Deck 32: Respiratory System Tumors

Question 1

Which of the following symptoms is not associated with Horner syndrome?

A) ipsilateral miosis
B) ptosis
C) exophthalmos
D) anhydrosis

Answer 1

C
Horner syndrome is associated with enophthalmos but not exophthalmos.

Question 2

Which of the following terms is used to describe the surgical removal of an entire lung?

A) lobectomy
B) segmentectomy
C) pneumonectomy
D) wedge resection

Answer 2

C
A pneumonectomy is the complete removal of the lung.

Question 3

What is the total dose delivered to a primary lung cancer?

A) 3000 cGy
B) 4000 cGy
C) 5000 cGy
D) Greater than 6000 cGy

Answer 3

D
The exact dose will vary; however,tumorcidal doses for lung cancers are greater than 6000 cGy.

Question 4

What is the 5-year survival rate for early-stage lung cancers?

A) 0.5%
B) 15%
C) 60%
D) 85%

Question 5

What is the leading cause of non-small cell carcinoma of the lung?

A) smoking
B) asbestos
C) radiation
D) genetics

Question 6

Which of the following types of lung cancer is also known as oat cell lung cancer?

A) small cell lung cancer
B) non-small cell lung cancer
C) mesothelioma
D) carcinoid tumors of the lung

Question 7

What is the most significant risk factor associated with mesothelioma?

A) asbestos exposure
B) smoking
C) sun exposure
D) radiation exposure

Question 8

Assume the initial treatment portals are AP/PA; after about how many fractions does the typical lung cancer patient start receiving oblique boost treatments?

A) 10
B) 20
C) 30
D) 40

Question 9

Cancer in which lobe of the lung will typically never include treatment of the contralateral hilar lymph nodes unless proved positive?

A) upper
B) middle
C) lower
D) none of the above

Question 10

What is the primary function of the respiratory system?

A) immunity
B) exchange of gases
C) production of somatostatin
D) metabolism

Question 11

What is the 5-year survival rate for small cell and non-small cell lung cancers?

A) 0.5%
B) 15%
C) 60%
D) 85%

Question 12

At what anatomical location does the trachea bifurcate into the right and left main stem bronchi?

A) pleura
B) primary bronchi
C) carina
D) alveoli

Question 13

What performance status score is assigned to patients with disabilities who require special care and assistance but not hospitalization?

A) 20
B) 30
C) 40
D) 50
E) 60

Question 14

According to the American Cancer Society,what percentage of lung cancers are caused by smoking?

A) 37%
B) 67%
C) 87%
D) 97%

Question 15

Which of the following is not a common acute side effect a patient may experience during the course of radiation treatments for lung cancer?

A) dermatitis
B) erythemia
C) esophagitis
D) diarrhea

Question 16

Why should a patient's arms be positioned above his or her head during radiation treatments of a primary lung cancer?

A) patient comfort
B) avoid treating normal tissue
C) capture an additional device charge
D) physician preference

Question 17

In what part of the lung are primary squamous cell carcinomas usually found?

A) superior
B) central
C) lateral
D) peripheral

Question 18

Which of the following syndromes is commonly associated with Pancoast tumors?

A) paraneoplastic syndrome
B) Down syndrome
C) Tourette syndrome
D) Horner syndrome

Question 19

What is the most effective single-agent chemotherapy drug?

A) cisplatin
B) paclitaxel
C) vinorelbine
D) gemcitabine

Question 20

Mesothelioma is a cancer of which respiratory system component?

A) pleura
B) primary bronchi
C) carina
D) alveoli

Question 21

Lung cancer is the leading cause of cancer-related death in women.

Question 22

Small cell lung cancer has a higher incidence rate of metastases at diagnosis than non-small cell lung cancer.

Question 23

Mesotheliomas are more common in men than in women.

Question 24

A dose of 4444 cGy is an acceptable dose to the spine following treatment of a primary lung cancer.

Question 25

Lung cancer is the most common cancer in both men and women.

Question 26

Treatment of superior vena cava syndrome requires an off cord oblique boost.

Question 27

When receiving lung irradiation,patients are asked to hold their breath to eliminate tumor movement.

Question 28

What T stage is a lung cancer measuring 2.5 cm in its greatest dimension?

A) T1
B) T2
C) T3
D) T4

Question 29

What is the most commonly used diagnostic imaging tool used to detect lung cancers?

A) chest x-ray
B) CT
C) MR
D) PET

Question 30

Radiotherapy treatment fields of primary lung cancer include only the tumor plus a 2-cm margin.