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Study Guide: CNS, H&N, Lung > Cancer Management Test > Flashcards

Cancer Management Test Flashcards

(87 cards)

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1
Q

The papillae that separate the anterior 2/3 of the tongue from the posterior 1/3 is/are:

A

circumvallate

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2
Q

What is the most common symptom associated with childhood brain tumors in the cerebellum?

A

ataxia

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3
Q

The tonsils are located in the hypopharynx.

A

False

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4
Q

The node of Rouviere is also called the:

A

lateral retropharyngeal

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5
Q

Painful swallowing is also called:

A

odynophagia

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6
Q

Prognosis for cancer of the vocal cords is favorable due to:

A

no lymph node involvement

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7
Q

The pyriform sinus is located in the hypopharynx

A

True

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8
Q

What is the tumor staging system for lung cancer?

A

TNM

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9
Q

The inferior border of the larynx port for the vocal cords treatment anatomically corresponds to:

A

cricoid cartilage

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10
Q

What is the first treatment of choice for SCLC?

A

chemotherapy

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11
Q

What is the most common grade of gliomas?

A

high grade

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12
Q

Which is the TD 5/5 of the heart?

A

40 Gy

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13
Q

The ______ salivary gland located 2cm anterior and 2cm inferior to the EAM is:

A

parotid

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14
Q

What is the most common source of brain metastases among the following?

A

Lung

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15
Q

Which of the following is a characteristic of a benign tumor?

A

cells appear relatively normal

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16
Q

Which of the following structures is NOT in the oropharynx?

A

Hard palate

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17
Q

What is the most common form of larynx cancer?

A

squamous cell

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18
Q

Which of the following is a late effect of brain irradiation in children?

A

Decreased IQ

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19
Q

Which of the following is not associated with developing brain tumors?

smoking, pesticides and herbicides, toxins from rubber manufacturing

A

smoking

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20
Q

Which of the following is/are common presenting symptoms of brain tumors in adults? (Choose all that apply)

blurred vision

ataxia

headaches

seizures

A

blurred vision, headaches, seizures

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21
Q

Mesothelioma is a cancer of which respiratory system component?

A

pleura

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22
Q

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

A

Pneumonectomy

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23
Q

symptoms of cancer in nose and sinuses:

