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