Devita, Hellman, and Rosenberg's Cancer

LWBK1006-39 LWW-Govindan-Review December 12, 2011 20:30

CHAPTER 39 ONCOLOGIC

EMERGENCIES

GIRIDHARAN RAMSINGH•DANIEL MORGENSZTERN

DIRECTIONS Each of the numbered items below is followed by lettered answers. Select the

ONE lettered answer that is BEST in each case unless instructed otherwise.

QUESTIONS

Questions

39.1.–39.3.

A 48-year-old white man presents with a history of progressive facial

swelling and shortness of breath for 1 month. He has a 40-pack-year

smoking history. On examination, the patient has cervical and thoracic

venous distention. Laboratory test results revealed normal blood counts,

basic metabolic profile, and liver functions. Computed tomography (CT)

scan revealed a 6×5-cm lung mass with liver metastases.

Question 39.1. What is the most likely cause of his condition?

A. Small cell lung cancer

B. Non-Hodgkin’s lymphoma

C. Non-small cell lung cancer

D. Superior vena cava (SVC) thrombosis

Question 39.2. Biopsy was performed and showed small cell lung cancer. Which is the

best initial modality of treatment for this patient?

A. Surgery

B. Radiation therapy

C. Chemotherapy

D. SVC stent

Question 39.3. What is the most likely location for the primary tumor?

A. Peripheral left lung

B. Peripheral right lung

C. Central left lung

D. Central right lung

Corresponding Chapter inCancer: Principles & Practice of Oncology,Ninth Edition: 143 (Superior Vena Cava

Syndrome), 144 (Increased Intracranial Pressure), 145 (Spinal Cord Compression), and 146 (Metabolic Emergencies).

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