Deck 5: Detection and Diagnosis

Question 1

One part of the staging by the American Joint Committee on Cancer (AJCC)is called histologic type; this refers to:

A) staging of the cell
B) cell type
C) differentiation of the cell
D) grading of the cell

Answer 1

B
Histologic type indicates the type of cell making up the tumor.Surgical/pathologic staging offers the most accurate information about the tumor and the extent of disease spread.A biopsy is often obtained during surgical staging.

Question 2

What is the leading site of cancer resulting in deaths in males and females from studies in 2008?

A) lung and bronchus
B) colon and rectum
C) brain
D) head and neck

Answer 2

A
Estimated deaths for 2008,according to the American Cancer Society,was lung and bronchus.

Question 3

Examples of facilitating verbal responses include all of the following except:

A) "I understand."
B) "This is just part of the aging process."
C) "How bad did it hurt?"
D) "I see you are very angry."

Answer 3

B
Some of the verbal responses that can facilitate the interview are minimal responses,reflecting feelings,and seeking clarification.Responses the may hinder the interview are the use of social cliches,imposition of the interviewer's own values,and devaluing or minimizing the patient's feelings or responses.In addition,the interviewer should present himself/herself as unhurried,interested,and sympathetic to the patient.

Question 4

A normal white blood count is:

A) 3.90 to 5.40 million/mm³
B) 3,900 to 10,800/mm³
C) 12.0 to 16.0 million/mm³
D) 150,000 t0 425.000/mm³

Question 5

Making a fist and pounding gently onto the posterior abdomen,over a kidney area,is an example of which of the following physician's exam?

A) percussion
B) auscultation
C) palpation
D) inspection

Question 6

A sharp increase in prostate cancer incidence rates started in 1988 after the introduction of screening for prostate-specific antigen (PSA).

Question 7

Lymphadenopathy in the axilla area could be an indication of cancer spread from the breast.

Question 8

What was the leading site of new cancer cases in females in 2008?

A) lung
B) colon
C) cervix
D) breast

Question 9

The chance of developing invasive breast cancer at some time in a woman's life is approximately one out of every ___ women.

A) 5
B) 7
C) 8
D) 10

Question 10

Which of the following are part of the medical record?
I)lab results
II)medical history
III)simulation and treatment related images

A) I and II
B) I and III
C) II and III
D) I,II,and III

Question 11

Colonoscopy examines the entire colon from beginning to end,and a sigmoidoscopy examines the lower end of the colon with a flexible endoscope.

Question 12

A diagnosis can be subjective or objective.

Question 13

Most screening studies can be grouped into which of the following major categories?
I)laboratory studies
II)imaging studies
III)vital signs
IV)observation

A) I and II
B) II and III
C) II and IV
D) III and IV

Question 14

Which of the following is not considered one of the four senses?

A) sight
B) touch
C) taste
D) smell

Question 15

A very healthy 40-year old woman has a hematocrit of 30.0%.This is within normal limits.

Question 16

In the TNM staging system,the "T" indicates:

A) metastases
B) nodal status
C) primary tumor
D) grade of the tumor

Question 17

A subjective indication of a disease or a change in condition as perceived by the patient is a ________.

A) sign
B) symptom
C) syndrome
D) screening

Question 18

Which of the following statements are incorrect?

A) Ultrasonography uses high-frequency sound waves.
B) CT scans have a higher resolution than radiographs.
C) MRI scans use ionizing radiation.
D) Most invasive procedures provide some risk to the patient.

Question 19

The American Cancer Society strongly recommends mass screening for all of the following except:

A) breast cancer
B) lung cancer
C) prostate cancer
D) colorectal cancer

Question 20

Research has been ongoing to develop and test a vaccine that would prevent infection with the most common high-risk subtypes of HPV,which may be connected to 70% of uterine cancers.

Question 21

An example of an exfoliative cytologic study could be demonstrative in which of the following?
I)cervix
II)lung
III)brain

A) I and II
B) II and III
C) I and III
D) I,II,and III

Question 22

Mass screening is based on all of the following except:

A) specific results obtained
B) cost-effectiveness
C) risk to the patient
D) geographic location

Question 23

Vital signs include all of the following except:

A) temperature
B) pulse
C) oxygen analyzes
D) blood pressure

Question 24

Which of the following factors would not be observed when taking a pulse?
I)rate
II)rhythm
III)character

A) I and II
B) II and III
C) I and III
D) I,II,and III

Question 25

A more widely accepted procedure for assessing axillary node status once the primary breast tumor has been identified is:

A) specificity testing
B) predictive value testing
C) sentinel lymph node
D) axillary node surgery

Question 26

A physician used auscultation,the act of listening to sounds within the body.The instrument often used in this procedure is the:

A) sphygmomanometer
B) stethoscope
C) pulse oximeter
D) flowmeter

Question 27

In which of the following modalities might the patient be injected with a radionuclide,making the patient radioactive for an image?

A) medical radiography
B) nuclear medicine
C) ultrasonography
D) computed tomography

Question 28

The diastolic norm would be within a range of:

A) 40 to 50 mm Hg
B) 60 to 80 mm Hg
C) 110 to 140 mm Hg
D) 140 to 160 mm Hg

Question 29

The advantage of digital mammography over conventional mammography with x-ray film is that: I.Images are displayed on a computer monitor.
II)Images can be manipulated (lightened or darkened)by radiologist.
III)Images can be stored and retrieved.

A) I and II
B) II and III
C) I and III
D) I,II,and III