5.3. Quiz:

Lung Cancer:

1.       incidence, causes, epidemiology, precancerous ill u tion

2.       symptoms, diagnosis, early detection of lung cancer,

3.       Differential di and Gnostics,

4.       classification

5.       treatment: surgery (general principles, methods); Combined at Vanya and comprehensive treatment;

6.       immediate and long-term outcomes, prevention of lung cancer. Metastatic lung tumors: diagnosis, differential diagnostics and ka, treatments.

Tumors of the mediastinum (thymoma, lymphoma, teratoma):

1.       morbidity and ness, symptoms, diagnosis,

2.       differential diagnosis,

3.       classification

4.       treatment: surgery, combined and complex treatment, immediate and Dr. Dalen ve outcomes.

5.4. Final stage:

Control and correction of professional skills and knowledge at Lane reproduced by solving situational and clinical tasks, tests for females at ntrolyu. Assesses knowledge and skills students study each est. and nky.

The teacher has homework, recommended literature on the subject Mr. and foot class basic and additional.

VI. Materials for methods of classes

6.1.Materialy control baseline (rising levels) training studios n ing: test questions, test items (correct answers marked "*")

Quiz:

Lung Cancer:

7.       incidence, causes, epidemiology, precancerous ill u tion

8.       symptoms, diagnosis, early detection of lung cancer,

9.       Differential di and Gnostics,

10. classification

11. treatment: surgery (general principles, methods); Combined at Vanya and comprehensive treatment;

12. immediate and long-term outcomes, prevention of lung cancer. Metastatic lung tumors: diagnosis, differential diagnostics and ka, treatments.

Tumors of the mediastinum (thymoma, lymphoma, teratoma):

5.       morbidity and ness, symptoms, diagnosis,

6.       differential diagnosis,

7.       classification

8.       treatment: surgery, combined and complex treatment, immediate and Dr. Dalen ve outcomes.

test tasks

In lung cancer often suffer from:

-         men 60-75-years old *

-         women 40 to 50 years of age;

-         equally often men and women.

Etiological factors of lung cancer is mainly:

-         consumption of protein, fat in excessive amounts;

-         male;

-         smoking tobacco *

-         trauma lips.

T2 for peripheral lung cancer are:

-         tumor 3 cm;

-         Tumor more than 3 cm;

-         tumor spreads to neighboring structures;

-         tumors up to 4 cm *

-         metastatic lymph nodes neck.

 

clinical case studies

The task to control the entry-level knowledge.

 

Teaching Problem

Test 1.

Patient, 48 years old, complained of cough, shortness of breath, swelling of the face and neck. On chest expanded subcutaneous vessels. At the root of the right lung stalemate at logical entity. Liver not enlarged. The abdomen was soft on palpation.

What is the expected diagnosis?

A. Lung cancer, cirrhosis of the liver.

B. Lung cancer metastasized to the liver.

C. Lung cancer syndrome, empty veins.

D. Lung cancer metastasis to the kidney.

E. Pulmonary tuberculosis.

 

Test 2.

Patient G., 52 year miner smokes. Complaints of cough, increased temp and tours, small dyspnea on exertion. When radiography - reducing the transparency of lung tissue in the lower right. Over the past four months, three times ill nyzhnyedolevoyu pneumonia.

What tactics examination to confirm the diagnosis?

A. Clinical blood tests.

B. Clinical urine.

C. Bronchoscopy.

D. Esophagoscopy.

E. Tomography.

 

Test 3

Patient N., 59 years old, do not smoke. Complains of cough, shortness of breath, pain in the game e it right chest, fever. Ill for two weeks. X-rays at the root of the right lung rounded shadow to 3cm. in diameter. P O breath right not prosluhuyetsya, percussion - lung sounds.

What tactics?

A. Repeated courses of antibiotics.

B. Specific antituberculosis therapy.

C. Radiotherapy.

D. Obsleduvannya in onkodispanseri

E. Chemotherapy.

 

Test 4

The patient in '53 set atelectasis syndrome. As he clinically proya in lyayetsya?

