CSO EXAM 2 QUESTIONS WITH CORRECT ANSWERS

CSO EXAM 2 QUESTIONS WITH CORRECT v v v v v




ANSWERS 2025/2026 v v




Cancer cachexia - CORRECT ANSWER -per sample test question:temporal wasting, depleted fat
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stores, profound anorexia
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Multifactorial syndrome characterized by ongoing loss of skeletal muscle mass, anorexia, early
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satiety,wt loss, anemia,edema,fatigue, possiblemetabolic alterations, increased inflammatory
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markers and progressive functional impairment.
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Pathophysiologycharacterized bynegativeprotein energybalancedrivenbyvariable combination
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of reduced food intake and abnormal metabolism
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Cytokines - CORRECT ANSWER -protein mediators produced by inflammatory cells in response to
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exogenous stimuli, produce metabolic changes & wasting
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Graft-versus-host disease (GVHD) - CORRECT ANSWER -a disease caused by the immune response v v v v v v v v v v v v




of histoincompatible, immunocompetent donor cells against the tissues of an
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immunoincompetent host; an immuniologic reaction of allogeneic donor cells (graft) reacting
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against the pt (host) tissues
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Evidenced by icterus & abnormal liver functions, severe /secretory diarrhea - may need total bowel
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rest --> isomotic, low residue, lactose-free diet --> solids with low lactose, fiber, fat & acideity,
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gastric irritants --> regular diet
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- usually 3 onths after transplant (but may be 7-10 days post)
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GVHD - CORRECT ANSWER -a disease caused by the immune response of histoincompatible,
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immunocompetent donor cells against the tissues of an immunoincompetent host; an
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immuniologic reaction of allogeneic donor cells (graft) reacting against the pt (host) tissues
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Evidenced by icterus & abnormal liver functions, severe /secretory diarrhea - may need total bowel
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rest --> isomotic, low residue, lactose-free diet --> solids with low lactose, fiber, fat & acideity,
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gastric irritants --> regular diet
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,- usually 3 onths after transplant (but may be 7-10 days post)
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Neutropenia - CORRECT ANSWER -a reduction of WBC (neutrophils) that can be caused by chemo or
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XRT, results in increased susceptibility to life-threatening infections
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Pancytopenia - CORRECT ANSWER -a reduction in all cellular elements of the blood v v v v v v v v v v v v




Progression - CORRECT ANSWER -the phase in which tumor cells aggregate, grow autonomously and
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form benign tumors that eventually lead to malignant phenotype with the capacity for tissue
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invasion & mets
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Xerostomia - CORRECT ANSWER -mouth dryness v v v v v




Halal diet-CORRECT ANSWER -Muslim/Islamic law.
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v Fasting common v




Women have decreased sun exposure 2/2 coverings
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Forbidden: pork, pork products, gelatin, ETOH (including extracts)
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Halal diet-CORRECT ANSWER -Muslim/Islamic law.
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v Fasting common v




Women have decreased sun exposure 2/2 coverings
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Forbidden: pork, pork products, gelatin, ETOH (including extracts)
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Macrobioticdiet - CORRECT ANSWER-Avoidanimal products includingdairy, eggs, coffee, sugar,
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poultry, and processed foods.
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No "nightshadevegetables" includingpotato,peppers and eggplant Diet
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may be deficient in protein, iron, zinc, vitamin B12 and calcium
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,50-60% from whole grains, 25-30% from veg, remaining from beans, seaweed, soups
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Seventh-DayAdventist:- CORRECT ANSWER -Lacto-ovo vegetariandiet v v v v v v v




v Avoid overeating
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Snacking discouraged v




Strong seasonings avoided
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Avoid: beef, lamb, pork, chicken, seafood, coffee, tea and alcohol Diet
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may be deficient in protein, iron, zinc, vitamin B12 and calcium
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Cultural-The Church of Jesus Christ of Latter -DaySaints (Mormons) - CORRECT ANSWER - forbidden:
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ETOH, hot drinks (coffee-tea), caffeine
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Church encouraged limited meat consumption and to eat mostly grains
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v Some fast 1 day per month and donate food money to the poor
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Nausea and vomiting - anticipatory - CORRECT ANSWER -occurs prior to the beginning of a new cycle
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of chemotherapy. This occurs after the patient has experienced N&V from an earlier
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chemotherapy treatment.
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Nausea and vomiting-acute - CORRECT ANSWER -occurs during the first 24-hours after
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chemotherapy.
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Nausea and vomiting- delayed - CORRECT ANSWER -occurs more than 24 hours after chemotherapy.
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Patients at highest risk for delayed N&V include those receiving cyclophosphamide, cisplatin,
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doxorubicin and ifosfamide.
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Chemotherapy agents are categorized according to their potential to induce nausea & vomiting.
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- CORRECT ANSWER -High risk >90% v v v v




Moderate risk 30-90% v v

, Low risk 10-30%
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Minimal risk <10% v v




Chemo - Highly emetogenic: CCCMD - CORRECT ANSWER -Cisplatin
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v Mechlorethamine

Cyclophosphamide>1500mg/m2 v




v Carmustine

Dacarbazine



Chemo - Moderate emetogenic: CCDDEIIIO - CORRECT ANSWER -Oxaliplatin
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v Cytarabine >1gm/m2 v




Carboplatin

Ifosfamide
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Cyclophosphamide<1500mg/m2 v




v Doxorubicin

Daunorubicin

Epirubicin
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Idarubicin
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Irinotecan
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Chemo- Lowemetogenic:CDEGMMPT - CORRECT ANSWER -Paclitaxel
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v Docetaxel

Topotecan

Etoposide
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Methotrexate
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Mitomycin
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