The Quizzes about Oncology – Part 3 (23 test)

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The Quizzes about Oncology – Part 3 (23 test)
5 (100%) 1 vote

Select the ONE answer that is BEST in each case.

A 54-year-old woman has postmenopausal vaginal bleeding. There is no associated pain or systemic symptoms, and speculum examination reveals an irregular appearance to the cervix, which bleeds easily when samples are taken for a Pap smear. The diagnosis is cervical cancer.

Although causation is not definite, a high proportion of cervical cancers reveal HPV-16 and HPV-18 on biopsy. HPV has also been isolated from vulvar, penile, and anal cancers.

 

See all quizzes of  the Oncology at here:

Part 1Part 2 | Part 3 |

 

41. A 54-year-old woman has postmenopausal vaginal bleeding. There is no associated pain or
systemic symptoms, and speculum examination reveals an irregular appearance to the cervix, which bleeds easily when samples are taken for a Pap smear. The diagnosis is cervical cancer.

(A) alcoholic beverages
(B) alkylating agents
(C) arsenic
(D) asbestos
(E) benzene
(F) ultraviolet radiation
(G) Epstein-Barr virus
(H) hepatitis B virus (HBV)
(I) human papillomavirus (HPV)
(J) vinyl chloride

42. A 58-year-old woman presents with RUQ abdominal discomfort. She has no history of gallstones, and on examination, there is a firm mass in the RUQ. Ultrasound of the liver reveals a 6-cm solitary lesion in the liver, and her alphafetoprotein level is elevated.

(A) alcoholic beverages
(B) alkylating agents
(C) arsenic
(D) asbestos
(E) benzene
(F) ultraviolet radiation
(G) Epstein-Barr virus
(H) hepatitis B virus (HBV)
(I) human papillomavirus (HPV)
(J) vinyl chloride

43. The most common type of lung cancer in the United States.

(A) cancer metastatic to the lung
(B) squamous cell cancer of the lung
(C) adenocarcinoma of the lung
(D) small cell cancer of the lung
(E) large cell cancer of the lung

44. Has the best prognosis of all malignant lung cancers.

(A) cancer metastatic to the lung
(B) squamous cell cancer of the lung
(C) adenocarcinoma of the lung
(D) small cell cancer of the lung
(E) large cell cancer of the lung

45. Most likely to cause nonmetastatic hypercalcemia.

(A) cancer metastatic to the lung
(B) squamous cell cancer of the lung
(C) adenocarcinoma of the lung
(D) small cell cancer of the lung
(E) large cell cancer of the lung

46. Associated with syndrome of inappropriate antidiuretic hormone (SIADH).

(A) cancer metastatic to the lung
(B) squamous cell cancer of the lung
(C) adenocarcinoma of the lung
(D) small cell cancer of the lung
(E) large cell cancer of the lung

47. Associated with myasthenic syndrome (EatonLambert syndrome).

(A) cancer metastatic to the lung
(B) squamous cell cancer of the lung
(C) adenocarcinoma of the lung
(D) small cell cancer of the lung
(E) large cell cancer of the lung

48. A 23-year-old man notices numbness in his hands and feet. On examination, there is distal loss of sensation to touch, and vibration in all four limbs. He recently finished chemotherapy for testicular cancer.

(A) methotrexate
(B) cytarabine
(C) 5-fluorouracil (5-FU)
(D) bleomycin
(E) doxorubicin
(F) pamidronate
(G) cisplatin
(H) busulfan
(I) cyclophosphamide
(J) vincristine

49. A 56-year-old woman is receiving chemotherapy for lymphoma for the past year. Her liver enzymes have been persistently elevated for the last 2 months. She has no prior history of chronic liver disease, and screening tests for viral hepatitis are negative. A liver biopsy indicates early hepatic fibrosis.

(A) methotrexate
(B) cytarabine
(C) 5-fluorouracil (5-FU)
(D) bleomycin
(E) doxorubicin
(F) pamidronate
(G) cisplatin
(H) busulfan
(I) cyclophosphamide
(J) vincristine

50. A 64-year-old man is receiving chemotherapy for squamous cell cancer of the lung. He has
now developed erythema, induration, thickening, and eventual peeling of the skin on the fingers, palms, and soles of his feet.

(A) methotrexate
(B) cytarabine
(C) 5-fluorouracil (5-FU)
(D) bleomycin
(E) doxorubicin
(F) pamidronate
(G) cisplatin
(H) busulfan
(I) cyclophosphamide
(J) vincristine

51. A 54-year-old woman received adjuvant chemotherapy for breast cancer 1 year ago. She now presents with symptoms and signs of congestive heart failure. An echocardiogram confirms decreased left ventricular function.

