CHPN Exam with correct Answers
Where are the common sites of metastasis for bladder cancer? - Correct Answers -
bone, liver, lung
Where are the common sites of metastasis for breast cancer? - Correct Answers -bone,
brain, liver, lung
Where are the common sites of metastasis for colorectal cancer? - Correct Answers -
liver, lung, peritoneum
Characteristics of somatic pain - Correct Answers -· Achy
· Dull
· Sore
· Throbbing
Medications to treat somatic pain - Correct Answers -· NSAIDS
· Corticosteroids
· Muscle relaxants
· Bisphosphonates
· Radiation therapy (e.g., bone metastasis)
· With or without opiods
Causes of visceral pain (poorly defined) - Correct Answers -· Ascites
· Bowel obstruction
· Liver metastasis
· After abdominal or thoracic surgery
· Pancreatitis
· Tumor involvement in the abdomen or chest
· Venous occlusion or ischemia
Where are the common sites of metastasis for kidney/GU cancer? - Correct Answers -
adrenal gland, bone, brain, liver, lung,
Where are the common sites of metastasis for lung cancer? - Correct Answers -adrenal
gland, bone, brain, liver, other lung
Where are the common sites of metastasis for melanoma cancer? - Correct Answers -
bone, brain, liver, lung, skin/muscle
, Where are the common sites of metastasis for ovary cancer? - Correct Answers -liver,
lung, peritoneum
Where are the common sites of metastasis for pancreatic cancer? - Correct Answers -
liver, lung, peritoneum
Where are the common sites of metastasis for prostate cancer? - Correct Answers -
adrenal gland, bone, liver, lung,
Where are the common sites of metastasis for stomach cancer? - Correct Answers -
liver, lung, peritoneum
Where are the common sites of metastasis for thyroid cancer? - Correct Answers -bone,
liver, lung,
Where are the common sites of metastasis for uterine cancer? - Correct Answers -bone,
liver, lung, peritoneum, vagina
Causes of neuropathic pain - Correct Answers -· Peripheral or central nervous system
damage.
· Central post stroke pain
· Nerve involvement by tumor
· Neuralgia (e.g., trigeminal. Post-herpetic)
· Peripheral neuropathies (e.g., diabetes or secondary to chemotherapy)
· Phantom limb pain
· Radiation- induced plexopathy (e.g., brachial plexopathy)
· Spasticity (clenched- muscle and straight- muscle spasms)
· Spinal cord compression
Characteristics of neuropathic pain - Correct Answers -· Burning
· Electrical "jolt"
· Lancinating numbness
· "Pins and needles"
· Pricking
· Radiating
· Sensitivity
· Shooting
· Tingling
Medications to treat neuropathic pain - Correct Answers -· Anticonvulsants
· Antidepressants
· Antispasmodics
· Corticosteroids
· Local anesthetics
· Nerve blocks
· With or without opioids e.g., methadone
Where are the common sites of metastasis for bladder cancer? - Correct Answers -
bone, liver, lung
Where are the common sites of metastasis for breast cancer? - Correct Answers -bone,
brain, liver, lung
Where are the common sites of metastasis for colorectal cancer? - Correct Answers -
liver, lung, peritoneum
Characteristics of somatic pain - Correct Answers -· Achy
· Dull
· Sore
· Throbbing
Medications to treat somatic pain - Correct Answers -· NSAIDS
· Corticosteroids
· Muscle relaxants
· Bisphosphonates
· Radiation therapy (e.g., bone metastasis)
· With or without opiods
Causes of visceral pain (poorly defined) - Correct Answers -· Ascites
· Bowel obstruction
· Liver metastasis
· After abdominal or thoracic surgery
· Pancreatitis
· Tumor involvement in the abdomen or chest
· Venous occlusion or ischemia
Where are the common sites of metastasis for kidney/GU cancer? - Correct Answers -
adrenal gland, bone, brain, liver, lung,
Where are the common sites of metastasis for lung cancer? - Correct Answers -adrenal
gland, bone, brain, liver, other lung
Where are the common sites of metastasis for melanoma cancer? - Correct Answers -
bone, brain, liver, lung, skin/muscle
, Where are the common sites of metastasis for ovary cancer? - Correct Answers -liver,
lung, peritoneum
Where are the common sites of metastasis for pancreatic cancer? - Correct Answers -
liver, lung, peritoneum
Where are the common sites of metastasis for prostate cancer? - Correct Answers -
adrenal gland, bone, liver, lung,
Where are the common sites of metastasis for stomach cancer? - Correct Answers -
liver, lung, peritoneum
Where are the common sites of metastasis for thyroid cancer? - Correct Answers -bone,
liver, lung,
Where are the common sites of metastasis for uterine cancer? - Correct Answers -bone,
liver, lung, peritoneum, vagina
Causes of neuropathic pain - Correct Answers -· Peripheral or central nervous system
damage.
· Central post stroke pain
· Nerve involvement by tumor
· Neuralgia (e.g., trigeminal. Post-herpetic)
· Peripheral neuropathies (e.g., diabetes or secondary to chemotherapy)
· Phantom limb pain
· Radiation- induced plexopathy (e.g., brachial plexopathy)
· Spasticity (clenched- muscle and straight- muscle spasms)
· Spinal cord compression
Characteristics of neuropathic pain - Correct Answers -· Burning
· Electrical "jolt"
· Lancinating numbness
· "Pins and needles"
· Pricking
· Radiating
· Sensitivity
· Shooting
· Tingling
Medications to treat neuropathic pain - Correct Answers -· Anticonvulsants
· Antidepressants
· Antispasmodics
· Corticosteroids
· Local anesthetics
· Nerve blocks
· With or without opioids e.g., methadone
