CSO EXAM PREPQUESTIONS WITH CORRECT v v v v v
ANSWERS 2025/2026 v v
A cancer patient is unable to provide self-care. His disease is progressing rapidly and prognosis is poor.
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Which number likely represents his Karnofsky Performance Status?
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A. 100
B. 70
C. 40
D. 0 - CORRECT ANSWER -C. 40
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Disabled; requires special care & assistance. v v v v v
**************************************************
0 - DEAD
v v v
100 - no evidence of disease
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A cancer patient is fully active and able to carry on all pre-disease activities without restrictions. Which
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Eastern Cooperative Oncology Group (ECOG) grade is appropriate?
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A. Grade 0 v
B. Grade 1 v
C. Grade 2 v
D. Grade 3 - CORRECT ANSWER -A. Grade 0 is fully active and able to carry on all pre-disease
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activities without restrictions.
v v v
(KS 90-100) v
For Cancer Prevention: The American Institute for Cancer Research (AICR) recommends that
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Americans stay physically active for at least minutes every day - CORRECT ANSWER -For
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Cancer Prevention: The American Institute for Cancer Research (AICR) recommends that
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Americans are physically active for at least 30 minutes every day.Limit sedentary behavior like watching
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TV.
v
,If the pyloric valve (located at the base of the stomach) was removed or manipulated during
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surgery, the patient is at risk for
v v - CORRECT ANSWER -
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DUMPING SYNDROME
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If the pyloric valve (located at the base of the stomach) was removed or manipulated during
v v v v v v v v v v v v v v v
surgery, the patient is at risk for DUMPING SYNDROME
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True or False v v
A patient with a new ileostomy should avoid both soluble and insoluble fiber after surgery -
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CORRECT ANSWER -TRUE
v v v
Patients should avoid SOLUBLE fiber until the surgeon confirms the intestine has healed.
v v v v v v v v v v v v
Nestle Health Science suggests limiting MCT oil to
v mL/day- CORRECT ANSWER -Nestle
v v v v v v v v v v v
Health Science suggests limiting MCT oil to 100 mL/day (~6.5 TBSP) =760 kcals
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True or False v v
The ketogenicdiet limits carbohydrate intake to 5-10% of the total diet, typically between 15-50 grams
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daily - CORRECT ANSWER -True
v v v v v
The ketogenicdiet limits carbohydrate intake to 5-10% of the total diet, typically between 15-50 grams
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daily
v
Generally, the Macrobiotic diet is made up of these foods: - CORRECT ANSWER -The Macrobiotic diet
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is made up of:
v v v v
•organic whole grains (50% of food intake) v v v v v v
•locally grown, organic fruits/vegs (25% of diet)
v v v v v v
•soups made with vegetables, seaweed, beans, fermented soy (miso) (up to 25% food intake)
v v v v v v v v v v v v v
, Generally,the Macrobiotic diet does NOT include v v v v v v
A. Dairy,eggs, poultry, red meatv v v v
B. Artificial flavors, processed foods or chemical additives v v v v v v
C. Mango, pineapple and papaya v v v
D. Both A & B v v v
E. Answers A, B & C - CORRECT ANSWER -Answer: E v v v v v v v v v
Zoledronic acid (Zometa®) is a supportive care drug in the category of bisphosphonates that can be
v v v v v v v v v v v v v v v
used to decrease complications produced by metastasis to the:
v v v v v v v v v
A. Brain
B. Bone
C. Liver
D. Kidney - CORRECT ANSWER -Zoledronic acid (Zometa®) is a supportive care drug in the
v v v v v v v v v v v v v
category of bisphosphonates to decrease complications produced bymetastasis to the: B. BONE
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Which dietary supplements should be recommended when a patient is prescribed Zoledronic
v v v v v v v v v v v
acid for stage IV breast cancer with bone metastasis? - CORRECT ANSWER -Co-administer oral
v v v v v v v v v v v v v v
calcium 500 mg and
v v v v
a multiple vitamin containing 400 IU Vit D daily.
v v v v v v v v
Reference:
https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/Zometa.pdf
St. John's Wort may
v v the drugactivityofVinblastine (Velban)& v v v v v v v v
Vincristine (Oncovin) - CORRECT ANSWER -DECREASE
v v v v v v
St. John's Wort may DECREASE the drug activity of Vinblastine (Velban) & Vincristine (Oncovin) by
v v v v v v v v v v v v v v
v INDUCING Cytochrome P450 3A4 (CYP3A4). v v v v
ANSWERS 2025/2026 v v
A cancer patient is unable to provide self-care. His disease is progressing rapidly and prognosis is poor.
v v v v v v v v v v v v v v v v
Which number likely represents his Karnofsky Performance Status?