A

obstruction, discharge, facial pain, dipolpia and local swelling

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24
Q

symptoms of cancer in hypopharynx

A

dysphagia and painful neck nodes

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25
What are symptoms of cancer in the oral cavity?
swelling or an ulcer that fails to heal
26
What are symptoms of cancer in the nasopharynx?
bloody discharge and difficulty hearing
27
What are symptoms of cancer in the oropharynx?
painful swallowing and referred otalgia
28
What are symptoms of cancer in the larynx?
hoarseness and stridor
29
The treatment of choice for head and neck carcinomas, that are inaccessible to a surgeon's knife:
radiation therapy
30
A patient presents with positive Epstein-Barr virus and a painless neck mass. This is most likely a _____ cancer.
nasopharynx
31
The primary lymphatic drainage of the lower lip would be to:
submental nodes
32
Treatment fields in the chest should be designed:
with respiratory motion in mind
33
What is the TD 5/5 for whole lung
17.5 Gy
34
The area that contains the pyriform sinus, posterior cricoid cartilage and lower posterior pharyngeal wall is the:
hypopharynx
35
What is the most significant risk factor associated with mesothelioma?
Asbestos exposure
36
What defines the inferior radiation field border for the treatment of the whole brain for palliation?
suprior orbital ridge external auditory meatus
37
What is the tumor staging system for lung cancer?
TNM
38
In what part of the lung are primary squamous cell carcinomas usually found?
Central
39
Which of the following is anatomically situated between the vertebral bodies C3 to C6:
hypopharynx
40
In which portion of the brain do most CNS tumors occur in pediatric patients?
cerebellum
41
In which portion of the brain do most CNS tumors occur in adults?
cerebrum
42
When treating a lung cancer, the spinal cord dose not to be exceeded is:
4500cGy
43
The most common site of cancer in the oropharynx is/are:
tonsils
44
Which of the following beam arrangements is most typical for treatment of a malignant primary brain tumor?
Small partial brain fields with 1 to 3 cm margins
45
Which of the following is not located in the oral cavity? Lips, floor of mouth, soft palate, hard palate.
soft palate
46
Clinical examination of patients includes palpation of the _____ lymph nodes to aid in determining prognosis of head and neck cancer:
posterior cervical
47
Which of the following do not originate from glial cells?
medulloblastoma
48
The staging system used for head and neck cancer(s) is:
AJCC/TNM
49
The major reason wax is placed on lead shields used in electron treatment of the lips or external nose is to:
Prevent electron backscatter
50
Fields gaps are often shifted two or three times during a course of treatment to:
reduce the risk of overdose in the spinal cord
51
Which medication helps reduce ICP?
Corticosteroids
52
Which is not a section of the larynx?
Midglottis
53
In which of the paranasal sinuses do most cancers arise:
maxillary sinus
54
In lung cancer EBRT, oblique fields are used to take the tumor beyond 45 Gy because:
Cord tolerance is usually reached using AP/PA
55
What is the grading of newly diagnosed malignant tumors based on?
degree of differentiation of the cells
56
At what anatomical location does the trachea bifurcate into the right and left main stem bronchi?
Carina
57
Which salivary gland is associated with the Stensen duct?
parotid
58
After what dose of radiation does xerostomia typically first occur?
1000 to 2000 cGy
59
Which of the following is not a common acute side effect a patient may experience during the course of radiation treatments for lung cancer?
Diarrhea
60
All of the following are major etiologic factors of head and neck cancer except: smoking, handwashing, poor dental hygeine, alcohol consumption
handwashing
61
What is the most common symptom associated with lung cancer?
cough
62
The most common presenting sign/symptom of glottic carcinoma:
hoarseness
63
The purpose of the staging system for cancer is:
to estimate the geographical extent of disease
64
The vertebral level used to identify the location of the true vocal cords:
C4
65
What is the most common type of brain tumor?
Metastatic brain lesions
66
Which tumors spread through the cerebral spinal fluid?
Medulloblastoma
67
The treatment of choice for brain metastasis is:
Radiation therapy
68
What diagnostic imaging tool is most commonly used to detect lung cancers?
Chest x-ray
69
What is the most effective single-agent chemotherapy drug used in the treatment of respiratory tumors?
cisplatin
70
What is the TD 5/5 of the spinal cord?
47 Gy
71
Xerostomia is caused by irradiation of the:
salivary glands
72
All of the following are major etiologic factors of head and neck cancer except:
handwashing
73
The layer of meninges closely adhering to the brain tissue is the:
pia mater.
74
What is the leading cause of non–small cell carcinoma of the lung?
Smoking
75
Lymphatic metastases from lesions other than those that invade the mediastinum or chest-wall directly, usually pass from _____ to _____ to ____ in an orderly fashion.
intrapulmonary, hilar, mediastinal
76
Why should a patient's arms be positioned above his or her head during radiation treatments of a primary lung cancer?
Avoid treating normal tissue
77
The most common histology of lung cancer in the US is:
adenocarcinoma
78
The shoulders should be displaced _______ as much as possible to maximize the utility of lateral photon fields.
inferiorly
79
What is the most common histological type of head and neck cancer?
squamous cell carcinoma
80
What is included in the oropharynx? hypopharynx, pyriform sinus, hard palate, or base of tongue
base of tongue
81
If a patient’s lateral thickness measures 25cm. If the left lateral SSD is 89cm, what is the right lateral SSD?
86cm
82
Which of the following is most commonly used in immobilization of head and neck cancer?
s-frame/aquaplast mask
83
Which group of bronchogenic carcinomas has the poorest prognosis?
small cell carcinoma
84
Which of the following is the dose at which radiation necrosis of brain tissue is most likely to occur?
6000 cGy
85
The anatomic relationship of the esophagus to the trachea and vertebral column is:
The esophagus is posterior to the trachea and anterior to the vertebral column.
86
Which class of chemotherapy drugs has the ability to cross the blood-brain barrier?
Nitrosoureas
87
The warning signs for cancer include: unusual bleedin change in bowel habits change in a wart or mole (e.g., color) a new solid lump, often painless OR all the above are warning signs.
all of the above

Study Guide: CNS, H&N, Lung (1 decks)

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