HEALS: Oncology & Pathology

  1. Enhancement of cell killing effects through the use of oxygen requires a cellular oxygen level of at least ________.


    A. 3.0%
  2. TRUE or FALSE: Sarcomas originate from mesenchymal tissue.
    True
  3. The least radiosensitive area of the GI tract is the:



    D. Colon
  4. At doses above 6000 cGy, the normal breast will undergo changes causing the formation of additional:


    B. fibrotic tissue
  5. The symptoms of acute radiation enteritis will typically appear at doses exceeding:



    C. 3000 cGy
  6. The approximate tumor dose of Hodgkin's disease is about:



    C. 4000 cGy
  7. During irradiation of the thorax, the tissue with the greatest susceptibility to radiation damage is the:



    B. lung parenchyma
  8. Vaginal cancers occur most commonly in the:



    C. upper posterior wall
  9. The reduction of normal pituitary function due to irradiation may result in:
    1. hypothyroidism 2. hypopituitarism 3. hyperadrenalism



    C. Hypothyroidism & Hypopituitarism
  10. The Babinski and Hoffmann sign usually indicates a brain tumor occurring in the:



    A. occipital region
  11. A patient with Hodgkin's disease that has positive lymph nodes on both sides of the diaphragm would be classified as being in stage:



    D. III
  12. The perineal & inguinal nodes are most commonly involved in the metastatic spread for:



    B. anal cancer
  13. The most important lymph nodes involved with the spread of malignancies of the nasopharynx are the:



    D. cervical
  14. Breast, thyroid and kidney cancers are frequently associated with metastasis to the:



    A. Lung
  15. A tumor of the upper esophagus will most often spread into the lymph nodes of the:



    C. mediastinum
  16. The most common primary tumor of the osseous system is:



    D. osteosarcoma
  17. The most common malignancy in the head & neck region are carcinomas of the:



    A. Larynx
  18. The majority of lung tumors arise from the:



    A. bronchi
  19. A common site for metastatic spread from the liver is the:
    1. stomach 2. lung 3. brain



    C. Lung & Brain
  20. Which of the following is a form of a malignant non-osseous tumor most likely found in children?



    D. Ewing's sarcoma
  21. The most common type of cancer arising from the epithelium of the GI tract is:


    A. squamous cell
  22. Which type of leukemia is seen with nearly the same frequency in all decades of life?



    C. AML
  23. The most common primary brain tumor in children is:



    B. medulloblastoma
  24. The presence of the Reed-Sternberg cell is essential for the diagnosis of:



    D. hodgkin's lymphoma
  25. In a stage IV Hodgkin's disease the symbols H+, O+ and L+ indicate involvement of the:
    • Liver (H)
    • Bone (O)
    • Lung (L)
  26. The most common method of spread for cervical ca is:


    B. lymphatic
  27. The most common intracranial malignancy is:



    D. meningioma
  28. Metastases to the liver are most commonly seen in cancers affecting the:



    A. GI tract
  29. A large percentage of bone metastases result from tumors which originate in the:
    1. lung 2. breast 3. prostate



    D. Lung, Breast & Prostate
  30. The metastatic spread of osteosarcomas most often relates to:



    A. blood vessels
  31. TRUE or FALSE: The radiation treatment given to an area of lytic metastatic disease will serve to reduce pain in the bone.
    True
  32. The control of pain in terminal patients may require an analgesic solution of drugs called:



    B. Bromptom's
  33. During a Hodgkin's disease treatment, a platelet count of about ________ or less will require an interruption of treatment.


    A. 50,000
  34. Formation of intercellular edema is characteristic of:



    B. moist desquamation
  35. The principle difference in the modified radical and radical mastectomy is the extent of the __________ removal.



    C. muscle
  36. The most common viral syndrome in immunosuppressed cancer patients is:



    A. influenza
  37. A patient with metastatic bone disease has become lethargic & confused. A physical exam shows no abnormalities. A probable cause could be:


    A. hyper calcemia
  38. All of the following areas are associated with metastasis to the bone except:



    D. Colon ca generally does not mets to bone until very late in the game
  39. The sphenoid sinus is located anteroir and inferior to what other structure?



    D. sella turcica
  40. The surface landmark associated with the anterior nasal spine at the junction of the upper lip and the nose is called the:


    • A. acanthion
  41. The majority of the compactum is supplied by blood vessels originating in the ________ cavity.
    Medullary
  42. Kyphosis commonly affects the _________ spine of elderly patients.