(A) methotrexate
(B) cytarabine
(C) 5-fluorouracil (5-FU)
(D) bleomycin
(E) doxorubicin
(F) pamidronate
(G) cisplatin
(H) busulfan
(I) cyclophosphamide
(J) vincristine

52. A 34-year-old man is undergoing preconditioning high-dose chemotherapy for a bone marrow transplant. On the third day of treatment, he develops hematuria.

(A) methotrexate
(B) cytarabine
(C) 5-fluorouracil (5-FU)
(D) bleomycin
(E) doxorubicin
(F) pamidronate
(G) cisplatin
(H) busulfan
(I) cyclophosphamide
(J) vincristine

53. Has the best prognosis of all thyroid malignancies

(A) anaplastic thyroid cancer
(B) follicular cancer of the thyroid
(C) lymphoma of the thyroid
(D) papillary cancer of the thyroid
(E) medullary thyroid cancer

54. Is proportionately more common in Blacks than Whites

(A) anaplastic thyroid cancer
(B) follicular cancer of the thyroid
(C) lymphoma of the thyroid
(D) papillary cancer of the thyroid
(E) medullary thyroid cancer

55. Is associated with a specific marker

(A) anaplastic thyroid cancer
(B) follicular cancer of the thyroid
(C) lymphoma of the thyroid
(D) papillary cancer of the thyroid
(E) medullary thyroid cancer

56. The only form of Hodgkin’s disease more common in women

(A) lymphocyte-predominant Hodgkin’s disease (HD)
(B) nodular-sclerosing HD
(C) mixed-cellularity HD
(D) lymphocyte-depleted HD, reticular type
(E) lymphocyte-depleted HD, diffuse fibrosis type
(F) all variants of HD

57. Reed-Sternberg cells can be difficult to locate in this variant

(A) lymphocyte-predominant Hodgkin’s disease (HD)
(B) nodular-sclerosing HD
(C) mixed-cellularity HD
(D) lymphocyte-depleted HD, reticular type
(E) lymphocyte-depleted HD, diffuse fibrosis type
(F) all variants of HD

58. This variant has a particularly good outcome

(A) lymphocyte-predominant Hodgkin’s disease (HD)
(B) nodular-sclerosing HD
(C) mixed-cellularity HD
(D) lymphocyte-depleted HD, reticular type
(E) lymphocyte-depleted HD, diffuse fibrosis type
(F) all variants of HD

59. Can be accompanied by a nonnecrotizing epithelioid granulomatous reaction

(A) lymphocyte-predominant Hodgkin’s disease (HD)
(B) nodular-sclerosing HD
(C) mixed-cellularity HD
(D) lymphocyte-depleted HD, reticular type
(E) lymphocyte-depleted HD, diffuse fibrosis type
(F) all variants of HD

60. A 52-year-old woman has metastatic breast cancer with boney metastases. She is taking
hydromorphone for the pain but is still experiencing back pain. She is reluctant to take more of the hydromorphone since she become very drowsy with higher doses. This group of medications is particularly useful for pain from bony metastases.

(A) nonsteroidal anti-inflammatory drugs (NSAIDs)
(B) opioids
(C) amphetamines
(D) anticonvulsants
(E) phenothiazines
(F) butyrophenones
(G) steroids

61. A 74-year-old man with metastatic prostate cancer develops shooting pains in his left legand constant back pain. Further evaluation reveals a pathologic compression fracture of the lumbar spine and involvement of the nerve roots in his lower spine causing the pain. He is started on a medication to help reduce the symptoms, but a limitation of the drug is leukopenia and thrombocytopenia.

(A) nonsteroidal anti-inflammatory drugs (NSAIDs)
(B) opioids
(C) amphetamines
(D) anticonvulsants
(E) phenothiazines
(F) butyrophenones
(G) steroids

62. A 68-year-old woman was treated for melanoma 3 years ago. She now presents with constant headaches, nausea, vomiting, and leftsided weakness. A CT scan reveals two masses
in the right parietal lobe consistent with metastatic melanoma. She is started on medication to help reduce her symptoms of headaches and nausea.

(A) nonsteroidal anti-inflammatory drugs (NSAIDs)
(B) opioids
(C) amphetamines
(D) anticonvulsants
(E) phenothiazines
(F) butyrophenones
(G) steroids

63. A 65-year-old man has metastatic lung cancer and severe bone and chest pain. He is started on morphine and ibuprofen to control the pain but is still not comfortable. Further gradual increases in the morphine dose achieve good pain control but he becomes drowsy on the appropriate dose and is unable to do much. He is started on a medication that can be useful in controlling opioid-induced sedation.

(A) nonsteroidal anti-inflammatory drugs (NSAIDs)
(B) opioids
(C) amphetamines
(D) anticonvulsants
(E) phenothiazines
(F) butyrophenones
(G) steroids

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