Quiz about Gastric Cancer Risk Factors and Clinical Assessment Quiz

Question 1

Which of the following is a major risk factor for gastric cancer?

Accepted Answer

H. Pylori infection

Answer

High intake of dairy products

Answer

Low salt diet

Answer

Regular exercise

Question 2

Which race is NOT listed as being at higher risk for gastric cancer?

Accepted Answer

Native American

Answer

Hispanic American

Answer

African American

Answer

Asians/Pacific Islanders

Question 3

What is the average age of onset for gastric cancer?

Accepted Answer

68

Answer

45

Answer

55

Answer

72

Question 4

Which of the following foods is associated with a higher risk of gastric cancer? SATA

Accepted Answer

Pickled foods

Accepted Answer

Salted foods

Accepted Answer

Highly smoked foods

Accepted Answer

Low in fruits and veggies

Answer

Leafy veggies

Question 5

Which of the following is a common site of metastasis for gastric cancer? SATA

Accepted Answer

Peritoneum

Accepted Answer

Liver

Accepted Answer

Lung

Accepted Answer

Brain

Answer

Pancreas

Question 6

Which clinical manifestation is associated with early-stage gastric cancer?

Accepted Answer

Pain relieved by antacids

Answer

Severe vomiting

Answer

Jaundice

Answer

Hematuria

Question 7

Which diagnostic study is considered the study of choice for biopsy and cytologic washings in gastric cancer?

Accepted Answer

Esophagogastroduodenoscopy

Answer

CT scan

Answer

MRI

Answer

PET scan

Question 8

Why is endoscopic ultrasound used in the assessment of gastric cancer?

Accepted Answer

To assess tumor depth

Answer

To detect brain metastasis

Answer

To measure blood pressure

Answer

To check for anemia

Question 9

Explain why certain diets, such as those high in smoked and pickled foods, increase the risk of gastric cancer.

Accepted Answer

They contain carcinogenic substances that can damage the stomach lining.

Answer

They increase vitamin C absorption.

Answer

They reduce stomach acidity.

Answer

They promote healthy gut bacteria.

Question 10

Which of the following is NOT a common medical management strategy for gastric cancer?

Accepted Answer

Physical therapy

Answer

Surgery

Answer

Chemo

Answer

Targeted therapy

Question 11

What is the primary purpose of a gastrectomy in the treatment of gastric cancer?

Accepted Answer

To remove the entire stomach and associated structures

Answer

To reduce stomach acid production

Answer

To treat mild stomach pain

Answer

To improve digestion

Question 12

Which of the following is a common complication that may occur within 10-30 minutes after a meal following gastric surgery?

Accepted Answer

Dumping syndrome

Answer

Hypertension

Answer

Constipation

Answer

Renal failure

Question 13

Which symptom is most likely associated with bile reflux after gastric surgery?

Accepted Answer

Burning epigastric pain that increases with meals

Answer

Severe headache

Answer

Swelling of the legs

Answer

Shortness of breath

Question 14

Which chemotherapeutic agent is classified as an antimetabolite and is commonly used in the treatment of gastric cancer?

Accepted Answer

Methotrexate

Answer

Paclitaxel

Answer

Docetaxel

Answer

Epirubicin

Question 15

Which of the following best describes the role of radiation therapy in advanced gastric cancer?

Accepted Answer

Primarily used to slow tumor growth in advanced stages

Answer

Used only for early-stage tumors

Answer

Always curative

Answer

Not recommended for gastric cancer

Question 16

A patient is experiencing vomiting a large amount of bright red blood after gastric surgery. What is the most likely complication?

Accepted Answer

Hemorrhagic shock

Answer

Dumping syndrome

Answer

Bile reflux

Answer

Gastric outlet obstruction

Question 17

Which of the following is a mechanism by which antimetabolites act in the treatment of gastric cancer?

Accepted Answer

Inhibit the formation of folates and interfere with DNA synthesis

Answer

Increase stomach acid production

Answer

Stimulate appetite

Answer

Enhance absorption of nutrients

Question 18

Which of the following is NOT a chemotherapeutic agent used in the treatment of gastric cancer?

Accepted Answer

Ibuprofen

Answer

Fluorouracil

Answer

Carboplatin

Answer

Cisplatin

Question 19

Why might a combination of chemotherapy agents be prescribed for gastric cancer?

Accepted Answer

To increase effectiveness and target different pathways in cancer cells

Answer

To reduce the cost of treatment

Answer

To avoid all side effects

Answer

To cure the cancer in one dose

Question 20

Which phase of the cell cycle do drugs that inhibit DNA and RNA synthesis typically target?

Accepted Answer

S phase

Answer

G1 phase

Answer

G2 phase

Answer

M phase

Question 21

Which of the following is a patient teaching point for someone taking methotrexate?

Accepted Answer

Avoid alcohol, aspirin, and prolonged exposure to sunlight

Answer

Avoid exposure to cold

Answer

Eat high-fiber foods

Answer

Take with dairy products

Question 22

What is a common side effect to monitor for when administering oxaliplatin?