    B. thoracic
  43. The most anterior portion of a normal vertebrae is the:



    D. body
  44. The lacrimal canal is a bony groove through the lacrimal bone that serves to connect the:


    B. Nasal & orbital cavities
  45. The ________ (male or female) pelvis is characterized by a larger pelvic outlet, wider transverse diameter & larger pubic arch.
    Female
  46. Chronic rheumatoid arthritis ofetn damages the joint membranes & may lead to an abnormal joint stiffening called:


    C. ankylosis
  47. Reticulum, elastin & the ground substance are the 3 primary components of:


    B. collagen
  48. The sternal or manubrial notch is often employed for the localization of:



    C. T-2
  49. The junction of the two innominate bones at the anteroinferior margin is termed the:


    C. symphysis pubis
  50. Because of the livers function to filter hematogenous tumor cells, about ______% of cancer patients will develop liver metastasis.


    A. 50%
  51. The largest portion of the intestinal tract is supplied with arterial blood by way of the:



    C. superior mesenteric artery
  52. The principle lymphatics of the cecum & ascending colon are the:



    D. ileocolic nodes
  53. Which of the following structures is most likely associated with lymphatic drainage into the perineal & inguinal nodes:


    C. anus
  54. Which of the following GI structures is not located within the peritoneum?



    B. duodenum
  55. The junction of the transverse & descending colon takes place at the ________ flexure.
    a. splenic
    b. hepatic
    a. splenic
  56. The vast majority of the lymph drainage of the stomach passes into the:


    B. celiac nodes
  57. The white blood cells of the lymphatic system enter the systemic circulation at the:


    C. subclavian veins
  58. The gallbladder normally found by its attachment to the ventral surface of the:
    a. right lobe of the liver
    b. left lobe of the liver
    a. right lobe of the liver
  59. The head of the pancreas will normally be located in the:


    B. sweep of the duodenum
  60. The most extensive drainage from the oro and nasopharynx is by way of the:
    a. jugulodigastric
    b. retropharyngeal
    b. retropharyngeal
  61. The lymphatic drainage of the paranasal sinuses & nasal fossae are most often directed into the:


    C. deep cervical nodes
  62. The tail of the pancreas is attched to what abdominal structure?



    A. spleen
  63. The ascending & transverse colon join at the _________ flexure:
    a. hepatic
    b. splenic
    a. hepatic
  64. The principle lymphatic nodes associated with the drainage of the gallbladder are the:
    1. periportal 2. duodenal 3. inguinal



    B. Periportal & Duodenal
  65. The digestive tract organ most responsible for the absorption of water is the:


    C. large intestine
  66. The jugulodigastric and submandibular nodes are the principle lymph nodes associated with the drainage of the:



    C. oral cavity
  67. Which segment of the esophagus will normally have lymphatic drainage into the paratracheal nodes?


    A. Upper portion
  68. The longest segment of the human intestinal tract is the:



    D. Ileum
  69. The white pulp of the spleen is most closely related to the:


    C. immune process
  70. The haustra are the folds that give the _________ its characteristic appearance.


    B. Colon
  71. The portal vein that brings venous blood to the liver is derived from circulation of all of the following EXCEPT:



    A. kidney
  72. All of the following are synthesized in the liver EXCEPT:



    A. lactic acid
  73. The most common site of embolization in the respiratory tract is (are):



    B. pulmonary arteries
  74. Most of the lymphatic drainage from the testes & ovaries terminates in the ________ nodes.



    C. lumbar (preaortic) nodes
  75. In a normal adult's urinary system, the ureters will attach to the urinary bladder at its:
    a. anterior lateral surface
    b. posterior lateral surface
    b. posterior lateral surface
  76. The majority of malignancies of the kidneys will metastasize to the:



    D. Liver & Spleen
  77. The drainage of the superficial inguinal and internal iliac nodes are associated with the:



    D. rectum & anus
  78. The region on an antigen that appears to elicit an immune response is called the:


    B. epitope
  79. The lymph drainage of the thyroid gland is primarily through the:


    B. jugular nodes
  80. Graves' disease is an autoimmune disease of the thyroid gland that results in a persistent:
    a. hyperthyroidism
    b. hypothyroidism
    a. hyperthyroidism
  81. Hyperthyroidism that is the result of excessive thyroid stimulating hormone (TSH) is often associated with ______ tumors.
    a. pituitary
    b. testicular
    a. pitutary
  82. The most common cause of hypothyroidism is an autoimmune thyroiditis called:


    A. Hashimoto's disease
  83. The most common malignancy of the kidney is:



    B. renal metastasis
  84. A large portion of memory and motor functions of the cerebral hemisphere are located in the:



    C. frontal lobes
  85. The temporal lobe of the cerebrum is normally related to the:


    B. hearing, learning & memory recall
  86. The coordination of fine muscular movement of the extremities is primarily accomplished by the:



    B. cerebellum
  87. The main control of the autonomic nervous system & the physiological function is accomplished in the:



    A. brainstem & hypothalamus
  88. Though the brain constitutes only about 3% of the body weight, it requires about ____% of the total oxygen consumption of the body.



    A. 20%
Author
RadiationTherapy
ID
271053
Card Set
HEALS: Oncology & Pathology
Description
HEALS: Chapters 15, 16, 18-22
Updated