Oncology

Question 1

Chronic Myeloid Leukaemia

Answer 1

slow growing blood cancer causing tiredness, weakness and splenomegaly

Question 2

Hodgekins Lymphoma ‘hallmark sign’

Answer 2

painful lump in neck when drinking alcohol, present in 10% affected individuals

Question 3

Multiple Myeloma

Answer 3

Cancer of the bone marrow. Relapsing and remitting so no cure possible

Sx - bone pain, anaemia, repeated infections, unusual bleeding

Question 4

Palliative hiccups

Answer 4

treated with chlorpromazine and sometimes haloperidol. Dexamethasone can also be used with hepatic lesions

Question 5

Tumour lysis syndrome

Answer 5

oncological emergency characterised by serious electrolyte imbalance and metabolic abnormalities. Occurs after the initiation of cancer treatment where rapid cell death causes the release of cell contents into the bloodstream