37
Q

Kartagener’s

A

May have chronic cough and situs inversus totalis

38
Q

Tuberculosis

A

Apical pleural calcification

39
Q

Klebsiella

A

Bilateral upper lung involvement with lobar expansion

40
Q

Streptococcus pneumoniae

A

Most common acute bacterial infection

41
Q
  1. Sequela of previous granulomatous infections include:

a. Calcified granuloma
b. Splenic calcification
c. Upper lung fibrosis
d. Calcified lymph nodes
e. Pleural effusion

A

A, B, C, D

42
Q
  1. The Ghon tubercle is?

a. A lung abscess
b. Related to previous histoplasmosis
c. Related to splenic calcification
d. A tuberculous granuloma
e. A solitary nodule related to lung cancer

A

D. A tuberculus granuloma

43
Q
  1. A patient presenting with a bronchogenic cancer hx, who is familiar with their staging numbers tells you they have a T1N0M1 neoplasm. What is their five year survival potential?

a. 80-90%
b. 35%
d.

44
Q

A patient presenting with bronchogenic cancer hx, who is familiar with their staging number tells you they havea a “stage III” neoplasm. What is their five year survival potential?

a. 80-90%
b.

45
Q
  1. A patient presenting with a bronchogenic cancer hx, who is familiar with their cell type tells you they have small cell neoplasm. What is their five year survival potential?

a. 80-90%
b. 35%
d.

46
Q
  1. The great benefits (sarcasm) to cigarette smoking include: Pick all that apply.

a. Chronic bronchitis
b. Emphysema
c. Pulmonary neoplasm
d. Pancreatic cancer

A

A, B, C, D

47
Q
  1. Pulmonary neoplasms presenting as a peripheral nodule are malignant ___ of the time when >3cm.

a. 25%
b. 85%
c. 50%
d. 45%

48
Q

MATCHING:

Congenital Lung Cyst

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

A. Circular, well defined thin-walled radiolucency

49
Q

MATCHING:

Acute Bronchitis

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

B. Clinical diagnosis with negative chest x-ray

50
Q

MATCHING:

Actinomycosis

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

C. Usually oral infection

51
Q

MATCHING:

Staph aureus pn.

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

D. elderly or young children patients

52
Q

MATCHING:

Chlorine Gas

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

E. May be rapidly fatal

53
Q

MATCHING:

Carcinoid neoplasm

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

F. glandular related tumor

54
Q

MATCHING:

“pack year” history

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

G. Cigarette packs/day x years consumed

55
Q

MATCHING:

Squamous cell carcinoma

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

Pancoast tumor

56
Q

MATCHING:

Coccidioidomycosis

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

I. Thin-walled cavitation with air/fluid level

57
Q

MATCHING:

Adenocarcinoma

A. Circular, well defined thin-walled radiolucency
B. Clinical diagnosis with negative chest x-ray
C. usually oral infection
D. elderly or young children patients
E. may be rapidly fatal
F. Glandular related lung tumor
G. Cigarette packs/day x years consumed
H. Pancoast tumor
I. Thin-walled cavitation with air/fluid level
J. Most common bronchogenic carcinoma

A

J. Most common bronchogenic carcinoma

SOFT B (10 decks)

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