v v v v v v v v
A. 100
B. 70
C. 40
D. 0 - CORRECT ANSWER -C. 40
v v v v v
Disabled; requires special care & assistance. v v v v v
**************************************************
0 - DEAD
v v v
100 - no evidence of disease
v v v v v
A cancer patient is fully active and able to carry on all pre-disease activities without restrictions. Which
v v v v v v v v v v v v v v v v
Eastern Cooperative Oncology Group (ECOG) grade is appropriate?
v v v v v v v v
A. Grade 0 v
B. Grade 1 v
C. Grade 2 v
D. Grade 3 - CORRECT ANSWER -A. Grade 0 is fully active and able to carry on all pre-disease
v v v v v v v v v v v v v v v v v
activities without restrictions.
v v v
(KS 90-100) v
For Cancer Prevention: The American Institute for Cancer Research (AICR) recommends that
v v v v v v v v v v v
Americans stay physically active for at least minutes every day - CORRECT ANSWER -For
v v v v v v v v v v v v v
Cancer Prevention: The American Institute for Cancer Research (AICR) recommends that
v v v v v v v v v v v
Americans are physically active for at least 30 minutes every day.Limit sedentary behavior like watching
v v v v v v v v v v v v v v v
TV.
v
,If the pyloric valve (located at the base of the stomach) was removed or manipulated during
v v v v v v v v v v v v v v v
surgery, the patient is at risk for
v v - CORRECT ANSWER -
v v v v v v v v v
DUMPING SYNDROME
v v
If the pyloric valve (located at the base of the stomach) was removed or manipulated during
v v v v v v v v v v v v v v v
surgery, the patient is at risk for DUMPING SYNDROME
v v v v v v v v v
True or False v v
A patient with a new ileostomy should avoid both soluble and insoluble fiber after surgery -
v v v v v v v v v v v v v v v
CORRECT ANSWER -TRUE
v v v
Patients should avoid SOLUBLE fiber until the surgeon confirms the intestine has healed.
v v v v v v v v v v v v
Nestle Health Science suggests limiting MCT oil to
v mL/day- CORRECT ANSWER -Nestle
v v v v v v v v v v v
Health Science suggests limiting MCT oil to 100 mL/day (~6.5 TBSP) =760 kcals
v v v v v v v v v v v v v
True or False v v
The ketogenicdiet limits carbohydrate intake to 5-10% of the total diet, typically between 15-50 grams
v v v v v v v v v v v v v v v
daily - CORRECT ANSWER -True
v v v v v
The ketogenicdiet limits carbohydrate intake to 5-10% of the total diet, typically between 15-50 grams
v v v v v v v v v v v v v v v
daily
v
Generally, the Macrobiotic diet is made up of these foods: - CORRECT ANSWER -The Macrobiotic diet
v v v v v v v v v v v v v v v
is made up of:
v v v v
•organic whole grains (50% of food intake) v v v v v v
•locally grown, organic fruits/vegs (25% of diet)
v v v v v v
•soups made with vegetables, seaweed, beans, fermented soy (miso) (up to 25% food intake)
v v v v v v v v v v v v v
, Generally,the Macrobiotic diet does NOT include v v v v v v
A. Dairy,eggs, poultry, red meatv v v v
B. Artificial flavors, processed foods or chemical additives v v v v v v
C. Mango, pineapple and papaya v v v
D. Both A & B v v v
E. Answers A, B & C - CORRECT ANSWER -Answer: E v v v v v v v v v
Zoledronic acid (Zometa®) is a supportive care drug in the category of bisphosphonates that can be
v v v v v v v v v v v v v v v
used to decrease complications produced by metastasis to the:
v v v v v v v v v
A. Brain
B. Bone
C. Liver
D. Kidney - CORRECT ANSWER -Zoledronic acid (Zometa®) is a supportive care drug in the
v v v v v v v v v v v v v
category of bisphosphonates to decrease complications produced bymetastasis to the: B. BONE
v v v v v v v v v v v v
Which dietary supplements should be recommended when a patient is prescribed Zoledronic
v v v v v v v v v v v
acid for stage IV breast cancer with bone metastasis? - CORRECT ANSWER -Co-administer oral
v v v v v v v v v v v v v v
calcium 500 mg and
v v v v
a multiple vitamin containing 400 IU Vit D daily.
v v v v v v v v
Reference:
https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/Zometa.pdf
St. John's Wort may
v v the drugactivityofVinblastine (Velban)& v v v v v v v v
Vincristine (Oncovin) - CORRECT ANSWER -DECREASE
v v v v v v
St. John's Wort may DECREASE the drug activity of Vinblastine (Velban) & Vincristine (Oncovin) by
v v v v v v v v v v v v v v
v INDUCING Cytochrome P450 3A4 (CYP3A4). v v v v
