Lung Cancer Quiz

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Lung Cancer Quiz

Created by Chris Galbraith and Connor Bohlken
Edited by Dr. Paris Ingledew

You are a four year medical student on an elective family medicine rotation. You have just finished lunch and are about to see your next patient, Mr. Carcin O. Gyn. He is a 55 year old male in for a prescription refill of his COPD medications. At this moment he does not feel ready to quit smoking. History and physical examination are otherwise unremarkable. You report back to your attending, who congratulates you on an excellent job. Your attending wonders if there are any lung cancer screening recommendations for patients with a 30 pack year history, and between 55-74 years old. You answer:

1 point

Flexible Bronchoscopy q5 Years

Sputum Cytology q2 Years

Endoscopic Ultrasound q2 Years

Annual Low Dose CT

Chest XRay q6 Months

Clear selection

You are a third year medical student midway through your thoracics rotation. Today you are with the highly esteemed surgeon: Dr. Laura Craft. You are super excited, as the first surgery slated is a lobectomy. As you are scrubbing in, Dr. Craft asks you what type of lung cancer accounts for the majority of lung cancers. You answer:

1 point

Non-Small Cell Lung Cancer

Mesothelioma

Small Cell Lung Cancer

Oat Cell Carcinoma

Primary Lung Sarcoma

Clear selection

Which of the following risk factors is associated with the vast majority of cases of lung cancer?

1 point

Personal or Family History of Lung Cancer

Exposure to Radiation

Cannabis Smoking

Tobacco Smoking

Occupational Asbestos Exposure

Second Hand Tobacco Smoke

Arsenic in Drinking Water

Pollutants from Cooking and Heating with Coal or Wood

Clear selection

You are a 3rd year medical student in their second week of their rural family medicine clerkship rotation. Your preceptor, Dr. Reducetherisk, has asked you to see Mr. Lotsapackyr a 65 year old male. The note on your electronic medical record indicated the reason for the visit is: “Smoking cessation”. Dr. Reducetherisk is a strong advocate for smoking cessation and asks you the following question. Which of the following is true?

1 point

The duration of smoking influences ones risk for lung cancer

The number of cigarettes smoked / day influences ones risk for lung cancer

The age of onset influences ones risk for lung cancer

Smoking cessation should always be pursued as it always reduces ones risk of lung cancer.

All of the above.

Clear selection

You’re a R4 resident in Radiation Oncology. You are working with a 3rd year medical student, James Keen. You want to test his knowledge. You ask him, which of the following is the most common symptom of lung cancer in a known smoker? You’re delighted when he states:

1 point

New onset of worsening cough

Hemoptysis

Dyspnea and auscultation of wheeze

New onset of hoarseness of voice

Unilateral miosis, ptosis, and anhidrosis

Clear selection

You’re on call and it is 0200AM. Due to IT problems, lab results for Sidney Hara a 78 year old female just got reported, the nurse calls you immediately. She is a 78 year female with diabetes, hypertension, and a 50 plus pack year history of smoking. She was brought in by her son for failure to thrive over the past couple months. You recall on your exam that she looked quite cachexic, but her fluid status appeared euvolemic. She is currently on 3L O2 nasal prong, and has an IV of NS going at 75ml /hr. The nurse is concerned about a sodium level of 128. What could be causing this?

1 point

Chronic Diarrhea

CHF

Cushings Syndrome

SIADH

Forgot to take her Ramipril

Clear selection

You are seeing Mr. Lesion, a 67 year old male with 30 year pack history. Mr. Lesion was found to have a solitary pulmonary lesion detected on Chest Xray done in the emergency room after he sustained a traumatic injury to his chest wall while precariously driving a Golf Cart. His family Dr is now following up on this lesion on the recommendation of the Emergency Physician. Which of the following results would be most suspicious for a potential metastatic lung cancer?

1 point

Hemoglobin 99 g/L, MCV 64

A Chest CT that demonstrates a 6.8 cm Lung tumor without local invasion or distant metastasis or any detectable nodes.

Elevated Calcium, ALP, and Phosphate.

A normal Endoscopic Ultrasound

A normal appearing bronchoscopy and subsequent negative cytology brushings.

Clear selection

You are a third year medical student who has just started their third year clinical rotation in Oncology. Today you will be working with Dr. Terry Nuvielle-Man, who primarily treats Lung Cancers. You begin the day with a quick review of TNM Staging. To gauge your knowledge he asks the following: If you have a patient with a known NSCLC that has the following characteristics: 3.5 centimeters, involvement of ipsilateral mediastinal nodes, and one distant metastasis to the liver, what TNM stage would it be?

1 point

T2a, N0, M0

T3a, N2, M1

T2a, N2, M1

T1c, N1, M1

T4, N1, M1

Clear selection

Nick Tino is an 68 year old chain smoking Italian man with stage II Non-Small Cell Lung Cancer. His past medical history is significant for an NSTEMI 2 years ago, and ESRD for which he has recently started on hemodialysis. He would like to pursue treatment for his lung cancer so is presenting to your office today to discuss possible options. Which of the following would you recommend?

1 point

Radiation Therapy

Lobectomy

Immunotherapy

Targeted Therapy with EGFR inhibitors

Wedge Resection

Clear selection

You are a medical student on a rural family medicine rotation. You are just about to see Mrs. Potshore, a 72 year female with recently diagnosed lung cancer. She has already had a meeting with a surgeon, and radiation oncologist, but she seems to value the opinion of young medical students. She asks you what the net five year survival for lung cancer in Canada is. You are a little hesitant to answer, but she insists. You answer:

1 point

20%

40%

60%

80%

100%

Clear selection

We're looking for feedback on how to improve and make these quizzes as helpful to learners as possible! Overall I found this quiz:

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