Kacmarek: Egan's Fundamentals of Respiratory Care, 10th 

Edition ​Chapter 28: Lung Cancer  

Test Bank  

MULTIPLE CHOICE  

1. What percentage of all cancer deaths are related to lung cancer?  

a. less than 10%  
b. about 30%  
c. about 50%  
d. more than 60%  
2. Which of the following comments regarding lung cancer is TRUE?  
a. The incidence has risen over the past few decades.  
b. It is the third leading cause of cancer deaths in the United States.  
c. The peak incidence occurred in the mid-1970s.  
d. Incidence has increased in women 40 to 58 years of age.  

3. Approximately what percentage of all lung cancer is linked to smoking? 

a. 55%  
b. 70%  
c. 85%  
d. 100% 

4. In what age group has smoking NOT been seen to decrease recently?  
a. 18 to 24 years  
b. 25 to 40 years  
c. 45 to 60 years  
d. older than 70 years 
5. What age group has been targeted by tobacco companies as a primary source of new 
customers?  
a. teenagers  
b. women aged 21 to 35 years  
c. men aged 21 to 35 years  
d. men and women over 50 years of age  

6. Other causes of lung cancer include all of the following EXCEPT which one? 
a. asbestos  
b. arsenic  
c. chromium  
d. microwave radiation  

7. Which of the following is NOT a major histopathologic type of lung cancer? 

a. adenocarcinoma  
b. squamous cell carcinoma  
c. small-cell carcinoma  
d. ciliated cell carcinoma  
 8. What composition of adenocarcinoma best describes its histopathology? 
a. stratified epithelial cells  
b. pleomorphic cells  
c. polygonal cells 
d. glandular structures  

9. Squamous cell carcinoma is composed of which of the following? 

a. glandular structures from lung scars  
b. common pulmonary stem cells  
c. flattened stratified epithelial cells  
d. multicentric stratified cells  

10. Which of the following best describes the cell characteristics in small cell carcinoma? 
a. larger than lymphocyte nucleus  
b. enlarged nuclei-differentiated cells  
c. keratin structures throughout lung tissue  
d. develops from a common pulmonary stem cell  

11. What type of histopathologic cells is associated with large-cell carcinoma? 

a. pleomorphic cells  
b. glandular structures  
c. stratified epithelial cells  
d. pulmonary stem cells  

12. Which of the following is the most common type of lung cancer? 
a. large cell  
b. adenocarcinoma  
c. squamous cell  
d. small cell  

13. Which of the following is not associated with the clinical features of lung cancer? 
a. local growth of tumor  
b. metastasis extrathoracic or intrathoracic  
c. associated pain or discomfort  
d. paraneoplastic syndrome  

14. Which of the following is NOT associated with local tumor growth in the central airways? 
a. large airway obstruction  
b. cough  
c. hemoptysis  
d. fine crackles  

15. What type of lung cancer usually is seen as a central lesion that may obstruct airways and lead 
to atelectasis?  
a. adenocarcinoma  
b. squamous cell  
c. large cell  
d. bronchogenic carcinoma  
16. On a chest radiograph, large-cell carcinoma is commonly seen as what type of lesion? 
a. central lesion  
b. well-defined mass  
c. bilateral nodules 
d. unilateral nodules  

17. Apical growth may be associated with which of the following syndromes? 
a. Goodpasture  
b. Pancoast  
c. Miller  
d. granulomatosis  

18. Which of the following organs is not commonly compromised in metastatic lung cancer? 
a. brain  
b. liver  
c. bone  
d. stomach  

19. The presence of headaches, vision changes, and neurologic symptoms is highly suggestive of 
metastasis.  
a. True  
b. False  

20. What minimum size does a lesion in the lung need to be in order to be called a nodule? 
a. 1 cm  
b. 2 cm  
c. 3 cm  
d. 4 cm  

21. What is the most commonly used additional imaging technique to confirm lung cancer? 
a. gammagraphy  
b. videoscintigraphy  
c. positron emission tomography  
d. enhanced computed tomography  

22. Which of the following is NOT a common purpose for staging a case of lung cancer? 
a. selection of therapy  
b. assessment of extent of the disease  
c. prognosis  
d. etiology  

23. What does the acronym TNM mean?  

a. tumor, number, mass  
b. tumor, non​−​small, metastases  
c. tracheal, number, metastases  
d. tumor, lymph node, metastases  

 
24. Which of the following pulmonary function tests are frequently used to determine tolerance to 
resectional surgery?  
1 FEV​1  
2. FEF​25-75  
3. FVC  
4. DLCO 
a. 1  
b. 1 and 4  
c. 2 and 4  
d. 1, 2, 3, and 4  

25. Screening of patients at high risk for bronchogenic carcinoma with a chest radiograph has 
been found to increase survival.  
a. True  
b. False  

26. Which of the following is NOT a therapeutic option for patients with lung cancer? 
a. surgical resection  
b. radiotherapy  
c. laser  
d. chemotherapy  

27. What treatment is the best initial modality for patients with non​−​small-cell lung cancer 
because it offers the best prospect of long-term survival?  
a. chemotherapy  
b. surgical resection  
c. radiation therapy  
d. endobronchial laser therapy  

28. What is the treatment of choice for limited-stage small-cell lung cancer? 
a. surgical resection  
b. chemoradiotherapy  
c. radiation therapy only  
d. chemotherapy only  

29. What is the most effective way to prevent lung cancer?  

a. vitamin E  
b. beta-carotene  
c. smoking prevention  
d. avoidance of atmospheric pollution