WorksheetsNeoplasms
Total questions: 70
Worksheet time: 37mins
How does interstitial lung dz develop?
none of these are correct
it develops very rapidly and is an acute process similar to asthma
it develops similar to Tb at the the upper lobes of the lungs
it develops at the alveoli causing inflammation and this tissue starts to heal by scarring, which results in thickened fibrosis
What is the most common histological pattern of ILD?
none of these are correct
usual Interstitial effusion is the most common
usual Interstitial Pneumonia is the most common
usual interstitial pneumonia is not the most common
What interstitial lung disease( pulmonary fibrosis) known as when there is an unknown cause?
allopathic
Osteopathic
Idiopathic
Pneumonia
What are some findings for Interstitial Lung disorder that can be found on a CXR?
interstitial densities
consildation
Nodule
mass
atlectasis
nodule
mass
atelectasis
consolidation
interstitial densities
What describes the CT scan for interstitial pulmonary fibrosis?
signet rings
ground glass appearance
Ranke complex
Ghon focus
What are some known causes of Interstitial. Lung Disease?
Infections
Exposure to occupational and environmental agents
Medications
complications of connective tissue disorders
Infections
Exposure to pollutants
Endocarditis
Pneumonia
Infections
Exposure to occupational and environmental agents
Medications
In which cases will not need a Biopsy for Interstitial Pneumonia?
Age over 65
Inspiratory crackles
Restrictive pattern on PFTs
CT chest: diffuse patchy pleural honeycomb pattern
CT chest: diffuse patchy pleural honeycomb pattern
Age over 65
Inspiratory crackles
Restrictive pattern on PFTs
none of these are correct
What are the findings on a CT for Interstitial Lung Disease?
findings vary from haziness to fibrosis and bronchiectasis
findings will be tram track signs
findings will be signet rings
findings will be Hilar Adenopathy
How can an X-ray for Interstital lung disease look?
These are not correct
it looks like Hilar Adenopathy
It looks like the Ranke Complex
It looks like the Ghon Focus
How is Interstitial Lung Disease Dx?
Bronchial Alveolar Lavage
Lung Biopsy
Bronchial Alveolar Lavage( if suspected lung infection)
Lung Biopsy
none of these are correct
What are some possible Tx for Interstitial lung disease?
Refer to pulmonology
medications if caught early(corticosteroids)
Refer to EENT
medications if caught early(corticosteroids)
Tx underlying cause
Tx underlying cause
Refer to pulmonology
medications if caught early(corticosteroids)
Tx underlying cause
What two new drugs and possible surgeries to help with IPF prognosis?
Nintedanib
Pirifenidone \
lung transplant
RIPE
Lung transplant
Macrolides
Lung transplant
Nitrofurantine
Lung transplant
What are key take aways from ILD?
Recognize early
Take a good history
Treat Aggressively
Recognize early
Take a good history
Tx Aggressively
What is a major characteristic of coal worker Pneumoconiosis?
Coal macules
massive upper lobe fibrosis
Coal macules
massive upper lobe fibrosis
CXR-diffuse small upper opacities
Coal macules
CXR-diffuse small upper opacities
What are characteristics of Silicosis?
none of these are correct
Fibrotic nodules merge
Hilum changes w/ silicosis
complicated obstructive and restrictive
CXR- silicotic nodules/eggshell calcification
Fibrotic nodules merge
Hilum changes w/ silicosis
complicated obstructive and restrictive
CXR- silicotic nodules/eggshell calcification
What are characteristics of Silicosis?
none of these are correct
Fibrotic nodules merge
Hilum changes w/ silicosis
complicated obstructive and restrictive
CXR- silicotic nodules/eggshell calcification
Fibrotic nodules merge
Hilum changes w/ silicosis
complicated obstructive and restrictive
CXR- silicotic nodules/eggshell calcification
What are pts with silicosis more susceptible to?
Asthma
COPD
TB
Pneumonia
What are characteristics of Asbestosis?
CXR- linear streaks at bases/ honey comb
CT-fibrosis or pleural plaques
Diffuse nodular interstitial fibrosis
10 -15 yrs post exposure
Diffuse nodular interstitial fibrosis
10 -15 yrs post exposure
CXR- linear streaks at bases/ honey comb
CT-fibrosis or pleural plaques
none of these are correct
What are patients with asbestos at risk for ?
Pleural effusion
lung cancer
TB
Pneumonia
What are characteristics with Sarcoidosis?
