Identifying Types of Tumor

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NCLEX-PN › Identifying Types of Tumor

Questions 1 - 10
1

Actinic keratosis occasionally develops into which skin cancer?

Squamous cell carcinoma

Basal cell carcinoma

Melanoma

Merkel cell carcinoma

Explanation

Actinic keratosis occasionally develops into squamous cell carcinoma and is generally removed prophylactically. Actinic keratosis is not associated with development of any of the other skin cancer types listed.

2

Which of the following is a benign tumor?

Fibroma

Neuroblastoma

Osteosarcoma

Adenocarcinoma

Chondrosarcoma

Explanation

A fibroma is considered a benign fibrous tissue tumor. The other tumor types are all malignant.

3

What is the most common type of thyroid cancer?

Papillary carcinoma

Follicular carcinoma

Medullary carcinoma

Anaplastic carcinoma

Explanation

Papillary carcinoma is the most common thyroid cancer (60-70% of all thyroid cancers). Follicular carcinoma is the second most common thyroid cancer type (10-20% of cases), followed by medullary thyroid cancer (5%), then anaplastic carcinoma (under 5% of cases).

4

What is the most common malignant brain tumor in children?

Medulloblastoma

Glioblastoma

Meningioma

Juvenile pilocytic astrocytoma

Explanation

90% of medulloblastomas are in pediatric patients. It is the tumor type in 14.5% of primary brain malignancies of childhood and adolescence. Glioblastoma is the most common type of brain tumor in adults and accounts for 52% of all primary brain tumors. Meningiomas are also fairly common in adult populations, accounting for 34% of primary brain tumors. Juvenile pilocytic astrocytoma is a brain tumor of childhood but only accounts for 2% of cases.

5

What is the most common type of liver cancer?

Hepatocellular carcinoma

Hepatoblastoma

Cholangiocarcinoma

Teratoma

Explanation

Hepatocellular carcinoma accounts for approximately 75% of all primary liver cancers.

Cholangiocarcinoma and hepatoblastoma are rare forms of liver cancer, and a teratoma is a tumor that contains normal-appearing tissues from multiple germ layers, which can appear in multiple locations in the body.

6

All of the following cancers frequently metastasize to bone except __________.

stomach cancer

breast cancer

lung cancer

prostate cancer

Explanation

Breast, lung, kidney, and prostate cancers make up approximately 80% of metastases to bone. Stomach cancer can metastasize to bone, but it does so only rarely.

7

The appearance of red, purple, brown, or black papular lesions on the extremities, back, face, mouth, and genitalia is a typical presentation for what malignancy?

Kaposi sarcoma

Pancreatic cancer

Melanoma

Burkitt lymphoma

Explanation

Kaposi sarcoma presents with red, purple, brown, or black papular lesions on the extremities, back, face, mouth, and genitalia. It is caused by human herpes virus 8 (HHV8) and is typically seen in immunocompromised patients.

Neither Burkitt lymphoma nor pancreatic cancer typically present with any associated skin lesions, while melanomas tend to be singular lesions.

8

Which of the following types of lung cancer is most linked to cigarette smoking?

Small cell carcinoma

Mesothelioma

Adenocarcinoma

Bronchial carcinoids

Explanation

Small cell carcinoma (also called oat cell cancer) makes up 15% of lung cancers and almost always presents in patients with a history of cigarette smoking.

Adenocarcinoma is the most common type of lung cancer in patients who have never smoked. Mesothelioma is most commonly caused by asbestos exposure, while bronchial carcinoids are often of unknown etiology.

9

What type of cancer generally presents with elevated calcium, renal failure, anemia, and lytic bone lesions?

Multiple myeloma

Gastric cancer

Osteosarcoma

Ovarian cancer

Explanation

Multiple myeloma, also known as plasma cell myeloma or Kahler's disease, presents with lytic bone lesions, blood count abnormalities, elevated blood calcium, and an abnormal paraprotein antibodies which can cause damage to kidneys.

Osteosarcoma, while located in the bone, tends to present with a mass visible on imaging. Gastric and ovarian cancer are not associated with any changes in bone (unless due to metastasis).

10

What condition may look like eczema around the nipple but is actually a malignant skin change?

Paget's disease of the breast

Invasive ductal carcinoma

Medullary carcinoma

Invasive lobular carcinoma

Explanation

Paget's disease of the breast will often present as itchy, scaling, cracked, red lesions around the nipple. The other conditions mentioned are all forms of breast cancer, but all of them originate in tissues deeper to the breast and will generally present without a visible rash, though some skin changes such as redness or dimpling may occur.

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