Bladder Cancer 2

What does TNM stand for

• Terminal Node Matter

• Terminal neuron matter

• Terminal Nephric matter

• Tumor Node Metastasis

Aniline dyes have been linked to cancer

• True

• False

What is the most common type of Bladder Cancer?

• Squamous Cell Carcinoma

• Transistional cell carcinoma

• Epithelial hyperplasia

Is Chemotherapy and immunotherapy with BCG medical treatments for Bladder cancer?

• Yes

• No

• Only BCG

• Only Chemotherapy

Most frequent presenting symptom is?

• Painless hematuria

• Flank pain due to ureteral obstruction or pelvic mass

• Frequency

• Constipation

After that, the patient will have a cystoscopy at

• 4 month intervals

• 3 month intervals

• 6 month intervals

• 12 month intervals

Lowest degree of malignancy

• Grade 1

• Grade 2

• Grade 3

• Grade 4

What does TURBT stand for?

• Transurinal resection of a bladder tumor

• Transurethral resection of a bladder tumor

• Transdermal resection of a bladder tumor

• Transcondual resection of a bladder tumor

TCC is what percentage of all bladder cancers?

• 5%

• 3%

• 50%

• 95%

• 75%

Transitional cell carcinoma (TCC) is

• A poorly differentiated carcinoma often without any papillary growth

• A benign proliferation of urothelium in response to inflammation or irritation

• A type of malignancy that arises from the urothelial lining of the urinary tract

• A cancerous growth on the urothelium causing disintegration of the bladder wall and urothelium.

A benign proliferation of urothelium in response to inflammation or irritation is what?

• Benign cyst

• Strictures

• Epithelial hypoplasia

• Epithelial hyperplasia

The second year or two, the patient will have a cystoscopy at

• 4 month intervals

• 3 month intervals

• 6 month intervals

• 12 month intervals

Who does TCC affect more?

• Whites

• Blacks

• Asians

Occupational exposure to aromatic amines cannot cause cancer

• True

• False

Artificial sweeteners, pelvic irradiation and chronic cystitis can't cause cancer

• True

• False

Recurring UTI, N/V and leukopenia are all adverse reactions to Chemotherapy and what else is one?

• Fistula's

• BPH

• Penile Prosthetic

• Nephrotoxicity

How common is TCC compared to all other cancers in women?

• 1st

• 2nd

• 4th

• 8th

Toxicity levels are unacceptable if the patient is worse off then before treatment

• True

• False

TO is?

• Invasion on lamina propria

• Pelvic nodes

• Distant metastasis

• Preinvasive

Tumor is fixed in pelvic or is invading adjacent organs

• T3

• T4

• M1

• N2

Higher levels of toxicity are acceptable if the cure can be achieved?

• True

• False

Occupational exposure to pizza making has been linked to bladder cancer

• True

• False

Carcinoma in situ

• TIS

• CIS

• TO

• T2

What is a random bladder biopsy done for?

• Stage and grade verification

• Invasive

• Noninvasive

• Smaller tumors

• Stages T1-T4

SURVEILLANCE AFTER TREATMENTThe first two years, the patient will have a cystoscopy at

• 4 month intervals

• 3 month intervals

• 6 month intervals

• 12 month intervals

How common is TCC compared to all other cancers in men?

• 1st

• 2nd

• 4th

• 8th

How many grades of cancer are there?

• 5

• 4

• 3

• 6

• 8

The stage of bladder cancer that is invasion on the lamina propria?

• T1

• TIS

• T4

• M1

What percentage of bladder cancers does squamous cell carcinoma account for?

• 3%

• 5%

• 50%

• 95%

• 75%

Invasive TCC are papillary and appear more solid and does not ____________________.

• Invade the bladder muscle wall

• Show any signs or symptoms

• Have any known cure

• Affect men

Involves the pelvic nodes

• T4

• N2

• N1-3

• N1-4

A poorly differentiated transitional cell carcinoma often without any papillary growth.

• Epithelial Hyperplasia

• Carcinoma in SITU

• Transitional cell carcinoma

• Noninvasive carcinoma

Invading superficial muscle

• T1

• T2

• T3

• N1

High degree of malignancy, usually anaplastic CA

• Grade 2

• Grade 1

• Grade 4

• Grade 3

Is pre-neoplastic

• Typical hyperplasia

• Atypical hyperplasia

Does not respond at all to radiation

• Grade 2

• Grade 3

• Grade 1

• Grade 4

Stage that causes distant metastasis

• M1

• M2

• T4

• T2

• N1

Cigarette smoking can cause bladder cancer, but at what ratio to non-smokers?

• 3 times greater

• 4 times greater

• 5 times greater

• 2 times greater

Can coffee cause bladder tumors?

• Yes

• No

When does the peak occurrence due to age occur?

• In the 6th decade

• In the 7th decade

• In the 8th decade

How does bladder cancer rate on the most commonly occurring GU cancer in adults list?

• 1st

• 2nd

• 4th

• 8th

TCC occurs in a ________ male to female ratio.

• 4:1

• 1:4

• 3:1

• 2:1

What is a medical treatment for bladder cancer?

Very low degree of malignancy

• Grade 2

• Grade 3

• Grade 1

• Grade 4

Noninvasive ___________ may appear flat or papillary and does not invade muscle.

• Carcinoma

• Superficial

• Squamous cells

• Hyperplasia

Does respond to radiation

• Grade 3

• Grade 4

• Grade 2

• Grade 1

What are some contraindications for immunotherapy with Bacille Calmette-Gurerin (BCG)? More than 1 answer

• Positive skin test

• Frequency

• Administration after traumatic catheterization-systemic BCG infection

• Dysuria

• Recurring CIS

Atypical hyperplasia is pro-neoplasia

• True

• False