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BPT CLINICAL; INTERNAL MEDICINE CLINICAL ONCOLOGY EXAM 2026 QUESTIONS AND 100% CORRECT AND VERIFIED ANSWERS GRADED A+

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Criteria for evaluating the therapeutic response during treatment of cancer patients: A) Dukes-staging system B) RECIST-staging system C) Forrest-staging system D) Bismuth-staging system E) All of the above B) RECIST-staging system Dukes classification is used for the staging of colorectal carcinoma. RECIST (Response Evaluation Criteria In Solid Tumors) is used for evaluating the therapeutic response in solid tumors. In case of a gastroduodenal ulcer disease, Forrest classification is used to evaluate the bleeding activity of the ulcer. Bismut-classification aims to provide an anatomical description of hilar biliary tract cancers. • 10 INT - 17.12 In oncological clinical studies progression free survival (PFS) is often evaluated. How do you define this term? A) Progression-Free Survival (PFS) is the time that elapses in a progressive/metastatic tumor from starting treatment (from clinical trial randomization) to repeated tumor growth and/or death of a patient. B) PFS is the time that elapses from the onset of the therapy of an advanced / metastatic disease (in clinical trials from randomization) to the death of a patient. A) Progression-Free Survival (PFS) is the time that elapses in a progressive/metastatic tumor from starting treatment (from clinical trial randomization) to repeated tumor growth and/or death of a patient. The FDA (Food and Drug Administration, United States Department of Food and Drug Administration) issued detailed guidelines on the clinical endpoint of oncological clinical trials. Progression-free survival ranges from treatment initiation, i.e. randomization to objective tumor progression or to the patient’s death. (TTP, time-to-pregression: only time to progression is observed, death of patients is not taken into account, censorship of mortality data by terminology.) • 11 INT - 17.13 Definition of overall survival (OS): A) Overall Survival (OS) is the time that elapses in a progressive / metastatic tumor from starting treatment (from randomization in clinical trials) to repeatedly confirmed tumor growth and / or death of the patient. B) Overall survival (OS) is the time that elapses from the onset of tumor treatment (in clinical trials from randomization) to the death of a patient. B) Overall survival (OS) is the time that elapses from the onset of tumor treatment (in clinical trials from randomization) to the death of a patient. The FDA (Food and Drug Administration, United States Department of Food and Drug Administration) issued detailed guidelines on the clinical endpoint of oncology clinical trials. (The Clinical Trial Endpoints for the Approval of Cancer Drugs and Biology, 2007) Overall survival (OS) according to the guidelines, is the time elapsed from randomization (that is, the commencement of a trial after randomized election of patients) until patients’ death from any reason. This is a very realistic endpoint in oncology clinical trials. It is accurate, easy to measure and document, and is therefore a preferred endpoint in oncology clinical trials.

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BPT CLINICAL; INTERNAL MEDICINE CLINICAL
ONCOLOGY EXAM 2026 QUESTIONS AND
100% CORRECT AND VERIFIED ANSWERS
GRADED A+

• 1
INT - 17.1
Who decides to start a complex oncology treatment for a
newly diagnosed cancer patient?
A) The surgeon, because the tumor primarily requires resection
B) The oncologist, because he/she knows best about
chemotherapy protocols
C) The pathologist, who determines the exact diagnosis using
immunohistochemical methods
D) The radiotherapy specialist
E) All of the above
E) All of the above
Treatment of newly-diagnosed tumorous patients is decided by
an Onko-Team, which consists of a surgeon, an oncologist, a
pathologist, a radiotherapist, and a psychologist beeing an
expert in psycho-oncology.

, • 2
INT - 17.3
What is the relationship between dysplasia and cancer?
A) Dysplasia always leads to the development of a cancer.
B) All cancer is preceded by dysplasia.
C) The progression of cancer is dysplasia.
D) A and C.
E) All of the above.
B) All cancer is preceded by dysplasia.
Dysplasia means insufficient differentiation and elevated
number of mitosis. At precancerous stage, all types of cancer
are preceded by dysplasia, but not all dyplasia leads to cancer.
• 3
INT - 17.4
At cellular level tumor growth does not depend on the
following:
A) time of cell cycle
B) growth fraction (proliferating tumor cell ratio)
C) cell death rate inside the tumor
D) time of duplication of tumor volume
E) apoptosis
E) apoptosis

,Tumor growth depends on four factors: time of cell cycle, growth
fraction (proliferating tumor cell ratio), time to duplicate tumor
volume, and tumor cell loss (cell death rate). With these
variations, the different behavior of various histologic and
primary and metastatic histopathological tumors can be well
described.
• 4
INT - 17.6
The prognosis of the following tumor was the most
significantly improved by combined chemotherapy:
A) Small cell lung cancer
B) Medulloblastoma
C) Seminoma
D) Neuroblastoma
C) Seminoma
The cure rate of seminoma with combined chemotherapy after
surgery is above 90% if there was no distant metastases. Even
if distant metastases are present, cure rate is still above 70%.
• 5
INT - 17.7
Chemotherapy before surgery is important for the treatment
of the following tumor:

, A) Wilms-tumor
B) medulloblastoma
C) Burkitt-lymphoma
D) retinoblastoma
E) Gallbladder cancer
A) Wilms-tumor
Prognosis of Wilms tumor was significantly improved by
preoperative chemotherapy. The results of course depend on
the stage and the histological type (preferred /
disadvantageous). In case of stage I-II disease, the relapse-free
survival is usually around 90%. Neoadjuvant therapy is also
important for other tumors, e.g. esophagus-, rectum-, breast- or
bone cancer. For Burkitt-lymphoma, no surgical intervention is
used for therapeutic purposes.
• 6
INT - 17.8
After a curative surgery, the treatment for the prevention of
recurrence:
A) neoadjuvant
B) adjuvant
C) palliative
D) supportive
E) none of the above

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