Oncology — MCQs

Ten days after a kidney transplant, a 32-year-old man returns to the hospital with symptoms of fever and decreased urine output. He reports no cough, sputum, or dysuria. An ultrasound of the transplant kidney shows allograft enlargement. Which of the following is the most likely diagnosis?

A 63-year-old woman with well-controlled Type 2 diabetes mellitus presents with peripheral neuropathy in the feet and non-proliferative retinopathy. Urinalysis is positive for proteinuria. Which of the following treatments is most likely to attenuate the course of renal disease?

A 62-year-old man with a history of hypertension and stage-III squamous cell carcinoma of the lung who recently completed chemotherapy presents with sudden onset of right calf swelling and pain for 2 days. He denies trauma or recent travel and has no prior history of blood clots. Physical examination reveals a tender swelling of the right calf without erythema. His D-dimer is elevated at 640 ng/mL, and venous Doppler confirms occlusive thrombi in the deep veins of the right leg. A plan is made to initiate anticoagulation for 6 months. What is the drug of choice for anticoagulation in this patient?

What is the most common malignancy observed in individuals undergoing immunosuppressive therapy?

A 60-year-old patient presents with diarrhea and abdominal pain for 5 days. Ultrasound abdomen is normal, and CT abdomen shows a local mass in the jejunum. 24-hour urine test shows elevated 5-HIAA. What is the most common site for a primary tumor that causes these findings?

Tumour lysis syndrome is associated with the treatment of which condition?

Which type of lung carcinoma responds best to chemotherapy?

A 62-year-old man with a history of hypertension and gout, treated with metoprolol and allopurinol, presents with 4 weeks of drowsiness and generalized weakness. He experienced a tonic-clonic seizure. He is a long-term smoker (1 pack/day for 40 years) and has had unintentional weight loss of 20 lb over the past 2 months. His laboratory findings include hemoglobin 10.2 gm/dL, serum sodium 122 mEq/L, serum osmolality 258 mOsm/kg, urine osmolality 300 mOsm/kg, and urine sodium 48 mmol/L. TSH and cortisol levels are normal. What is the most likely diagnosis?

Which feature is common to carcinoma of the pancreas, lungs, and stomach?

What is the most common type of bronchogenic carcinoma?