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Lower Respiratory ProblemsMedical Surgical Nursing

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Question Answer
What is the smallest sized lung cancer lesion that is detectable by Xray?
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1 centimeter
Lung cancer is thought to arise from ______ cells and most commonly occur in the ________ of the lungs.
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-Bronchogenic/bronchial epithelium cells -Occur in the segmented bronchi or beyond of the upper lobes of the lungs
Which type of lung cancer is most common, non-small cell lung cancer or small cell lung cancer?
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Non-small cell (NSCLC)
The common sites of lung cancer metastasis are:
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Liver, brain, bones, scalene lymph nodes, and adrenal glands
Which type of lung cancer is most commonly associated with paraneoplastic syndromes?
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Small Cell Cancer (SCLC)
What are the earliest clinical manifestations of lung cancer?
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Persistent pneumonitis causing fever, chills and cough
With respect to lung cancer, what is the one most common symptom that is often the first reported?
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A productive cough
Hoarseness can be a symptom of lung cancer if there is ________ involvement.
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Larygeal nerve
What can cause unilateral paralysis of the diaphragm, dysphagia, and SVC obstruction in a person with lung cancer?
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Intrathoracic spread of the malignancy
Lung cancer with ________ involvement can lead to pericardial effusion, cardiac tamponade and dysrhythmias.
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mediastinal
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What is the single most effective and non-invasive way to evaluate lung cancer?
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A CT scan, the location and extent of the masses can be identified
What is required for a definitive diagnosis of lung cancer?
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A biopsy
Which lymph nodes become palpable in patients with lung cancer?
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Those located in the neck and axilla
What stages of lung cancer are considered operable stages?
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Stages I, II and IIIA
Which form of lung cancer, small cell or non-small cell, is staged as limited or extensive (as opposed to TMN) due to its aggressive/systemic nature?
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Small cell lung cancer (SCLC)
How long does a patient with small cell lung cancer typically live?
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If it's limited: 2 years If it's extensive: 7-10 months
_________ is a form of lung cancer that has not been associated with cigarette smoking.
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Adenocarcinoma
T/F The most common form of lung cancer is caused by lung scarring and chronic interstitial fibrosis, not cigarette smoking.
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True (Adenocarcinoma)
________ is a form of lung cancer that occurs most commonly in women and tends to begin in mucous glandular tissue in the peripheral portions of the lungs.
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Adenocarcinoma
How is adenocarcinoma typically treated?
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With surgical resection, it doesn't respond well to chemotherapy
Which form of lung cancer is almost always associated with cigarette smoking?
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Squamous cell carcinoma
  
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