Question 1

Which of the following are major histopathologic types of lung cancer?
1) Adenocarcinoma
2) Squamous cell carcinoma
3) Small-cell carcinoma
4) Ciliated cell carcinoma

Accepted Answer

A) 2, 3, and 4 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 1 and 2 only 
A) 2, 3, and 4 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 1 and 2 only B

Question 2

Which of the following comments regarding lung cancer is true?

Accepted Answer

A)  The incidence has risen over the past few decades. 
B)  It is the third leading cause of cancer deaths in the United States. 
C)  The peak incidence occurred in the mid-1970s. 
D)  Incidence has increased in women 40 to 58 years of age. 
A)  The incidence has risen over the past few decades. 
B)  It is the third leading cause of cancer deaths in the United States. 
C)  The peak incidence occurred in the mid-1970s. 
D)  Incidence has increased in women 40 to 58 years of age. A

Question 3

What type of histopathologic cells is associated with large-cell carcinoma?

Accepted Answer

A)  Pleomorphic cells 
B)  Glandular structures 
C)  Stratified epithelial cells 
D)  Pulmonary stem cells 
A)  Pleomorphic cells 
B)  Glandular structures 
C)  Stratified epithelial cells 
D)  Pulmonary stem cells A

Question 4

Other causes of lung cancer include:
1) asbestos.
2) arsenic.
3) chromium.
4) microwave radiation.

Accepted Answer

A) 2, 3, and 4 only 
B) 2 and 3 only 
C) 1 and 4 only 
D) 1, 2, and 3 only 
A) 2, 3, and 4 only 
B) 2 and 3 only 
C) 1 and 4 only 
D) 1, 2, and 3 only

Question 5

Which of the following is the most common type of lung cancer?

Accepted Answer

A)  Large cell 
B)  Adenocarcinoma 
C)  Squamous cell 
D)  Small cell 
A)  Large cell 
B)  Adenocarcinoma 
C)  Squamous cell 
D)  Small cell

Question 6

What minimum size does a lesion in the lung need to be in order to be called a nodule?

Accepted Answer

A)  1 cm 
B)  2 cm 
C)  3 cm 
D)  4 cm 
A)  1 cm 
B)  2 cm 
C)  3 cm 
D)  4 cm

Question 7

What is the most commonly used additional imaging technique to confirm lung cancer?

Accepted Answer

A)  Gammagraphy 
B)  Videoscintigraphy 
C)  Positron emission tomography 
D)  Enhanced computed tomography 
A)  Gammagraphy 
B)  Videoscintigraphy 
C)  Positron emission tomography 
D)  Enhanced computed tomography

Question 8

What composition of adenocarcinoma best describes its histopathology?

Accepted Answer

A)  Stratified epithelial cells 
B)  Pleomorphic cells 
C)  Polygonal cells 
D)  Glandular structures 
A)  Stratified epithelial cells 
B)  Pleomorphic cells 
C)  Polygonal cells 
D)  Glandular structures

Question 9

Apical growth may be associated with which of the following syndromes?

Accepted Answer

A)  Good pasture 
B)  Pancoast 
C)  Miller 
D)  Granulomatosis 
A)  Good pasture 
B)  Pancoast 
C)  Miller 
D)  Granulomatosis

Question 10

What type of lung cancer usually is seen as a central lesion that may obstruct airways and lead to atelectasis?

Accepted Answer

A)  Adenocarcinoma 
B)  Squamous cell 
C)  Large cell 
D)  Bronchogenic carcinoma 
A)  Adenocarcinoma 
B)  Squamous cell 
C)  Large cell 
D)  Bronchogenic carcinoma

Question 11

Which of the following pulmonary function tests are frequently used to determine tolerance to resectional surgery?
1) FEV1
2) FEF25% to 75%
3) FVC
4) DLCO

Accepted Answer

A) 1 only 
B) 1 and 4 only 
C) 2 and 4 only 
D) 2, 3, and 4 only 
A) 1 only 
B) 1 and 4 only 
C) 2 and 4 only 
D) 2, 3, and 4 only

Question 12

What is the most effective way to prevent lung cancer?

Accepted Answer

A)  Vitamin E 
B)  Beta-carotene 
C)  Smoking prevention 
D)  Avoidance of atmospheric pollution 
A)  Vitamin E 
B)  Beta-carotene 
C)  Smoking prevention 
D)  Avoidance of atmospheric pollution

Question 13

Which of the following are common purposes for staging a case of lung cancer?
1) Selection of therapy
2) Assessment of extent of the disease
3) Prognosis
4) Etiology

Accepted Answer

A) 2, 3, and 4 only 
B) 1, 2, and 4 only 
C) 3 and 4 only 
D) 1 and 2 only 
A) 2, 3, and 4 only 
B) 1, 2, and 4 only 
C) 3 and 4 only 
D) 1 and 2 only

Question 14

Which of the following best describes the cell characteristics in small-cell carcinoma?

