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Lung Cancer Quiz
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Which is the most important risk factor for developing lung cancer?
- A Residential radon exposure You picked ✕
- B Cigarette smoking You picked ✓
- C Occupational asbestos exposure You picked ✕
- D Genetic predisposition alone You picked ✕
- E Ambient air pollution You picked ✕
Correct!
Incorrect
The answer is B: Cigarette smoking
Explanation
Why B is correct
See Risk Factors. Option B is correct because tobacco smoking is by far the most important risk factor for lung cancer. Tobacco smoke contains many carcinogens, which are chemicals that can cause cancer, and these damage the cells lining the airways. The risk shows a clear dose-response relationship, meaning that it rises with the amount smoked and the length of time a person has smoked. Secondhand smoke (breathing in other people's smoke) also contributes. In MSD's account, smoking causes the large majority of lung cancers, whereas a minority of cases occur in people who have never smoked or smoked only minimally. Stopping smoking lowers the risk over time but it never returns fully to the level of someone who has never smoked. Smoking is also the largest modifiable risk factor, meaning the one that people and public health teams can do the most about. A neat summary is that the other risk factors are important, but smoking is both the commonest and the most preventable.
- Main risk factor: tobacco smoking is by far the most important risk factor for lung cancer.
- Mechanism: tobacco smoke contains carcinogens that damage the cells lining the airways.
- Dose-response: the risk rises with the amount smoked and the length of time a person has smoked.
- Prevention: smoking is the largest modifiable risk factor.
Why the other options are incorrect
- A. Residential radon exposure: Radon is a radioactive gas from the ground that can build up in homes. It is an important cause of lung cancer, but it contributes to a smaller share of cases than smoking. Your answer
- C. Occupational asbestos exposure: Occupational asbestos exposure clearly raises the risk of lung cancer, particularly together with smoking. It accounts for far fewer cases than tobacco overall, so it is not the most important risk factor. It would be the answer for a never-smoker with a history of working with insulation. Your answer
- D. Genetic predisposition alone: Inherited factors can raise a person's risk, but they are a smaller contributor than tobacco. Most lung cancers occur in people who smoked, so genetics alone is not the leading risk factor. Your answer
- E. Ambient air pollution: Air pollution is a recognised but weaker contributor to lung cancer risk, and its effect is small for any one person compared with the effect of smoking. Your answer
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More questions from this set. Start the quiz to answer them and see each explanation.
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1
Which paraneoplastic syndrome is most classically associated with small cell lung cancer?
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2
A 62-year-old woman presents with a persistent cough and progressive hoarseness of her voice. Imaging later confirms a left-sided lung tumour. Compression of which anatomical structure most directly explains the change in her voice?
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