essentials of Oncology for Medical officers
SLCO Annual Academic Sessions - 2021
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An 82-year-old woman with a history of breast cancer presents to the clinic with complaints of headache for the past 2 weeks. She describes daily retro-orbital headaches that are worse in the morning. In addition, she notes severe nausea and vomiting. MRI of the brain reveals multiple metastatic lesions.   Which of the following is the most appropriate initial management for this patient?
5 points
Clear selection
A 25-year-old man was recently diagnosed with leukemia. He is admitted to the hospital for further evaluation and chemotherapy initiation. He only complains of fatigue and malaise. Laboratory evaluation reveals pancytopenia, hyperkalemia (K 6.8), uric acid 13, hyperphosphatemia (12), and elevated lactate dehydrogenase (LDH).   What is the most likely cause of his electrolyte abnormalities?
5 points
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A 75-year-old man with lung cancer was admitted to the hospital with worsening dyspnea. He complains of progressive dyspnea for 2 months. On physical examination, he has distended jugular veins, plethoric face, venous collaterals on his chest wall, and distant heart sounds.   What is the most likely diagnosis?
5 points
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A 30-year-old woman with leukemia presents to the emergency room with fever for less than 24 hours. A week previously, she completed a course of chemotherapy through a Hickman catheter. She only complains of fever and fatigue. On examination, she is pale and febrile (101.5° F). Laboratory evaluation reveals a leukocyte count of 780 with 25% polymorphonuclear cells.   Which of the following is the most appropriate therapy?
10 points
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A 75 years old multiple myeloma patient complained of backache heaviness in both lower limbs. What is the most important next step in her management?
10 points
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A 56 years old lady was diagnosed with a tumor in the right lung apex medially involving lower cervical vertebrae.  she complains of right upper arm numbness and wasting of small muscles and right hemifacial anhydrosis. The most likely explanation for her clinical presentation is;
10 points
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Drugs used in the management of severe nausea & vomiting
25 points
Drugs that can be used in severe hiccups
30 points
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