Oncology

Question 1

What’s often the first form of breast cancer biopsy?

Answer 1

Fine needle

Question 2

What form of biopsy can test for estrogen or progesterone receptors?

Answer 2

Core needle

Question 3

What is the starting age for screening mammography?

Answer 3

50

Question 4

When is US the answer for breast questions?

Answer 4

Indeterminant mass lesions (cyst vs solid; painful and varies in size with menstruation)

Question 5

When is PET scan the answer?

Answer 5

To determine the content of abnormal lymph nodes that are not easy to biopsy

Question 6

T/F: lumpectomy with radiation is equal in efficacy to radical mastectomy?

Answer 6

True

Question 7

What drug should Her2/neu positive patients receive?

Answer 7

Trastuzumab

Question 8

Aromatase inhibitors are better for ___________ women?

Answer 8

Postmenopausal

Question 9

Tamoxifen is better for _________ women?

Answer 9

Premenopausal

Question 10

When breast lesions are >1cm and positive axillary nodes are found, what is indicated?

Answer 10

Adjuvant chemotherapy

Question 11

Which is more likely to cause ED in prostate cancer: surgery or radiation?

Answer 11

Surgery

Question 12

How does Gleason grading help determine the decision to do surgery for prostate cancer?

Answer 12

If the Gleason grade is high, surgery will be more beneficial

Question 13

Above age 75, should you do a PSA?

Answer 13

No

Question 14

What drugs can help control the size and progression of metastases once they have occurred in prostate cancer?

Answer 14

Flutamide, GnRH agonists, ketoconazole, and orchiectomy

Question 15

What age should you start doing low dose chest CT for smokers?

Answer 15

Age 55

Question 16

Is surgery possible in lung cancer if there is bilateral disease, lymph nodes on opposite side, or malignant pleural effusion?

Answer 16

No

Question 17

T/F: Small cell lung cancer is usually unresectable

Answer 17

True

Question 18

When lung cancer tests positive for the PD biomarker, which 2 drugs help?

Answer 18

1. Pembrolizumab

2. Nivolumab

Question 19

Is CA-125 used for ovarian cancer screening?

Answer 19

No, just for treatment follow-up

Question 20

What are 4 anterior mediastinal masses?

Answer 20

1. Teratoma
2. Thymoma
3. Thyroid
4. Lymphoma

Question 21

What are 2 posterior mediastinal masses?

Answer 21

1. Neurofibromas

2. Esophageal cancer

Question 22

Which cancer is most often associated with asbestos?

Answer 22

Lung cancer (it is more common than mesothelioma)

Question 23

Does a history of cryptorchidism increase testicular cancer?

Answer 23

Yes

Question 24

Do you cut the scrotum or remove the entire testicle for biopsy?

Answer 24

You have to remove the entire testicle because a needle biopsy can spread the disease

Question 25

What level is elevated in all testicular cancers?

Answer 25

hCG

Question 26

How is staging performed in testicular cancer?

Answer 26

CT scan

Question 27

Does seminomatous cancer secrete AFP?

Answer 27

No, only non-seminomatous

Question 28

What’s the treatment for seminoma?

Answer 28

Chemo + radiation

Question 29

What’s the treatment or non-seminoma?

Answer 29

Just chemo

Question 30

What’s the age range for HPV vax?

Answer 30

11-45

Question 31

What’s the age range for pap smear?

Answer 31

21-65

Question 32

What’s the next step in patients who have low and high grade dysplasia on pap smear?

Answer 32

Colposcopy for biopsy

Question 33

What’s the next step if ASCUS is found on pap?

Answer 33

Perform HPV testing

Question 34

If ASCUS and HPV are present, what’s the next step?

Answer 34

Colposcopy for biopsy

Question 35

If HPV is found but not associated with ASCUS, when does the patient get her next pap?

Answer 35

6 months

Question 36

What are the 3 main classes of medications used to treat chemo-induced nausea?

Answer 36

1. 5HT inhibitors
2. NK receptor antagonists
3. Glucocorticoids