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RESPIRATORY 1 2025

Total questions: 25

Worksheet time: 25mins

Name
Class
Date
1.

Environmental Tobacco Smoke (ETS) was classified as a human carcinogen. Which of the following statements regarding ETS related to etiology of lung cancer?

a)

Active smoker

b)

passive smoker

c)

radon exposure

d)

asbestos exposure

2.

Which of the following is true regarding small cell lung cancer (SCLC)?

a)

Called oat cell carcinomas

b)

Less responsive to chemotherapy

c)

Found in nonsmokers with low metastatic potential

d)

Aggressive and rapidly growing from all lung cancers

3.

80% of lung cancer cases are non-small cell lung cancer (NSCLC), while 20% are small cell lung cancer (SCLC), according to the epidemiology of lung cancer. preventive measures for NSCLC have been implemented, such as

a)

Staging

b)

CXR screening

c)

low dose CT screening.

d)

sputum and breath biomarkers

4.

The following risk factors are commonly associated with non-small cell lung cancer.

a)

Smoking cigarettes

b)

First degree relative genetics

c)

Prior radiation in the stomach area.

d)

A radioactive gas found in soil is known as a radon.

5.

The pathophysiology of Non-small cell lung cancer will involve

a)

invasive and grows cancer.

b)

metastasize to different organs of the body.

c)

arise at the peripheral to the terminal alveoli.

d)

initiated by genes such as HER2, EGFR, KRAS and ALK.

6.

The subgroups of histopathology for Non-small cell lung cancer.

a)

Small cell carcinoma.

b)

Large cell carcinoma.

c)

Lung Adenocarcinoma

d)

Squamous cell carcinoma

7.

Mr. G had lung cancer post diagnosed with a bronchoscopy procedure. He was found to be a Squamous cell carcinoma. The characteristics of this squamous cell carcinoma are

a)

poor prognosis.

b)

CK7 and TTF-1 positive

c)

P40, P63, CK 5 / 6 positive.

d)

a malignant epithelial with keratinization

8.

Madam S was diagnosed as Lung adenocarcinoma by her histopathology finding. The doctor also confirmed it by looking at the following features

a)

Napsin A negative

b)

CK 7 and TTF 1 positive

c)

Observed higher among non-smokers

d)

Malignant epithelial common associated to mucin production

9.

A young man was admitted to the ward and diagnosed with non-small cell lung cancer. The doctor diagnosed him with bronchoalveolar carcinoma since it

a)

was poorly differentiated

b)

was an uncommon lung disease among younger people

c)

is a subtype of small cell lung cancer that spreads rapidly.

d)

often presents with peripheral lung involvement and unique imaging features.

10.

Madam L had a post assessment and investigation at the chest clinic and it possibly she had a large cell carcinoma. The tumor markers that able to apply to her are

a)

Cytokeratin fragment 21-1

b)

EGFR gene mutation analysis

c)

KRAS gene mutation analysis.

d)

Programmed death liquid 1(PD -L1).

11.

Mr. Y was diagnosed with non-small cell lung cancer and his clinical presentation are

a)

chest pain

b)

sore throat.

c)

hoarseness

d)

worsening cough

12.

Mr. H is suffering from non-small cell lung cancer (NSCLC), and his prognosis needs to be considered when making treatment decisions. Which of the following factors is most important in determining his treatment plan?

 

a)

tumor grade.

b)

histologic type

c)

tumor size and location

d)

involvement of diaphragm.

13.

Mr. H has been diagnosed with non-small cell lung cancer (NSCLC). Which of the following treatments is most likely to be recommended based on the stage and type of his cancer?

a)

Lung transplant

b)

Immunotherapy

c)

Surgical resection

d)

Chemotherapy Cisplatin and Gemcitabine for 6 cycles

14.

Mr. M had a medical checkup, and the doctor suspected he might have a lung neurogenic tumor. To confirm the diagnosis, the following tumor marker for testing is

a)

CD56.

b)

EGFR.

c)

Synaptophysin.

d)

Chromogranin A.

15.

Mrs. D is suspected of having pulmonary lymphoma. The following are the

general factors that she might have a risk of getting pulmonary lymphoma

a)

Epstein Bar Virus.

b)

Human Papilloma Virus.

c)

Family history with lung disease.

d)

Family history of immune disease.

16.

Mr. W went to the nuclear medicine clinic. The doctor plans to rule out her

disease of Thyroid cancer. The laboratory test might need to be tested on

him are

a)

Serum Calcitonin

b)

Serum Thyroglobulin.

c)

Thyroid Hormone (T3 &T4).

d)

Thyroid stimulating hormone

17.

The following are the diagnostic procedures that will be carried out to those

who are diagnosed with malignant pleural effusion.

a)

Ultrasound.

b)

Pleuroscopy

c)

Thoracentesis.

d)

Magnetic Resonance Imaging.

18.

Mr. B had 3 episodes of hemoptysis. The causes of his hemoptysis due to

parenchyma condition such as

a)

Bronchitis.

b)

Pneumonia.

c)

Bronchiectasis

d)

Rheumatic Disorder

19.

Clinical manifestations for a patient who had pulmonary embolism.

a)

Syncope

b)

Dyspnea.

c)

Sweating.

d)

Pleuritic pain

20.

A patient with Syndrome of inappropriate antidiuretic hormone secretion

(SIADH) commonly presented with

a)

water retention

b)

low urine osmolality.

c)

hypernatrium (<135).

d)

hypo-osmolality ( se Osmo <280 mosmol/L )

21.

A patient is experiencing dyspnea. Which of the following assessments

should the nurse prioritize to evaluate the severity and cause of the patient’s

condition?

a)

Monitor urine output

b)

Assess oxygen saturation

c)

Assess respiratory distress

d)

Monitor blood glucose levels

22.

Madam T was 7 weeks pregnant and a smoker. The risk exposure to

smoking includes

a)

Stillbirth.

b)

Orofacial clefts.

c)

Preterm delivery.

d)

Ectopic pregnancy.

23.

The short-term benefits if someone quit smoking

a)

Reduce risk of stroke.

b)

Reduce the risk of lung cancer

c)

Reduce frequency of respiratory problems.

d)

Improve the condition of children with asthma

24.

When an individual wants to quit smoking, 5 A’s will be used as brief

intervention to support their behavior in smoking cessation. The following is

step 2 and 3 in 5 A's approach.

a)

Advice to quit

b)

Arrange for follow up

c)

Ask about tobacco smoking.

d)

Assess willingness to make a quit attempt.

25.

Mrs. A was diagnosed with a small cell lung cancer and having a shortness

of breath. As a nurse, the acute management to be carried out are

a)

bronchoscopy and biopsy.

b)

obtain patient medical and surgical history as baseline data

c)

by assisting with anxiety and emotional aspect of assessment

d)

by auscultate breath sounds to detect decreased or adventitious

breath sounds.