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What 2 dietary supplement/CAM may protect liver? - Correct Answers Reishi Mushroom,
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silymarin
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Il` What supplements/CAM affects cytochrome P-450 (CYP) 3A4 - Correct Answers Green tea, st
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Il` What is bio active component of St Johns wort that has cytotoxic effect on cells - Correct Answers
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Hypericin
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Il` St. John's Wort dose that is least likely to interact with meds - Correct Answers <1mg hyperforin
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Il` Is St. John's Wort ok to take during chemo? - Correct Answers No- due to possible effects on
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Il` enzyme induction for multiple enzymes (CYP 2B6; CYP 2C9; etc) Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` PSK in Turkey tail does what - Correct Answers Improve immune function; reduce tumor related
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Il` s/s; extend survival in lung ca
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Il` PSP in Turkey tail does what? - Correct Answers May protect against adverse effects of radiation
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Il` What dietary supplement/CAM may reduce bone loss w/ methotrexate? - Correct Answers
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Il` Resveratrol
Il` What dietary supplement may decrease mucositis r/t 5FU? - Correct Answers Selenium
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,Il` Selenium may help what chemo's tx efficacy and/or help apoptosis - Correct Answers Taxol,
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Il` docetaxel, etoposide Il`
Il` What is upper limit for Vit D - Correct Answers 4,000 IU /day
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Il` Level of 25-hydroxyvitamin D that is adequate in blood - Correct Answers 40-60 mg/mL is ideal
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Il` according to the endocrine society Il` Il` Il` Il`
Il` Most unfounded diets (budwig, bill Henderson, etc) involve vegetarian/vegan meal plans. What
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Il` are common nutr deficiencies associated? - Correct Answers B12; calcium; vit D; iron; zinc;
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Il` iodine; sometimes protein Il` Il`
Il` What type of enteral formula would you choose for pt s/p whipple with EPI - Correct Answers
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Il` Semi-elemental, high in MCT to limit need for enzymes Il` Il` Il` Il` Il` Il` Il` Il`
Il` How to get PERT with tube feeds (continuous, G, J) - Correct Answers Continuous- give q3hr
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Large bore G tube- enzyme delivered in thickened liquid
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Small-bore or J tube- enzymes crushed and dissolved w/ bicarbonate Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` What diet is recommended for malabsorption r/T biliary obstruction? - Correct Answers Low
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Il` fat, while waiting for surgery
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Il` (Pancreatic cancer) Pre-op immunonutrition product should contain: - Correct Answers
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Il` Arginine, omega 3, and nucleotides x5d before surgery
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Il` The duodenum, removed during whipple, is primary source of ____ absorption and therefore you
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Il` must monitor ____. - Correct Answers Calcium; bone density
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ALSO- because many pt are on acid-suppressive therapy that changes solubility of calcium salts
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, Il` Pancreatic cancer survivors are at risk for what? - Correct Answers NAFLD
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Il` Mostly widely accepted dietary/environmental risk for thyroid cancer - Correct Answers
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Il` Dietary- iodine Def. Il` Il`
Environmental- exposure to radiation, especially infant/young child Il` Il` Il` Il` Il` Il`
Il` Labs that may help dx thyroid cancer - Correct Answers TSH, calcitonin
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Il` Low iodine diet prior to RAI (radioactive iodine therapy)
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1) how long to stay on diet
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2) main foods to avoid - Correct Answers 1) 1-2 weeks before tx
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2) iodized salt; seafood; egg yolks; chocolate;
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Erythrosine (red no3); iodate dough conditioner; topicals like betadine Il` Il` Il` Il` Il` Il` Il` Il`
Il` Breast: what chemo type is associated with neuropathy? - Correct Answers Taxane- based
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Il` Breast: what chemo or group makes taste changes more likely? - Correct Answers Taxane or
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Il` anthracycline-based (occurs 4-6 days after and improves through cycle) Il` Il` Il` Il` Il` Il` Il` Il`
Il` Breast: There is some evidence that _____ supplement may reduce cardio toxicity with
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Il` anthracycline chemos. - Correct Answers Coenzyme Q 10 Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A low Gleason score means what? (Range 2-10) - Correct Answers Cancer tissue is similar to
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Il` normal prostate tissue and the tumor is least likely to spread
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Il` Substance in food that may decrease risk of lung cancer - Correct Answers Carotenoid
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