Accepted Answer

Numbness, tingling, and pain in the throat or hands

Answer

Hair loss

Answer

Weight gain

Answer

Increased appetite

Question 23

Which of the following is a risk factor for hepatic adenomas?

Accepted Answer

Use of oral contraceptives during reproductive years

Answer

Male gender

Answer

Smoking

Answer

High protein diet

Question 24

Which of the following is the most common type of primary liver cancer?

Accepted Answer

Hepatocellular carcinoma (HCC)

Answer

Hepatic adenoma

Answer

Cholangiocarcinoma

Answer

Metastatic liver cancer

Question 25

A patient with liver cancer presents with continuous dull ache in the RUQ, epigastrium, or back. Which stage of clinical manifestation is this most likely to represent?

Accepted Answer

Early

Answer

Late

Answer

Terminal

Answer

Remission

Question 26

Which diagnostic finding is commonly elevated in patients with hepatocellular carcinoma?

Accepted Answer

Alpha-fetoprotein

Answer

White blood cell count

Answer

Platelet count

Answer

Blood glucose

Question 27

Why does cirrhosis increase the risk associated with surgical procedures for liver tumors?

Accepted Answer

It causes increased bleeding risk and poor liver function

Answer

It improves liver regeneration

Answer

It reduces the size of the tumor

Answer

It enhances immune response

Question 28

Which of the following is a method of radiation therapy for liver cancer that can result in a reduction of tumor size?

Accepted Answer

IV or transarterial injection of lipiodol-ethanol mixture

Answer

Oral chemotherapy

Answer

Surgical resection

Answer

Percutaneous drainage

Question 29

What is the purpose of percutaneous drainage in the management of liver cancer?

Accepted Answer

To bypass biliary ducts obstructed by liver, pancreatic, or bile duct tumors

Answer

To deliver chemotherapy directly to the tumor

Answer

To reduce tumor size

Answer

To increase appetite

Question 30

Which of the following is a possible complication after liver cancer treatment involving insertion sites?

Accepted Answer

Fever and chills with drainage

Answer

Increased appetite

Answer

Improved liver function

Answer

Decreased white blood cell count

Question 31

What is the main purpose of laser hyperthermia in the treatment of hepatic cancer?

Accepted Answer

To cause necrosis of tumor cells

Answer

To promote liver regeneration

Answer

To increase blood flow to the tumor

Answer

To reduce pain

Question 32

Which of the following is a nonsurgical treatment for hepatic cancer?

Accepted Answer

Laser hyperthermia

Answer

Lobectomy

Answer

Liver transplant

Answer

Right liver resection

Question 33

Transcatheter arterial embolization is used in hepatic cancer management to:

Accepted Answer

Interrupt blood flow to the tumor

Answer

Increase blood flow to the tumor

Answer

Remove the entire liver

Answer

Stimulate immune response

Question 34

Which of the following is NOT a preparation step before surgical management of liver cancer?

Accepted Answer

Immediate chemotherapy administration

Answer

Assessing nutritional intake

Answer

Hydration and fluid status assessment

Answer

General physical status evaluation

Question 35

During a lobectomy for liver cancer, what is used if blood flow is restricted for more than 15 minutes?

Accepted Answer

Hypothermia

Answer

Chemotherapy

Answer

Immunotherapy

Answer

Radiation therapy

Question 36

Which of the following is a selection criterion for liver transplant in hepatic cancer patients?

Accepted Answer

Single tumor measuring less than 5 cm

Answer

Tumor larger than 10 cm

Answer

Multiple tumors with size over 3 cm

Answer

Extensive metastasis

Question 37

What is the standard systemic treatment for patients with advanced hepatocellular carcinoma?

Accepted Answer

Sorafenib

Answer

Regorafenib

Answer

Ethanol ablation

Answer

Laser hyperthermia

Question 38

A patient is not a candidate for liver resection or transplant. Which local ablation method may be chosen, and what is a common complication?

Accepted Answer

Ethanol; Bleeding

Answer

Chemotherapy; Nausea

Answer

Laser hyperthermia; Fever

Answer

Immunotherapy; Rash

Question 39

Which of the following is a nonsurgical treatment for tumors?

Accepted Answer

Immunotherapy

Answer

Physical therapy

Answer

Radiation therapy

Answer

Chemotherapy

Question 40

What is a common adverse effect associated with some cytotoxic drugs?

Accepted Answer

Hand-foot syndrome

Answer

Hair growth

Answer

Increased appetite

Answer

Improved vision

Question 41

Which symptom is NOT typically associated with hand-foot syndrome?

Accepted Answer

Improved vision

Answer

Redness

Answer

Tenderness

Answer

Possible peeling

Question 42

Which of the following drugs is associated with hand-foot syndrome?

Accepted Answer

Capecitabine

Answer

Aspirin

Answer

Ibuprofen

Answer

Paracetamol

Question 43

What is a recommended management strategy for hand-foot syndrome?

