CSO EXAM PREP
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 - ANS-A. Grade 0 is fully active and able to carry on all pre-disease activities without
restrictions.
(KS 90-100)
\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 - ANS-C. 40
Disabled; requires special care & assistance.
**************************************************
0 - DEAD
100 - no evidence of disease
\A patient with newly diagnosed pancreatic cancer completes the Scored Patient-Generated
Subjective Global Assessment (PG-SGA©) with information regarding weight, food intake,
symptoms and activities/functional status. The additive score is 10. What does this score mean?
A. No intervention is required at this time.
B. Requires intervention by RD with RN or MD
C. Indicates a critical need for improved symptom management &/or nutrient intervention
options - ANS->/= 9 Indicates a critical need for improved symptom management &/or nutrient
intervention options
\An oral prodrug that is converted to 5-FU in the body - ANS-capecitabine (Xeloda)
\Anticipatory nausea and vomiting (ANV) - ANS-Anticipatory nausea and vomiting (ANV), also is
widely believed to be a learned response to chemotherapy that 25% of patients develop by the
4th treatment cycle
\Avoid holding EN for gastric residual volumes of <__________ mL in the absence of other
signs of intolerance - ANS-Avoid holding EN for gastric residual volumes of <500mL in the
absence of other signs of intolerance
\Biotherapy is a treatment to ... - ANS-Biotherapy is a treatment to boost or restore the ability of
the immune system to fight cancer, infections, and other diseases.
It is also used to lessen certain side effects that may be caused by some cancer treatments.
Biological therapy helps your immune system fight cancer where chemotherapy attacks the
cancer cells directly.
\Candidates for PROPHYLACTIC FEEDING TUBE with a DIAGNOSIS OF H&N CANCER: -
ANS-Elderly patients
, H&N flap reconstruction
Cancer of BOT
Weight Loss before cancer treatment
Smoking >20 cigarettes daily
Stage III or IV cancer
Reference: Page 22 in the pocket guide to the NCP and Cancer
\Common anti-nausea medications: - ANS-Aprepitant (Emend®)
Dolasetron (Anzemet®)
Granisetron (Kytril®)
Ondansetron (Zofran®)
Palonosetron (Aloxi®)
Proclorperazine (Compazine®)
Promethazine (Anergan®), (Phenergan®)
Netupitant-Palonosetron (Akyzeo®)
Rolapitant (Varubi®)
Lorazepam (Ativan®)
Metoclopramide (Reglan®)
Dexamethasone (Decadron®)
Famotidine (Pepcid®)
Ranitidine (Zantac®)
\Consequences of malnutrition for patients with cancer include:
A. Reduced response and tolerance to the prescribed cancer treatment
B. Impaired wound healing & immune response
C. Reduced muscle strength and quality of life
D. Increased Fatigue
E. A & B are correct
F. C & D are correct
G. All of the above - ANS-G. All of the above
\Criteria for the rating of evidence -based nutrition recommendations: - ANS-STRONG, FAIR,
WEAK, CONSENSUS, INSUFFICIENT EVIDENCE
\Evidence Based Oncology Nutrition Practice Guidelines- MNT & pretreatment evaluation in
H&N Cancer:
RDNs should provide MNT consisting of a PRETREATMENT evaluation and weekly visits
during radiation for H&N ca to improve outcomes - ANS-RATING: STRONG, IMPERATIVE
RDNs should provide MNT consisting of a pretreatment evaluation and weekly visits during
radiation for H&N ca to improve outcomes
\Evidence Based Oncology Nutrition Practice Guidelines- MNT in Colorectal Cancer:
RDNs should provide WEEKLY MNT that includes an individualized nutrition prescription and
counseling for patients with colorectal cancer on pelvic radiation.
Individualized counseling may improve:
A. Calorie and protein intake
B. Nutritional Status
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 - ANS-A. Grade 0 is fully active and able to carry on all pre-disease activities without
restrictions.
(KS 90-100)
\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 - ANS-C. 40
Disabled; requires special care & assistance.
**************************************************
0 - DEAD
100 - no evidence of disease
\A patient with newly diagnosed pancreatic cancer completes the Scored Patient-Generated
Subjective Global Assessment (PG-SGA©) with information regarding weight, food intake,
symptoms and activities/functional status. The additive score is 10. What does this score mean?
A. No intervention is required at this time.
B. Requires intervention by RD with RN or MD
C. Indicates a critical need for improved symptom management &/or nutrient intervention
options - ANS->/= 9 Indicates a critical need for improved symptom management &/or nutrient
intervention options
\An oral prodrug that is converted to 5-FU in the body - ANS-capecitabine (Xeloda)
\Anticipatory nausea and vomiting (ANV) - ANS-Anticipatory nausea and vomiting (ANV), also is
widely believed to be a learned response to chemotherapy that 25% of patients develop by the
4th treatment cycle
\Avoid holding EN for gastric residual volumes of <__________ mL in the absence of other
signs of intolerance - ANS-Avoid holding EN for gastric residual volumes of <500mL in the
absence of other signs of intolerance
\Biotherapy is a treatment to ... - ANS-Biotherapy is a treatment to boost or restore the ability of
the immune system to fight cancer, infections, and other diseases.
It is also used to lessen certain side effects that may be caused by some cancer treatments.
Biological therapy helps your immune system fight cancer where chemotherapy attacks the
cancer cells directly.
\Candidates for PROPHYLACTIC FEEDING TUBE with a DIAGNOSIS OF H&N CANCER: -
ANS-Elderly patients
, H&N flap reconstruction
Cancer of BOT
Weight Loss before cancer treatment
Smoking >20 cigarettes daily
Stage III or IV cancer
Reference: Page 22 in the pocket guide to the NCP and Cancer
\Common anti-nausea medications: - ANS-Aprepitant (Emend®)
Dolasetron (Anzemet®)
Granisetron (Kytril®)
Ondansetron (Zofran®)
Palonosetron (Aloxi®)
Proclorperazine (Compazine®)
Promethazine (Anergan®), (Phenergan®)
Netupitant-Palonosetron (Akyzeo®)
Rolapitant (Varubi®)
Lorazepam (Ativan®)
Metoclopramide (Reglan®)
Dexamethasone (Decadron®)
Famotidine (Pepcid®)
Ranitidine (Zantac®)
\Consequences of malnutrition for patients with cancer include:
A. Reduced response and tolerance to the prescribed cancer treatment
B. Impaired wound healing & immune response
C. Reduced muscle strength and quality of life
D. Increased Fatigue
E. A & B are correct
F. C & D are correct
G. All of the above - ANS-G. All of the above
\Criteria for the rating of evidence -based nutrition recommendations: - ANS-STRONG, FAIR,
WEAK, CONSENSUS, INSUFFICIENT EVIDENCE
\Evidence Based Oncology Nutrition Practice Guidelines- MNT & pretreatment evaluation in
H&N Cancer:
RDNs should provide MNT consisting of a PRETREATMENT evaluation and weekly visits
during radiation for H&N ca to improve outcomes - ANS-RATING: STRONG, IMPERATIVE
RDNs should provide MNT consisting of a pretreatment evaluation and weekly visits during
radiation for H&N ca to improve outcomes
\Evidence Based Oncology Nutrition Practice Guidelines- MNT in Colorectal Cancer:
RDNs should provide WEEKLY MNT that includes an individualized nutrition prescription and
counseling for patients with colorectal cancer on pelvic radiation.
Individualized counseling may improve:
A. Calorie and protein intake
B. Nutritional Status
