Markers For Monitoring Colorectal Cancer;

Which one of the following may be used to monitor patients with colorectal cancer?
A. CA-125
B. Carcinoembryonic antigen
C. Alpha-fetoprotein
D. CA 19-9
E. CA 15-3

Answer:

Tumor Markers

Which of the following tumor markers is correct for the condition?

A) CA (cancer antigen) 27.29 for metastatic cervical cancer
B) CA (cancer antigen) 125 for hepatic carcinoma
C) AFP (α-fetoprotein) for ovarian carcinoma
D) CA (cancer antigen) 19–9 for pancreatic cancer
E) β-hCG (beta unit of human chorionic gonadotropin) for ovarian cancer

Answer:

A Lung Cancer Patient Complaining Of Back Pain

A 63-year-old male with a diagnosis of non-small-cell lung cancer, undergoing weekly chemotherapy and radiation to a left upper lobe mass, presents to your office. He complains of dull, non radiating back pain in the lower thoracic/upper lumbar area. He denies trauma or any new activities. He has no associated weakness or paresthesias. He denies difficulties with bowel or bladder function.
What is you initial diagnostic and/or therapeutic approach to this patient?

A) MRI of thoracic and lumbar spine and NSAIDs.
B) Plain films of the thoracic and lumbar spine a
COX-2 inhibitor with a 2-week follow-up.
C) Plain films of the thoracic spine and NSAIDs.
D) Prescription for physical therapy and NSAIDs.
E) Urinalysis with culture and antibiotics.

Answer: