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Lecture 5 Test

Enter the letter for the matching Answer
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1.
Type of primary lung tumor that appears as a hilar mass. 80% of the cases are male. Frequently results in necrosis and cavitation. Tumor is capable of PTH production resulting in hypercalcemia.
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2.
Clinical presentation of intrathoracic spread of lung neoplasm
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3.
Location of Squamous Cell Carcinoma of the Lung
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4.
When is bronchial brushing/washings most useful?
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5.
Common sites of Metastasis of Lung Cancer
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6.
N2 staging of lung cancer
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7.
A well-differentiated neuroendocrine lung tumor with low malignancy. Although the tumor is capable of ectopic hormone production, most patients do not have symptoms of an endocrine disorder.
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8.
T4 staging of lung cancer
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9.
Type of primary lung tumor that is not associated with cigarette smoke/inhaled carcinogens. Can present as multifocal lesions or as a solitary lesion.
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10.
5 year survival rates for stage I lung cancer
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11.
Location of Carcinoid tumor of the lung
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12.
T0 staging of lung cancer
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13.
T1 staging of lung cancer
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14.
TX staging of lung cancer
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15.
(T or F) All patients with nonmetastatic carcinoid tumors have carcinoid syndrome.
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16.
T2 staging of lung cancer
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17.
N3 staging of lung cancer
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18.
Location of Small cell (oat cell) Carcinoma of the lung
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19.
Carcinogens in cigarette smoke
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20.
Type of primary lung tumor that is an undifferentiated tumor that may have squamous or adenocarcinoma differentiation or a mixture of both. Neuroendocrine differentiation also occurs. Electron microscopy is necessary to distinguish these features.
A.
Carcinoid tumor of the lung
B.
Central or major bronchi
C.
90% grow within the major bronchus
D.
Lymph nodes, brain, liver, bone, and adrenal glands
E.
Squamous Cell Carcinoma of the Lung
F.
Tumor size: <3.0 cm. No evidence of invasion to surrounding structures. Must be found proximal to a lobar bronchus at bronchoscopy
G.
No evidence of primary tumor
H.
Used to obtain cytology samples from centrally located lung tumors. Diagnostic yield is 79-90%
I.
Metastais to contralateral mediastinal lymph nodes, contralateral hilar lymph nodes, ipsilateral or contralateral scalene or supraclavicular lymph nodes
J.
Tumor proven by the presence of malignant cells in bronchopulmonary secretions, but not visualized roentgenogrphically or bronchoscopically, or any tumor that cannot be assessed as in retreatment stages.
K.
Pleuritic chest pain, intense bone or chest wall pain, dysphagia, hoarseness, CHF, SVC syndrome, Pancoast Syndrome
L.
Tumor size: >3.0 cm OR Any size tumor that either 1) invades the visceral pleura or 2) has associated atelectasis or obstructive pneumonitis. At bronchoscopy, the proximal portion of the tumor must be w/in a lobar bronchus or >2.0 cm distal from carina.
M.
(1) Dimethyl nitrosamine (2) benzopyrene (3) arsenic
N.
(1) Any size tumor that invades the mediastinum or involving the heart, great vessels, trachea, esophagus, vertebral body or carina OR (2) Presence of malignant effusion
O.
48%
P.
Central or segmental bronchi
Q.
False. Carcinoid syndrome only occurs when the tumor metastasizes (usually to the liver). Clinical disease due to vasoactive peptides/amines, and serotonin secreted by the tumor.
R.
Metasis to ipsilateral Mediastinal lymph nodes and subcarinal lymph nodes
S.
Large Cell Anaplastic Carcinoma of the Lung
T.
Bronchioloalveolar Carcinoma
Type the Answer that corresponds to the displayed Question.
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21.
5 year survival rate for stage IV lung cancer
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22.
TIS staging of lung cancer
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23.
Most common cancer found in the lung
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24.
Type of lung mass that appears as “coin lesions”. Can consist of cartilage, fat, and epithelial cells.
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25.
Most common cause of cancer deaths in both sexes
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26.
Ptosis, miosis, and anhidrosis due to involvement of the cervical sympathetic plexus.
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27.
Shoulder and arm pain and weakness due to involvement of c8 and t1 nerve roots. Also may have Horner’s syndrome if sympathetic chain is involved.

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