Accepted Answer

Apply ice packs 15-20 minutes at a time

Answer

Increase pressure on affected areas

Answer

Expose to heat and friction

Answer

Take antibiotics

Question 44

Which of the following is a risk factor for pancreatic cancer?

Accepted Answer

History of increased pack years of cigarette smoking

Answer

Low alcohol intake

Answer

Regular exercise

Answer

Young age

Question 45

Which clinical manifestation is commonly seen in pancreatic cancer?

Accepted Answer

Jaundice

Answer

Increased appetite

Answer

Improved vision

Answer

Frequent urination

Question 46

What diagnostic tool is useful for identifying small tumors and performing fine needle aspiration biopsy in pancreatic cancer?

Accepted Answer

EUS

Answer

X-ray

Answer

Ultrasound

Answer

Blood test

Question 47

What is a potential disadvantage of percutaneous fine needle aspiration biopsy?

Accepted Answer

Seeding cancer cells along the needle track

Answer

Immediate cure

Answer

No risk of infection

Answer

Guaranteed positive results

Question 48

Which part of the pancreas is most commonly affected by pancreatic cancer?

Accepted Answer

Head of the pancreas

Answer

Tail of the pancreas

Answer

Body of the pancreas

Answer

Pancreatic duct

Question 49

Which of the following is a common clinical manifestation of colorectal cancer?

Accepted Answer

Change in bowel movement habits

Answer

Increased appetite

Answer

Frequent urination

Answer

Skin rash

Question 50

At what age is it recommended to begin screening for colorectal cancer in higher-risk patients?

Accepted Answer

45 years

Answer

30 years

Answer

60 years

Answer

85 years

Question 51

Which procedure involves cutting out the diseased portion of the bowel and connecting both healthy pieces together?

Accepted Answer

Anastomosis

Answer

Colostomy

Answer

Laparotomy

Answer

Endoscopy

Question 52

What is the purpose of a temporary loop ileostomy in colorectal cancer surgery?

Accepted Answer

To divert intestinal flow before reattaching the bowel

Answer

To remove the entire colon

Answer

To treat anemia

Answer

To screen for cancer

Question 53

Which of the following is NOT a possible complication of colorectal cancer?

Accepted Answer

Weight gain

Answer

Partial or complete bowel obstruction

Answer

Perforation

Answer

Heart failure

Question 54

Why are monoclonal antibodies not administered orally for colorectal cancer treatment?

Accepted Answer

They would be destroyed by GI enzymes

Answer

They are too expensive

Answer

They cause severe pain

Answer

They are not effective

Question 55

Explain the difference between a permanent colostomy and a temporary colostomy in the management of colorectal cancer.

Accepted Answer

A permanent colostomy is for palliation of unresectable lesions, while a temporary colostomy allows for bowel decompression and later reanastomosis.

Answer

A permanent colostomy is always reversed, while a temporary colostomy is not.

Answer

Both are used only for stage 0 tumors.

Answer

There is no difference between the two.

Question 56

Which of the following is a potential adverse effect of monoclonal antibody therapy in colorectal cancer?

Accepted Answer

Heart failure

Answer

Increased appetite

Answer

Skin rash

Answer

Weight gain

Question 57

What is the most common cause of lung cancer according to the provided material?

Accepted Answer

Inhaled carcinogens (smoking)

Answer

Genetic mutations

Answer

Dietary deficits

Answer

Air pollution

Question 58

Which type of lung cancer is described as the most aggressive form and usually starts in the airway in the center of the chest?

Accepted Answer

Small cell lung cancer (SCLC)

Answer

Non-small cell lung cancer (NSCLC)

Answer

Adenocarcinoma

Answer

Squamous cell carcinoma

Question 59

Which of the following is NOT listed as a risk factor for lung cancer in the material?

Accepted Answer

High blood pressure

Answer

Secondhand smoking

Answer

Genetics

Answer

Dietary deficits

Question 60

According to the material, what environmental factor is a colorless, odorless gas found in rocks and is a risk for lung cancer?

Accepted Answer

Radon

Answer

Carbon monoxide

Answer

Methane

Answer

Ozone

Question 61

A patient presents with a chronic, non-productive cough that changes in character. According to the material, what should this change arouse suspicion for?

Accepted Answer

Lung cancer

Answer

Asthma

Answer

Tuberculosis

Answer

Bronchitis

Question 62

Which diagnostic tool is mentioned in the material as being used to search for pulmonary density in lung cancer assessment?

Accepted Answer

Chest x-ray

Answer

MRI scan

Answer

PET scan

Answer

Ultrasound

Question 63

According to the material, which group should be screened for lung cancer?

Accepted Answer

55-80 years of age who have 30 packs/year smoking history

Answer

20-30 years of age with no smoking history

Answer

40-50 years of age with a family history of cancer

Answer

65-90 years of age with no risk factors

Question 64

If a lung tumor spreads to the adjacent lymph nodes, which of the following symptoms may occur according to the material?

Accepted Answer

Chest pain and tightness

Answer

Headache

Answer

Abdominal pain

Answer

Leg swelling

Gastric Cancer Risk Factors and Clinical Assessment Quiz

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