Accepted Answer

A)  Larger than lymphocyte nucleus 
B)  Enlarged nuclei-differentiated cells 
C)  Keratin structures throughout lung tissue 
D)  Develops from a common pulmonary stem cell 
A)  Larger than lymphocyte nucleus 
B)  Enlarged nuclei-differentiated cells 
C)  Keratin structures throughout lung tissue 
D)  Develops from a common pulmonary stem cell

Question 15

What is the treatment of choice for limited-stage small-cell lung cancer?

Accepted Answer

A)  Surgical resection 
B)  Chemoradiotherapy 
C)  Radiation therapy only 
D)  Chemotherapy only 
A)  Surgical resection 
B)  Chemoradiotherapy 
C)  Radiation therapy only 
D)  Chemotherapy only

Question 16

What treatment is the best initial modality for patients with non-small-cell lung cancer because it offers the best prospect of long-term survival?

Accepted Answer

A)  Chemotherapy 
B)  Surgical resection 
C)  Radiation therapy 
D)  Endobronchial laser therapy 
A)  Chemotherapy 
B)  Surgical resection 
C)  Radiation therapy 
D)  Endobronchial laser therapy

Question 17

In what age group has smoking increased recently?

Accepted Answer

A)  18 to 24 years 
B)  25 to 40 years 
C)  45 to 60 years 
D)  Older than 70 years 
A)  18 to 24 years 
B)  25 to 40 years 
C)  45 to 60 years 
D)  Older than 70 years

Question 18

Which of the following is typically not associated with local tumor growth in the central airways?

Accepted Answer

A)  Large airway obstruction 
B)  Cough 
C)  Hemoptysis 
D)  Fine crackles 
A)  Large airway obstruction 
B)  Cough 
C)  Hemoptysis 
D)  Fine crackles

Question 19

What does the acronym TNM mean?

Accepted Answer

A)  Tumor, number, mass 
B)  Tumor, non-small, metastases 
C)  Tracheal, number, metastases 
D)  Tumor, lymph node, metastases 
A)  Tumor, number, mass 
B)  Tumor, non-small, metastases 
C)  Tracheal, number, metastases 
D)  Tumor, lymph node, metastases

Question 20

Approximately what percentage of all lung cancer is linked to smoking?

Accepted Answer

A)  50% to 55% 
B)  70% to 75% 
C)  85% to 90% 
D)  100% 
A)  50% to 55% 
B)  70% to 75% 
C)  85% to 90% 
D)  100%

Exam 31: Lung Cancer

Which of the following are major histopathologic types of lung cancer? 1) Adenocarcinoma 2) Squamous cell carcinoma 3) Small-cell carcinoma 4) Ciliated cell carcinoma

Which of the following comments regarding lung cancer is true?

What type of histopathologic cells is associated with large-cell carcinoma?

Other causes of lung cancer include: 1) asbestos. 2) arsenic. 3) chromium. 4) microwave radiation.

Which of the following is the most common type of lung cancer?

What minimum size does a lesion in the lung need to be in order to be called a nodule?

What is the most commonly used additional imaging technique to confirm lung cancer?

What composition of adenocarcinoma best describes its histopathology?

Apical growth may be associated with which of the following syndromes?

What type of lung cancer usually is seen as a central lesion that may obstruct airways and lead to atelectasis?

Which of the following pulmonary function tests are frequently used to determine tolerance to resectional surgery? 1) FEV1 2) FEF25% to 75% 3) FVC 4) DLCO

What is the most effective way to prevent lung cancer?

Which of the following are common purposes for staging a case of lung cancer? 1) Selection of therapy 2) Assessment of extent of the disease 3) Prognosis 4) Etiology

Which of the following best describes the cell characteristics in small-cell carcinoma?

What is the treatment of choice for limited-stage small-cell lung cancer?

What treatment is the best initial modality for patients with non-small-cell lung cancer because it offers the best prospect of long-term survival?

In what age group has smoking increased recently?

Which of the following is typically not associated with local tumor growth in the central airways?

What does the acronym TNM mean?

Approximately what percentage of all lung cancer is linked to smoking?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

Filters

Which of the following pulmonary function tests are frequently used to determine tolerance to resectional surgery? 1) FEV₁ 2) FEF_{25% to 75%} 3) FVC 4) DLCO