A. Hard bronchial breathing with dry wheezing;

V. Amforychnym breath and tympanitis;

C. The emergence of different-sized dry and moist rales;

D. Weakening or absence of breathing and voice trembling;

E. Rough dry wheezing and shortening percussion.

 

Test 5

Patient S., 55 years. Smokes, complaining of cough, hoarseness However, I deposited week. At the root of the left lung volume education to 3 cm. Pathological With ultrasound at BIR internal organs were found.

What is the most informative method of diagnosis in this case?

A. Total blood.

B. Bronchoscopy.

C. Laryngoscopy.

D. Tomography mediastinum.

E. Эzofahoskopiya with biopsy.

 

Test 6

The company conducted routine inspection. What recommendation ve d relatively healthy lifestyle in the prevention of primary lung cancer?

A. Stop Smoking

B. Do not drink alcohol

C. Watch for body weight

D. Engage in physical activity

E. Perform mode of labor and labor

 

Test 7

A patient with suspected central lung cancer. What is the most informative method of investigation for verifikatsiyi and localization of the primary node for a given n and tolohiyi?

A Broncho g raffia

B Computing Volume at graphy.

C Bronchoscopy with bi at psiyeyu.

D Survey roentgen g raffia.

E polipozitsionnoe radiographs and raphy.

 

Test 8

In patient 62, who smokes and often sick 'pneum at Niyama "by Plain radiographs of the chest in the right lung showing trick t tion form eclipse with the apex directed to the root of the lungs and heart and shifting shadows among the wall at the side damage

A central cancer gene l e

Abscess B l E gene

C l e brush gene

D Periyerychnyy cancer LEG is no

E l e atelectasis gene

 

Test 9

 

When rake Penkosta which studies the most appropriate?

A Transtor and locally puncture.

B Com of printed t at mohrafiya.

C bronchus at graphy.

D bronchus at oxidized.

E Ultrasound.

 

Test 10

 

Man '72 complains of pain in the joints on flyuorohramme revealed rounded peripheral shade diameter of 2 cm in the upper right-LEG is not. Clinically, the patient has deformity phalanges as "finger drum and Chalk." What disease most likely?

A lung cancer

B pulmonary tuberculosis with symptoms of intoxication

C Rheumatoid arthritis petryfykat in lung

D metastatic defeat lungs and joints

E tuberkuloma

6.2. Materials for the methods of the main stage classes H Abir radiographs, tables, owner of anticancer chemotherapy amb in Thorne cards and medical history of patients, findings of morphological Dr at slidzhennya biopsies (if possible micropreparations) medicines.

6.3. Materials for the final stage of the study: clinical case studies

Final Test

Test 1

The patient, 53 years old, a month ago suddenly, overnight, developed edema of the upper half of the body, face, head, flushing of the skin, enlarged veins and Rennie neck and subcutaneous veins of the chest. Desensitization therapy d and la little effect. What is needed for diagnosis?

A. Bronchoscopy;

V. Immunological studies;

The research to identify potential allergen;

D. Radiography of the chest to exclude tumors among at wall;

E. Echocardiography.

 

Test 2

A man 50 years old, a month ago developed hoarseness of voice, and a week Mr. and ass - edema of the soft tissues of the head and her congestion. What disease should be excluded in the first place?

A. acute cardiovascular failure;

B. Acute laryngitis that complicated allergic swelling;

S. allergic reaction to an unknown allergen;

D. Cerebrovascular accident;

E. Tumor chest with metastases in mediastinal lymph nodes.

 

Test 3

The man in '70 dry cough, hemoptysis, hoarseness of voice, ptosis and enoftalm left. What disease can think of?

A. Lung cancer has spread to the lymph nodes of the mediastinum;

B. Lung cancer has spread to the brain,

S. Cardiovascular insufficiency of cerebral circulation;

D. Acute laryngotracheitis;

E. larynx tumor with metastases to the brain.

 

Test4

Male, 47 years old, the presumptive diagnosis of central lung cancer.

What tactics doctor?

