Respiratory - Lung cancer Flashcards
what is the main cause of lung cancer
a.smoking
b.alcohol
c.asbestos
d.copd
e.family history
a.smoking
symptoms of lung cancer present at a …
a.early stage
b.late stage
b.late stage
symptoms of lung cancer
chest pain
haemoptysis
cough
dyspnea
weight loss
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
b.brain,liver.adrenals,bone
what is the major symptom of metastases to the brain
a.seizures
b.headache
c.vision loss
d.vomiting
a.seizures
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
c.hypercalcaemia
bones,stones,moans,groans
bones- pain and fracture
stones- renal
moans - coma,hallucination,depression
groans- abdominal groans ,constipation,PUD,pancreatitis
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.vena cava
emergency radiotherapy
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.apices of lungs
pancoast tumour
found at apex
causes horners syndrome
hypercalcaemia can occur from a tumour that secretes …
a.ADH
b.PTH
c.ACTH
d.TSH
b.PTH
SIADH leads to what
a.hyponatraemia
b.hypernatraemia
c.hyperkalaemia
d.hypokalaemia
e.hypercalcaemia
a.hyponatraemia
excess ADH causes increased water resorption
sodium relatively lower
Na : H2On
paraneoplastic syndromes are seen more commonly in which type of lung cancer
a.small cell
b.non small cell
a.small cell
80% of lung cancer is
a.non small cell
b.small cell
a.non small cell
types of small cell carcinoma
adenocarcinoma
squamous cell carcinoma
Lung tumour <1cm would be what T stage
a. T1
b.T2
c.T3
d.T4
a. T1
Lung tumour 3-5cm would be what T stage
a. T1
b.T2
c.T3
d.T4
b.T2
Lung tumour 5-7cm would be what T stage
a. T1
b.T2
c.T3
d.T4
c.T3
Lung tumour >7cm would be what T stage
a. T1
b.T2
c.T3
d.T4
d.T4
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.surgery
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
b.radiotherapy
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
c.combination radio chemotherapy
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.CXR
if concerned a normal x ray doesnt rule out the need for further testing
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
c.CT chest
include the upper abdomen as the liver and adrenals are sites of metastatses
what is done after CXR in investigation of suspected lung cancer
a.no further investigation
b.spirometry
c.CT chest
d.PET CT
c.CT chest
what is done after CT chest in investigation of suspected lung cancer
a.no further investigation
b.spirometry
c.CT chest
d.PET CT
d.PET CT
assess for distant metastases
how is fitness assessed in lung cancer
ECOG performance status
ECOG score 0
fully active
ECOG score 1
restricted
ECOG score 2
cant carry out work activities
ECOG score 3
limited self care
ECOG score 4
fully disabled
ECOG score 5
Dead
an ECOG score below what is required for treatment
a.1
b.2
c.3
d.4
e.5
c.3
tretament is not offered to patients with an ECOG score of … or above
a.1
b.2
c.3
d.4
c.3
at time of presentation a small cell lung cancer has normally…
METASTATSISED
What are the 2 types of small cell lung cancer
limited and extensive
limited = tumour confined to 1 haemothorax
extensive = beyond 1 radiology field/ effusions
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.12 weeks
what is the prognosis for limited small cell lung cancer with treatment
a.12 weeks
b.12 months
c.6 weeks
d.8 months
b.12 months
what is the prognosis for extensive small cell lung cancer with treatment
a.12 weeks
b.12 months
c.6 weeks
d.8 months
d.8 months
what is the prognosis for extensive small cell lung cancer without treatment
a.12 weeks
b.12 months
c.6 weeks
d.8 months
c.6 weeks
what is the only treatment option for extensive small cell lung cancer
a.surgery
b.radiotherapy
c.combination radio chemotherapy
d.chemotherapy
d.chemotherapy
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
c.combination radio chemotherapy
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
d.chemotherapy
