Lung Cancer

Question 1

This type of lung cancer is associated with paraneoplastic syndromes like SIADH & Eaton-Lambert Syndrome

Answer 1

Small cell lung cancers

Question 2

This is the most common type of lung cancer found in non-smokers & is in the periphery of the lung

Answer 2

Adenocarcinoma

Question 3

This type of lung cancer originates in the epithilium of the bronchiole wall

Answer 3

Squamous cell

Question 4

Lung cancer that originates in the main bronchi, spreads easily, & is very aggressive

Answer 4

Small cell lung cancer

Question 5

Lung cancer that has Keratin Pearls on CXR & necrosis and cavity formation

Answer 5

Squamous cell

Question 6

Bronchorrhea is found in this lung cancer

Answer 6

Adenocarcinoma

Question 7

Lung cancer with a 6-18 week prognosis if left untreated

Answer 7

SCLC

Question 8

Organ dysfunction related to immune mediated effects of cancer

Answer 8

Paraneoplastic syndromes

Question 9

what paraneoplastic syndrome is most commonly seen with squamous cell carcinoma

Answer 9

Hypercalcemia

Question 10

Eaton-Lambert syndrome is what type of paraneoplastic syndrome?

Answer 10

neurological

Question 11

Cushing-syndrome, hypercalcemia, & hyponatremia are what type of paraneoplastic disorders?

Answer 11

Endocrine

Question 12

SIDAH commonly accompanies what type of lung cancer?

Answer 12

Small cell LC

Question 13

Who should be screened for lung cancer with and annual chest CT?

Answer 13

-Age 55-80y/o
-Current smoker
-30 year pack HX who quit less than 15 years ago

Question 14

Pulmonary nodule with smooth, popped corn appearance, that’s smaller than 2cm found in a young, non-smoker

Answer 14

likely benign

Question 15

If a pulmonary nodule is spiculated in appearance and changes size over the course of a few years it is likely what?

Answer 15

Malignant

Question 16

What are the two stages for small cell lung cancer?

Answer 16

-Limited stage which is confined to the hemithorax
-Extensive stage which has spread outside the hemithorax

Question 17

increased vascular permeability resulting in leaking into pleural space or change in pleural fluid reabsorption; High protein and high LDH

Answer 17

Exudative pleural effusion

Question 18

changes in oncotic and hydrostatic pressure; low protein count; caused by left sided HF; don’t require drainage

Answer 18

Transudative pleural effusion

Question 19

What type of NSCLC presents with hemoptysis?

Answer 19

Squamous cell LC

Question 20

What form of SCLC is treated with resection if there is no spreading or metastasis; & chemotherapy if it spread

Answer 20

Limited stage SCLC

Question 21

What form of SCLC is treated with chemotherapy with a palliative (not curative) intent?

Answer 21

Extensive stage SCLS

Question 22

Patients with these two forms of NSCLC who can handle surgery should have a resection; in N1 a lobectomy or pneumectomy is recommended to remove primary tumor and drain the lymph

Answer 22

NSCLC Stages I & II

Question 23

What is an accumulation of fluid in pleural space when the fluid can’t be reabsorbed by the lymph or changes in oncotic and hydrostatic pressure

Answer 23

Pleural effusion

Question 24

Fluid present in lungs on CXR, blunted costophrenic angles, and free-floating fluid in decubitus position

Answer 24

Pleural effusion

Question 25

What type of parapneumonic pleural effusion has a pH <7.2 puss in pleural space, and requires drainage & ABX to prevent empyema

Answer 25

complicated parapneumonic effusion

Question 26

Presentation: acute dyspnea, tachycardia, decreased breath sounds (can be from trauma, or spontaneous)

Answer 26

pneumothorax

Question 27

This disorder is an emergency requiring immediate relief of air and pressure

Answer 27

Tension pneumothorax