Oncology II Final Exam

Question 1

a mantle field is used to treat which type of cancer

Answer 1

Hodgkin’s Disease (HD)

Question 2

in what general anatomical location is Waldeyer ring located?

Answer 2

mouth

Question 3

the abdominal para-aortic treatment portal includes what organ(s)?

Answer 3

spleen

Question 4

what landmark is typically used to determine the lower border of the mantle field?

Answer 4

T10

Question 5

what landmark is typically used to determine the lower border of the abdominal portion of the inverted Y-field

Answer 5

L4-5

Question 6

what stage is a Hodgkin lymphoma affecting only the right cervical lymph node?

Answer 6

stage I

Question 7

which stage is Hodgkin lymphoma affecting two lymph node groups on the same side of the diaphragm

Answer 7

stage II

Question 8

what stage is Hodgkin lymphoma affecting the hilarious nodes and the periaortic nodes

Answer 8

Stage III

Question 9

what stage is a Hodgkin lymphoma with extra lymphatic extention?

Answer 9

Stage IV

Question 10

what stage is a Hodgkin lymphoma that involves SCV lymph nodes and the spleen

Answer 10

stage III

Question 11

what is the most common presenting symptom of HD?

Answer 11

painless mass

Question 12

which treatment field for HD includes the inguinal lymph node chain?

Answer 12

inverted-Y (pelvic portion)

Question 13

which treatment field for HD includes the axillary lymph nodes chain?

Answer 13

mantle

Question 14

which treatment field for HD includes the cervical lymph node chain

Answer 14

mantle

Question 15

which treatment field for HD includes the para-aortic lymph node chain?

Answer 15

inverted-Y (abdominal portion)

Question 16

which treatment field for HD includes the retroperitoneal lymph node chain?

Answer 16

inverted-Y (pelvic portion)

Question 17

which treatment field for HD includes the iliac lymph node chain?

Answer 17

inverted-Y (pelvic portion)

Question 18

which treatment field for HD includes the mediastinal lymph node chain?

Answer 18

mantle

Question 19

which is the following organs is most closely associated with the lymphatic system?

Answer 19

spleen

Question 20

which is the following is not a B symptom

Answer 20

diarrhea

Question 21

follicular lymphoma is the most common form of NHL

Answer 21

false

Question 22

HD can be treated with mantle, para-aortic, and inverted-Y fields

Answer 22

true

Question 23

infections with certain viruses are a risk factor for HD

Answer 23

true

Question 24

NHLs are adequately staged using the ANN Arbor staging system

Answer 24

false

Question 25

NHLs are highly curable

Answer 25

false

Question 26

primary brain tumors rarely metastasize

Answer 26

true

Question 27

the entire brain is irradiated when treating primary brain tumor

Answer 27

false

Question 28

T2 lesions are the most common stage of primary brain tumors

Answer 28

false

Question 29

metastatic brain lesions are most common in children than primary brain tumors

Answer 29

false

Question 30

radiation necrosis of brain tissue occurs with doses higher than 6000 cGy

Answer 30

true

Question 31

what is the most common type of brain tumor?

Answer 31

Metastatic brain lesions

Question 32

what is the standard dose delivered to the tumor of a patient with high grade astrocytomas?

Answer 32

6000-6500 cGy

Question 33

``` what grade are GBMs I. I/I II. II/II III. III/III IV. Iv/IV ``` a. I only b. IV only C I and II d. III and IV

Answer 33

III or IV

Question 34

what is the most common source of brain metastases?

Answer 34

lung

Question 35

what is the standard dose delivered to the tumor of a patient with a low grade astrocytoma

Answer 35

5000-5500 cGy

Question 36

which of the following cells is responsible for myelin production

Answer 36

Schwann cells

Question 37

which of the following factors can limit the usefulness of surgery for CNS neoplasms? a. tumor location and extent b. patient status c. risk of causing neurologic damage d. all of the above

Answer 37

all of the above

Question 38

which portion of the brain is the site of intelligence and judgment?

Answer 38

cerebrum

Question 39

which of the following conditions is a contraindication for stereotactic radiosurgery?

Answer 39

five lesions

Question 40

in which portion of the CNS do most CNS tumors occur?

Answer 40

cerebrum

Question 41

what is the most common grade of gliomas?

Answer 41

high grade

Question 42

what is the 5-year survival rate for all CNS tumors combined?

Answer 42

35%

Question 43

which of the following is most significant to the prognosis to the brain tumors

Answer 43

grade

Question 44

what defines the inferior radiation field border for the treatment of the whole brain for palliation?

Answer 44

superior orbital ridge and external auditory meatus