Stuff

Question 1

Lung Ca Screening Indications

Answer 1

55-74 yo
30 pk yr h/o
Current smoker or quit within 15 yrs

• 20% decrease mortality

Question 2

LN stations via Mediastinoscopy

Answer 2

2, 4, 7

Question 3

LN stations vis EBUS-TBNA

Answer 3

1,2,3,4,7,10,11

Question 4

LN stations vis EUS-FNA

Answer 4

2, 4L, 7, 8, 9

Question 5

Seminoma

Answer 5

• Mild elevation or normal b-hcg
• need bx to confirm
• stain + for placental alkaline phosphatase (80%)
• cisplatin based chemo is first line tx

Question 6

Non-seminoma

Answer 6

Increased AFP and b-Hcg
> 100 mIU/mL = diagnostic
Tx is chemo followed by resection

Question 7

RUL segments

Answer 7

Apical
Anterior
Posterior

Question 8

RML segments

Answer 8

Lateral

Medial

Question 9

RLL segments

Answer 9

Superior
Anterior basal
Posterior basal
Lateral basal
Medial basal

Question 10

LUL segments

Answer 10

Apico-posterior
Anterior
Lingula: inferior/superior

Question 11

LLL segments

Answer 11

Superior
Antero-medial basal
Posterior basal
Lateral basal

Question 12

Anterior Mediastinum

Answer 12

Borders:
Lateral - Pleura
Posterior - Pericardium
Anterior - Sternum

4 T’s: Thymus, Thyroid, Teratoma, “terrible” lymphoma

Question 13

Middle Mediastinum

Answer 13

Border: pericardial sac

Contents: heart and great vessels, trachea, phrenic

Question 14

Posterior Mediastinum

Answer 14

Borders:
Anterior - pericardium
Posterior - vertebral bodies