A. Control radiography in a month;

B. Bronchoscopy with biopsy;

C. Tomography of the lungs;

D. Sputum on BC;

E. Tuberculin test.

 

Test 5

Patient A. '57 diagnosed with lung cancer. What is often the first symptom of the disease?

A. Pain in the chest

B. Dry cough, resistant to medical treatment

C. Wet cough

D. Hemoptysis

E. Dyspnea

 

Test 6

Patient appointed radical surgery for cancer of the LEG is not. Which among these signs are not contraindications for this method of treatment?

A. superior vena cava syndrome

B. The presence of malignant pleural effusion

C. Histological diagnosis of small cell

D. The value of tumor more than 10 cm

E. Metastases in contralateral mediastinal lymph nodes

 

Test 7

On the chest radiograph in the parenchyma of both lungs multiple spherical soft shadows to 3 cm. In diameter. Surveyed in Oncology Center, pervychne fireplace is not found at transbronhialniy biopsy cytology ment in mined glandular cancer cells. What tactics

a diagnostic laparotomy

b Rate of chemotherapy

c diagnostic thoracotomy

d Symptomatic therapy in the community

e Nothing decrees chynaty

 

Test 8

A patient with small-cell lung cancer. Determine method of treatment.

A chemoradiotherapy followed by radical op is right.

Operation B + polychemotherapy.

Operation C + telehamat e rapiya.

Operation D + polihimio and telehamat e rapiya.

One is E op tional treatment.

 

Test 9

When imaging the lungs in the middle of the fate of the right lung revealed peripheries and chne eclipse politsyklychnoyi shape, size 2x3 cm tumor, increased basal nodes are right. Sputum and effusion in the pleural cavity is n e. Diagnosis?

A Tuberculosis right l f gene

B Right-hand pneumonia

C peripheral cancer of the right lung with metastases in the lymph nodes prick p Neuve

D e l Lymphoma right gene

E Sarcoma right l f gene

Test 10

Patient '60 suffers chronic pneumonia with frequent exacerbations. At the next address in the precinct clinic therapist sent wet at that patient-tsitolohich not study during which locate in sputum were nilpotent cancer cells. Simultaneously, the patient's body temperature was increased to 37,6-37,8 º C over which he received antibiotics. After 7-8 days the patient's condition improved: the body temperature returned to normal, decreased cough. The next examination of sputum cancer cells it is no.Diahnoz not find?

A Chronic n e specific pneumonia.

B chronic bronchitis.

C Lung Cancer.

D Pulmonary Tuberculosis.

E Bronhoe k tatychna disease.

Standards of answers control the entry-level knowledge:

1.   C

2.   C

3.   D

4.   D

5.   B

6.   A

7.   C

8.   A

9.   A

10.              A

Standards of answers control the final level of knowledge:

1.D

2.   E

3.   A

4.   B

5.   B

6.   D

7.   B

8.   A

9.   C

10.              C

Literature

Summary:

Algorithms Modern Oncology. / Schepotyn IB, GV Bondar, Ganul VL Dumanskyy Y. et al / Kiev. The book is a plus. -2006. -304p. Bilynsky BT Oncology. Lviv, 1998.

Bilynsky BT Oncology. Lviv, 1992.

GV Bondar, O. Popovych, Dumansky Y., Y. Yakovets Lectures on clinical onkolohiyi. - Donetsk. - 2006. - 255 p.

Peterson BE CANCER. Moscow: Medicine, 1980.

Slynchak SM CANCER. Kiev, 1989.

Trapeznikov NN CANCER. Moscow: Medicine, 1981 ..- S. 278-304.

Schepotyn IB Oncology. Kiev, plus book. -2006. - 250.

Lecture material.

Further Reading:

Zarydze DG Эpydemyolohyya and prevention of cancer. - Journal of Ross. Acad. honey. Science. - 2001, (9): 43-6.

Clinical renthenradiolohiya ed. H.A.Zethenydze. M., Medicine, 1983,-T1. with. 228-241.

Pinchuk VG s et al. CANCER. Dictionary-Handbook. - Kiev: "Science. Thought ", 1992

 

 

 

Methodological development was                by                           PhD, Assoc.               IA Sennikov