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26 Cards in this Set
- Front
- Back
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Evaluation of tumor of specific nerves is best achieved with what imaging study?
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MRI
**More specific for tissue, nerves** |
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What makes small cell carcinoma have an increased sensitivity to chemotherapy?
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It's fast growing
Giving chemo to a slow growing tumor would poison the pt. |
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Why is Small Cell Carcinoma not amenable to surgery?
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Metastasizes via bloodstream early
80% disseminated at diagnosis |
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Associated paraneoplastic syndrome seen with small cell carcinoma?
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syndrome of inappropriate anti-diuretic hormone
(SIADH) |
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CT suspicious for lung cancer. Next step to diagnosis?
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Bronchoscopy and biopsy
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Harmatomas are similar to pnuemonias or coin lesions on xray?
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Coin lesions (Pancoast)
*Single pulmonary nodules* |
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Why may an apical lung tumor cause horseness?
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presses on Right Recurrent Larygneal Nerve
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Which type of pneumothorax involves a mediastinal shift?
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tension pneumothorax
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Trauma, distant heart sounds, shock?
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This is Cardiac Tamponade
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In TNM classification, what does each letter stand for and what must M be to signify Stage IV?
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T -Tumor
N -Nodes M -Metasis **M needs to be 1 to signify stage IV** |
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Tx for Cardiac Tamponade?
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IV fluids
O2 Pericardiocentesis |
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Pancoast tumor can invade the cervical sympathetic chain and brachial plexus causing what syndrome?
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Horner's Syndrome
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Sx of Horner's Syndrome
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Miosis
Pstosis Shoulder pain Motor/sensory deficity in the arm (C8, T1, T2) |
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Pleural Effusions:
Milky = _____ Bloody = ________ |
Milky = Lymphoma
Bloody = Malignancy |
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69 y/o male, smoker, with anterior chest pain, shocky and hoarse?
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Dissecting aortic aneurysm
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Pleural Lung Malignancy?
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Mesothelioma
micro: fibrous plaques from asbestos |
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Central Lung Malignancies? (2)
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Small Cell Carcinoma
Squamous Cell Carcinoma |
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Peripheral Lung Malignancies? (2)
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Large Cell Carcinoma
Adenocarcinoma |
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Micro slide: Ill defined cell borders
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Small Cell Carcinoma
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Micro slide: Glandular with mucin
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Adenocarcinoma
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Micro slide: Well differentiated, gray-white tissue
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Squamous Cell Carcinoma
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What carcinoma is associated with paraneoplastic syndromes?
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Small Cell Carcinoma
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What are the most common paraneoplastic syndromes?
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Cushing's
SIADH |
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Leading cause of cancer-related deaths?
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Lung Cancer
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Major Risk Factor for Lung Cancer?
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Smoking
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Most aggressive cancer?
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Small Cell Carcinoma
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