Pass test - Oncology And Palliative Care

Question 1

List 4 malignant diseases which could present as an enlarged lymph node in the root of the neck

Answer 1

Papillary thyroid cancer
Bronchial carcinoma 
Breast carcinoma 
Gastric carcinoma 
Pancreatic carcinoma

Question 2

How do you treat prostate cancer?

Answer 2

Cyproterone
Local radiotherapy
TURP

Question 3

If a patient has inadequate pain control on a weak opiate and non opiate then what should you do

Answer 3

Trial a strong opiate

Question 4

What four things put you at increased risk of tongue cancer?

Answer 4

HPV, smoking, betel night ingestion and alcohol

Question 5

Aniline dye causes what

Answer 5

Bladder cancer

Question 6

Vinyl chloride causes what

Answer 6

Angiosarcoma of the liver

Question 7

Candium causes what

Answer 7

Carcinoma of the prostate

Question 8

Cannonball appearance on chest X-ray is associated with what

Answer 8

Renal cell carcinoma

Question 9

Why is carboplatin used more than cisplatin

Answer 9

It is less nephrotoxic

Question 10

What is etopside

Answer 10

To poison erase 2 inhibitor used as a chemo agent in treatment of leukaemia lymphoma testicular cancer ovarian cancer neuroblastoma and lung cancer

Question 11

Why give per rectum over oral analgesia in dementia

Answer 11

At risk of aspiration pneumonia due to swallow difficulties

Question 12

What is the opiate of choice in palliative care for patients with renal failure or opiate toxicity problems

Answer 12

Alfentanil

Question 13

When pronouncing a death, breath sounds should be absent for

Answer 13

Three minutes

Question 14

When pronouncing death, the heart sounds should be absent for more than

Answer 14

Two minutes

Question 15

How should pupils be in a dead patient

Answer 15

Fixed and dilated

Question 16

In bowel obstruction in palliative care where the patient would not require surgery or NG tube placement, what would provide relief of discomfort by reducing bowel motility, especially if used with an opiate

Answer 16

Oxybutynin

Question 17

What are the four types of NSCLC

Answer 17

Adenocarcinoma
Bronchoaveolar carcinoma
SCC
Large cell carcinoma

Question 18

Aegiological factors associated with burkitts lymphoma

Answer 18

Preadolescent children confined to the equator (hot climate)
EBV
Chronic malnutrition

Question 19

Treat burkitts lymphoma

Answer 19

Oral cyclophosphamide alone or in combination

Question 20

Ca19-9

Answer 20

Pancreatic cancer

Question 21

Ca 15-3

Answer 21

Breast malignancy

Question 22

Antiemetic for chemo vomiting

Answer 22

Ondansetron

Question 23

Antidepressant which stimulates appetite

Answer 23

Mirtazapine

Question 24

Pernicious anaemia is associated with which malignancy

Answer 24

Gastric carcinoma

Question 25

Plummer Vinson syndrome is associated with which cancer

Answer 25

Oesophageal squamous cell carcinoma

Question 26

Describe medullary thyroid cancer

Answer 26

Parafollicular cells which secrete calcitonin

Question 27

First line treatment for limited stage disease small cell lung cancer is to offer

Answer 27

Chemo radiotherapy

Question 28

What is xerostomia

Answer 28

Dry mouth

Question 29

What are reed Strindberg cells

Answer 29

Giant cells derived by B lymphocyte with multiloved or bilobed nucleus with prominent eosinophilia nuclei