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A 60-year-old male patient newly diagnosed with small cell
carcinoma of the right lung is admitted to the oncology unit with
a chief complaint of facial and neck swelling as well as a cough. A
diagnosis of superior vena cava syndrome is made. Which of the
following treatment options would you expect to see ordered
for this patient?
A. Chemotherapy with adjuvant radiation therapy
B. Thoracentesis under local anesthesia
C. Surgical consultation to place a chest tube
D. Transfusion of two units of packed red blood cells - correct
answer- A. Chemotherapy with adjuvant radiation therapy
A 62-year-old male patient diagnosed with stage 3 small cell lung
cancer is admitted to the oncology unit with somnolence,
weakness, nausea, vomiting, and diffuse abdominal pain. His
wife reports that he has become increasingly weak over the past
three days and has exhibited a change in mental status. She
, reports that he has not had a bowel movement in five days.
Which of the following oncologic complications is a likely
explanation for the patient's clinical presentation?
A. Hypercalcemia
B. Septic shock
C. Liver metastasis
D. Superior vena cava syndrome - correct answer- A.
Hypercalcemia
A 65-year-old man, who had been hospitalized for cancer
treatments 3 days previously, screams out that he is seeing bugs
in his hospital room. H then gets out of bed and stats pulling out
his IV line. He is disoriented to time and place. His vital signs
show he his running a fever. Of the following, which is the best
diagnosis of his mental state?
A. Acute stress disorder
B. Delusional disorder
C. Delirium
D. Depression secondary to a medical condition - correct
answer- C. Delirium