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Year 3 > Respiratory - Lung cancer > Flashcards

Respiratory - Lung cancer Flashcards

1
Q

what is the main cause of lung cancer

a.smoking
b.alcohol
c.asbestos
d.copd
e.family history

A

a.smoking

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2
Q

symptoms of lung cancer present at a …

a.early stage
b.late stage

A

b.late stage

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3
Q

symptoms of lung cancer

A

chest pain
haemoptysis
cough
dyspnea
weight loss

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4
Q

what are the main sites of metastases for lung cancer

a.brain, heart,adrenals,liver
b.brain,liver.adrenals,bone
c.brain,liver,thyroid,bone

A

b.brain,liver.adrenals,bone

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5
Q

what is the major symptom of metastases to the brain

a.seizures
b.headache
c.vision loss
d.vomiting

A

a.seizures

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6
Q

patient with depression and new onset hallucinations,pain in the flank that is coming and going, and constipation and new bone pain
this indicates which state

a.hypoglycaemia
b.hypocalcaemia
c.hypercalcaemia
d.hyperkalaemia

A

c.hypercalcaemia

bones,stones,moans,groans

bones- pain and fracture
stones- renal
moans - coma,hallucination,depression
groans- abdominal groans ,constipation,PUD,pancreatitis

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7
Q

patient with diagnosed lung cancer, on inspection patient is plethoric with distended neck veins and reports feeling breathless. which structure is most likely being obstructed by the tumour

a.vena cava
b.pulmonary artery
c. osophagus
d.trachea
e.aorta

A

a.vena cava

emergency radiotherapy

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8
Q

patient with diagnosed lung cancer . They have been experiencing shoulder pain on examination they have drooping eyelids,constricted pupils and a lack of sweat production on exertion . where is the tumour most likely located

a.apices of lungs
b.bases of lungs
c.left middle lobe
d.right middle lobe
e.hila of lungs

A

a.apices of lungs

pancoast tumour
found at apex
causes horners syndrome

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9
Q

hypercalcaemia can occur from a tumour that secretes …

a.ADH
b.PTH
c.ACTH
d.TSH

A

b.PTH

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10
Q

SIADH leads to what

a.hyponatraemia
b.hypernatraemia
c.hyperkalaemia
d.hypokalaemia
e.hypercalcaemia

A

a.hyponatraemia

excess ADH causes increased water resorption
sodium relatively lower
Na : H2On

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11
Q

paraneoplastic syndromes are seen more commonly in which type of lung cancer

a.small cell
b.non small cell

A

a.small cell

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12
Q

80% of lung cancer is

a.non small cell
b.small cell

A

a.non small cell

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13
Q

types of small cell carcinoma

A

adenocarcinoma
squamous cell carcinoma

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14
Q

Lung tumour <1cm would be what T stage

a. T1
b.T2
c.T3
d.T4

A

a. T1

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15
Q

Lung tumour 3-5cm would be what T stage

a. T1
b.T2
c.T3
d.T4

A

b.T2

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16
Q

Lung tumour 5-7cm would be what T stage

a. T1
b.T2
c.T3
d.T4

A

c.T3

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17
Q

Lung tumour >7cm would be what T stage

a. T1
b.T2
c.T3
d.T4

A

d.T4

18
Q

What is the first line treatment for
a small localised tumour with score N0 non small cell lung cancer

a.surgery
b.radiotherapy
c.combination radio chemotherapy
d.chemotherapy

A

a.surgery

19
Q

What is the first line treatment for
a small localised tumour with score N0 non small cell lung cancer if the patient is not fit for surgery

a.surgery
b.radiotherapy
c.combination radio chemotherapy
d.chemotherapy

A

b.radiotherapy

20
Q

if the patient has a non small cell lung cancer that has spread to other sites what is the first line treatment

a.surgery
b.radiotherapy
c.combination radio chemotherapy
d.chemotherapy

A

c.combination radio chemotherapy

21
Q

what is the first line investigation for suspected lung cancer

a.CXR
b.PET scan
c.CT chest
d.spirometry
e.Ultrasound guided lymph node biopsy

A

a.CXR

if concerned a normal x ray doesnt rule out the need for further testing

22
Q

suspected lung cancer, CXR appears normal what is the next stage of management

a.no further investigation
b.spirometry
c.CT chest
d.PET CT

A

c.CT chest

include the upper abdomen as the liver and adrenals are sites of metastatses

23
Q

what is done after CXR in investigation of suspected lung cancer

a.no further investigation
b.spirometry
c.CT chest
d.PET CT

A

c.CT chest

24
Q

what is done after CT chest in investigation of suspected lung cancer

a.no further investigation
b.spirometry
c.CT chest
d.PET CT

A

d.PET CT

assess for distant metastases

25
Q

how is fitness assessed in lung cancer

A

ECOG performance status

26
Q

ECOG score 0

A

fully active

27
Q

ECOG score 1

A

restricted

28
Q

ECOG score 2

A

cant carry out work activities

29
Q

ECOG score 3

A

limited self care

30
Q

ECOG score 4

A

fully disabled

31
Q

ECOG score 5

A

Dead

32
Q

an ECOG score below what is required for treatment

a.1
b.2
c.3
d.4
e.5

A

c.3

33
Q

tretament is not offered to patients with an ECOG score of … or above

a.1
b.2
c.3
d.4

A

c.3

34
Q

at time of presentation a small cell lung cancer has normally…

A

METASTATSISED

35
Q

What are the 2 types of small cell lung cancer

A

limited and extensive

limited = tumour confined to 1 haemothorax

extensive = beyond 1 radiology field/ effusions

36
Q

what is the prognosis for limited small cell lung cancer without treatment

a.12 weeks
b.12 months
c.6 weeks
d.8 months

A

a.12 weeks

37
Q

what is the prognosis for limited small cell lung cancer with treatment

a.12 weeks
b.12 months
c.6 weeks
d.8 months

A

b.12 months

38
Q

what is the prognosis for extensive small cell lung cancer with treatment

a.12 weeks
b.12 months
c.6 weeks
d.8 months

A

d.8 months

39
Q

what is the prognosis for extensive small cell lung cancer without treatment

a.12 weeks
b.12 months
c.6 weeks
d.8 months

A

c.6 weeks

40
Q

what is the only treatment option for extensive small cell lung cancer

a.surgery
b.radiotherapy
c.combination radio chemotherapy
d.chemotherapy

A

d.chemotherapy

41
Q

what is the treatment for limited small cell cancer if the patient is ECOG fit

a.surgery
b.radiotherapy
c.combination radio chemotherapy
d.chemotherapy

A

c.combination radio chemotherapy

42
Q

what is the treatment for limited small cell cancer if the patient is not ECOG fit

a.surgery
b.radiotherapy
c.combination radio chemotherapy
d.chemotherapy

A

d.chemotherapy

Year 3 (25 decks)

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