Noncaseating fibrosis
Systemic disease
Inflammation
Fibrosis
Systemic disease
Inflammation/Granuloma(noncaseating)/Fibrosis
What are the S/SX of Sarcoidosis?
none of these are correct
peripheral neuropathy
Arthritis
Hepatosplenomegaly
lymphadenopathy
peripheral neuropathy
Arthritis
Hepatosplenomegaly
lymphadenopathy
What are some Dx for Sarcoidosis?
CXR-Hilar adenopathy (air bronchograms)
Biopsy
Blood work- elevated ACE levels
Blood work- elevated ACE levels
CXR-Hilar adenopathy (air bronchograms)
Biopsy
None of these are correct
Which stage is Hilar adenopathy associated with?
Stage 1
Stage 2
Stage 3
Stage 4
What is the management of Sarcoidosis?
Tx- inflammation and immune response w/corticosteroids and immunosuppresants
Monitor prognosis
Stage 4-fibrosis and too late to tx
Tx- inflammation and immune response w/corticosteroids and immunosuppresants
Monitor prognosis
Stage 4-fibrosis and too late to tx
none of these are correct
What are characteristics fo EVALI?
Hx of E-cig/vaping use within 3 months of Sx onset
exclude Infectious etiologies
vaping delivers smaller particles that cause more damage
Hx of E-cig/vaping use within 3 months of Sx onset
exclude Infectious etiologies
vaping delivers smaller particles that cause more damage
exclude Infectious etiologies
What are some EVALI S/SX ?
Tachycardia
SPO2<95%
cough
dyspnea
chest pain
GI sx's
Tachycardia
SPO2<95%
cough
dyspnea
chest pain
GI sx's
Tachycardia
SPO2<95%
What does imaging show for EVALI?
Hilar adenopathy
variable patterns
Bilat pulmonary opacities
lower lobe consolidation
Upper lobe consildation
What is the Tx for EVALI?
Epinephrine
Bronchodilator
ABX
corticosteroids in hospitalized
What is the difference between a coin lesion and a mass?
A coin lesion and mass are the same size
a coin lesion is greater than 3cm and a mass is greater than 3 cm
a coin lesion is less than 3cm and a mass is less than 3 cm
a coin lesion is less than 3cm and a mass is greater than 3 cm
If a patient is over 30 yrs of age is it more benign or malignant?
benign
malignant
If the doubling time is less 30 days indicating that it is infectious, then is it more Benign or Malignant?
Benign
Malignant
If the doubling time is 30 days to one year is it Malignant or Benign?
Benign
Malignant
If the size of the nodule is less than 5mm is it Benign or Malignant?
Benign
Malignant
If the doubling time is greater than 465 days? Malignant or Benign
Benign
Malignant
If the size is 6-10mm then is it Benign or Malignant?
Benign
Malignant
If the size of nodule is 11-22mm or 21-45mm, then is it Malignant or Benign?
Benign
Malignant
If there are dense calcifications and smooth borders is it malignant or benign?
Benign
Malignant
If the cavitary lesions with thick walls, stippled or eccentric calcification pattern is it malignant or benign?
Benign
Malignant
What are the different types of benign calcification patterns?
all these are correct
pop corn calcification
Laminated calcification
Dense central calcification
Diffuse calcification
What are the different types of Malignant calcification?
calcification
Eccentric calcificaiton
stippled calcification
Eccentric calcificaiton
stippled calcification
True or False: Malignant pulmonary nodules are multiple nodules and can also be single pulmonary nodule.
(a)
What is the primary lung cancer
small cell carcinoma
large cell carcinoma
Adenocarcinoma
Carcinoma
What imaging technique is the most optimal for Malignant pulmonary nodules?
ultrasound
MRI
x-ray
CT
True or False: Contrast for a CT scan is not required unless lesion is close to the mediastinum or there is a concern for vascular lesion.
