Onc

Question 1

Lung Ca Screening Indications

Answer 1

Age 55-80, 30py hx (within past 15 yrs)

Question 2

Lung Ca Screening Test

Answer 2

Low-Dose CT

Question 3

Lung Ca Staging

Answer 3

CT Chest/Abd, PET-CT chest

Question 4

Absolute indication for lung nodule biopsy

Answer 4

> 1.5cm

Question 5

Which Lung Ca stage? Mediastinal involvement

Answer 5

III

Question 6

Which Lung Ca stage? Ipsilateral node positive

Answer 6

II

Question 7

Tx NSCLC Stage I-II

Answer 7

Surgery (adjuvant ctx for 1B+)

Question 8

Tx NSCLC Stage III

Answer 8

Neoadjuvant Ctx, then surgery

Question 9

Tx SCLC

Answer 9

Cisplatin + etoposide

Question 10

Eval palpable lump under 30, more than 2 menstrual cycles

Answer 10

US

Question 11

Eval palpable lump age over 30

Answer 11

Mammogram

Question 12

Eval BIRADS 1-3

Answer 12

US

Question 13

Eval BIRADS 4-5

Answer 13

Biopsy

Question 14

Colorectal Ca Screening PSC

Answer 14

annual colonoscopy

Question 15

Tx colorectal cancer: indications for chemotherapy

Answer 15

Stage III+ (node-positive)

Question 16

Tx rectal cancer: indications for radiation therapy

Answer 16

Stage II+

Question 17

Tx colorectal cancer regimen

Answer 17

5-FU + leucovorin + oxaliplatin

Question 18

Cervical cancer staging

Answer 18

CT abd/pelvis, CXR

Question 19

Prostate Ca: indications for CT abd/pelvis and bone scan

Answer 19

PSA>10 or Gleason>7

Question 20

Tx prostate Ca hormone therapy

Answer 20

Leuprolide/goserelin + androgen inhibitor (flutamide or bicalutamide)

Question 21

Indication for melanoma SLNB

Answer 21

thickness >1mm

Question 22

Precursor lesion to melanoma

Answer 22

Dysplastic nevus

Question 23

Precursor lesion to squamous cell carcinoma (skin)

Answer 23

Actinic keratosis

Question 24

Indication for interferons in melanoma

Answer 24

Node-positive

Question 25

Dx Lymphoma

Answer 25

Excision lymph node biopsy

Question 26

Tx Hodgkin Lymphoma

Answer 26

ABVD: doxorubicin, bleomycin, vinblastine, dacarbazepine

Question 27

What testing is indicated in a patient with new dx of NHL?

Answer 27

HBV, HCV, HIV

Question 28

Which NHL type? MALT lymphoma

Answer 28

Marginal Zone

Question 29

Which NHL type? Cyclin D1 overexpression

Answer 29

Mantle Cell

Question 30

Which NHL type? c-myc, starry sky appearance

Answer 30

Burkitt

Question 31

Which NHL type? Most common

Answer 31

Diffuse Large B cell

Question 32

Which NHL type? Curable

Answer 32

Diffuse Large B cell, Burkitt

Question 33

Dx Chronic Lymphocytic Leukemia

Answer 33

Clonal >5,000 WBC increase in absence of cause

Question 34

Which sign/pathology? Onset of facial flushing and inspiratory stridor with raising arms above head

Answer 34

Pemberton sign/SVC syndrome

Question 35

Tx CNS metastases

Answer 35

Glucocorticoids

Question 36

Electrolyte disturbances in Tumor Lysis Syndrome (4)

Answer 36

Hypocalcemia, hyperkalemia, hyperphosphatemia, hyperuricemia

Question 37

Tx Hypercalcemia of Malignancy

Answer 37

NS/loop diuretics (+/- bisphosphonates)

Question 38

Which diagnosis? flushing, diarrhea, wheezing, pellagra

Answer 38

Carcinoid syndrome

Question 39

Which diagnosis? Palpitations, sweating, headache, confusion/seizures, hypoglycemia

Answer 39

Insulinoma

Question 40

Lung Ca associated with PTHrP

Answer 40

SCC

Question 41

Lung Ca associated with ACTH-secretion

Answer 41

SCLC

Question 42

Ca associated with Lambert-Eaton

Answer 42

SCLC

Question 43

Ca associated with DIC

Answer 43

APML

Question 44

Syndrome/Ca associated with clubbing and arthritis

Answer 44

Hypertrophic Pulmonary Osteoarthropathy/Lung carcinoma