Pass test - Oncology And Palliative Care Flashcards
List 4 malignant diseases which could present as an enlarged lymph node in the root of the neck
Papillary thyroid cancer Bronchial carcinoma Breast carcinoma Gastric carcinoma Pancreatic carcinoma
How do you treat prostate cancer?
Cyproterone
Local radiotherapy
TURP
If a patient has inadequate pain control on a weak opiate and non opiate then what should you do
Trial a strong opiate
What four things put you at increased risk of tongue cancer?
HPV, smoking, betel night ingestion and alcohol
Aniline dye causes what
Bladder cancer
Vinyl chloride causes what
Angiosarcoma of the liver
Candium causes what
Carcinoma of the prostate
Cannonball appearance on chest X-ray is associated with what
Renal cell carcinoma
Why is carboplatin used more than cisplatin
It is less nephrotoxic
What is etopside
To poison erase 2 inhibitor used as a chemo agent in treatment of leukaemia lymphoma testicular cancer ovarian cancer neuroblastoma and lung cancer
Why give per rectum over oral analgesia in dementia
At risk of aspiration pneumonia due to swallow difficulties
What is the opiate of choice in palliative care for patients with renal failure or opiate toxicity problems
Alfentanil
When pronouncing a death, breath sounds should be absent for
Three minutes
When pronouncing death, the heart sounds should be absent for more than
Two minutes
How should pupils be in a dead patient
Fixed and dilated
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
Oxybutynin
What are the four types of NSCLC
Adenocarcinoma
Bronchoaveolar carcinoma
SCC
Large cell carcinoma
Aegiological factors associated with burkitts lymphoma
Preadolescent children confined to the equator (hot climate)
EBV
Chronic malnutrition
Treat burkitts lymphoma
Oral cyclophosphamide alone or in combination
Ca19-9
Pancreatic cancer
Ca 15-3
Breast malignancy
Antiemetic for chemo vomiting
Ondansetron
Antidepressant which stimulates appetite
Mirtazapine
Pernicious anaemia is associated with which malignancy
Gastric carcinoma
Plummer Vinson syndrome is associated with which cancer
Oesophageal squamous cell carcinoma
Describe medullary thyroid cancer
Parafollicular cells which secrete calcitonin
First line treatment for limited stage disease small cell lung cancer is to offer
Chemo radiotherapy
What is xerostomia
Dry mouth
What are reed Strindberg cells
Giant cells derived by B lymphocyte with multiloved or bilobed nucleus with prominent eosinophilia nuclei