(a)
What does a PET scan show?
reveals how tissues and organs are functioning
shows the size of the nodules
it shows the abormalities
none of the these are correct
A postive PET increases the likelihood of malignancy( True or False)
(a)
A negative PET scan excludes most cancers (True or False)
TRUE
False
What is the criteria for annual low dose CT scan?
smoking within the past 15 yrs
adults 50- 80 yrs old
smoking within the past 15 yrs
adults 50- 80 yrs old
adults 50- 80 yrs old
20 pack yr histroy
currently smoke or are have quit smoking within the past 15 yrs
Yearly low dose CT scans are effective? True or False
True
False
Bronchogenic lung cancer is the leading cause of death from cancer in men and women? True or False
True
False
What contributes to all lung cancer?
drinking alcohol
smoking
not exercising
not eating healthy
What are the two types of Bronchogenic carcinoma types?
none of these are correct
small cell carcinoma
non-small cell carcinoma
small cell carcinoma
Non-small cell carcinoma
What are the histological subtypes of carcinoma?
all of these are correct
large cell carcinoma
small cell carcinoma
squamous cell
Adenocarcinoma
What are major S/Sx of Bronchogenic Carcinoma?
anorexia
metastasis
pain
pain
metastasis
hemoptysis
what is the Dx for Bronchogenic Carcinoma?
biopsy
pleural fluid
sputum
biopsy
pleural fluid
sputum
Where is Adenocarcinoma located?
middles lobes of lungs
lower lobes of lungs
upper lobes of lungs
basilar peripheral location of the lungs
Where is the squamous cell carcinoma located and some charcteristics?
hemoptysis
cavitary lesion
slow growing
central/intraluminal mass
slow growing
hemoptysis
cavitary lesion
slow growing
hemoptysis
cavitary lesion
bottom lobes of lungs
What are descriptions of large cell carcinoma?
upper or lower
lobes
agressive
rapid doubling time
peripheral
agressive
rapid doubling time
central or peripheral
agressive
central or peripheral
agressive
rapid doubling time
What are some characteristics of small cell cancer?
A
central
associated with paraneoplastic syndromes
Aggressive and hematogenous spread
central
associated with paraneoplastic syndromes
Aggressive and hematogenous spread
associated with paraneoplastic syndromes
What are the complicaitons of paraneoplastic syndrome?
venous thrombosis
SVC syndrome
Pancoast syndrome
Dystrophy+SVC w/ facial edema
venous thrombosis
SVC syndrome
venous thrombosis
SVC syndrome
Pancoast syndrome
Dystrophy+SVC w/ facial edema
Lambert Eaton myasthenic syndrome
SIADH
What is Superior Vena Cava syndrome?
venous engorgement
venous engorgement caused by compression of superior vena cava
by tumor
mostly small type
compression of superior vena cava
by clot
venous engorgement caused by compression of superior vena cava
by lying on the right side
What are characteristics of Lambert Eaton Myasthenia?
muscle weakness and fatigue
muscle weakness and fatigue
mostly with small cells carcinoma
precedes with Dx by years
muscle weakness and fatigue
mostly with small cells carcinoma
precedes with Dx by months to a yr
muscle weakness and fatigue
mostly with small cells carcinoma
precedes with Dx by months to a yr
What is TNM ?
none fo these are correct
Tumor-size and location of primary tumor
Nodes-presence and location of nodal mets
Metastasis-presence or absence of distant mets
Nodes-presence and location of nodal mets
Metastasis-presence or absence of distant mets
Tumor-size and location of primary tumor
Nodes-presence and location of nodal mets
What is the Tx for Bronchogenic cancer?
SCLC
chemo radiation
NSCLC
Resection if feasible
chemo radiation
none of these are correct
NSCLC
Resection if feasible
chemo radiation
SCLC
chemo radiation
What is the prognosis for Bronchiogenic cancer?
palliative care
shrink tumor size
drain pleural effusion
drain pleural effusion
pain management
palliative care
shrink tumor size
drain pleural effusion
pain management
palliative care
What are the characteristics fo Bronchial Carcinoid Tumors?(low grade neoplasm)
none of the above
Carcinoid MC than bronchial
Mc in central bronchus
sessile or penduculated mass
pink purple well vascularized
Mc in central bronchus
sessile or penduculated mass
pink purple well vascularized
Carcinoid MC than bronchial
Mc in central bronchus
sessile or penduculated mass
pink purple well vascularized
What are the S/Sx of Bronchial Carcinoid Tumors?
focal wheezing
pneumonia
Hemoptysis
cough
Hemoptysis
cough
focal wheezing
pneumonia
none of these are correct
What are the Dx for Bronchial Carcinoid Tumor?
biopsy and
bronchoscopy
biopsy
Bronchoscopy
none of these are correct
What is the prognosis for Bronchial Carcinoid Tumor?
fast growing
rarely metastasize
airway obstruction
slow growing
rarely metastasize
airway obstruction
slow growing
rarely metastasize
airway obstruction
What is the Tx for Bronchial Carcinoid Tumor?
surgical resection
no surgery
bronchoscopy
thoracentesis
