Devita, Hellman, and Rosenberg's Cancer

LWBK1006-13 LWW-Govindan-Review November 24, 2011 11:22

144 DeVita, Hellman, and Rosenberg’s CANCER: Principles and Practice of Oncology Review

Question 13.14. For women who have had a hysterectomy, which one of the following is

the most appropriate practice for screening for cervical cancer with PAP

smears?

A. PAP smears should be performed every 1 to 3 years indefinitely.

B. PAP smears should be performed every 1 to 3 years until age

65 years.

C. Women who have a history of cervical cancer can discontinue screen-

ing after a total abdominal hysterectomy.

D. Women who have had a total hysterectomy for benign conditions no

longer need PAP smears.

Question 13.15. Which statement regarding screening for breast cancer is true?

A. Latina women are at a lower risk for developing aggressive breast

cancer than the general population.

B. The monthly breast self-examination (BSE) is a crucial component of

breast cancer screening programs.

C. The BSE has been shown to be ineffective for breast cancer screening.

D. Older women are more likely to develop triple negative disease.

Question 13.16. Which of the following statements regarding prostate cancer screening is

true?

A. PSA levels do not change with age.

B. African-American men are at increased risk for prostate cancer.

C. Annual PSA level testing is recommended for men of 55 to 74 years.

D. PSA levels are unaffected by benign prostate diseases.

Question 13.17. All of the following statements regarding cancer screening tests are true,

EXCEPT:

A. Lead-time bias could affect the effectiveness of screening tests.

B. Randomized controlled trials are necessary to evaluate the effective-

ness of screening tests.

C. Improvement in overall survival is an appropriate end point for trials

on cancer screening tests.

D. Risk models could help identify the patients to be screened.