Multi-Dimensional Care| Organized
Questions and Answers| Graded A
a large pelvic neuroblastoma could result in:
Right Answer - paralysis/neuropathy, incontinence
neuroblastoma in the skull could result in:
Right Answer - HA, N/V, balance problems, confusion
a pap smear should be done _______ for women _____
Right Answer - every three years; ages 21-65
a self-breast exam should be done ______
Right Answer - every month a few days after menstrual period
abnormal findings that may indicate cancer
Right Answer - lumps/bumps, pain (especially pain that wakes you up at
night)
acupuncture
Right Answer - involves the use of very thin needles or pressure to
stimulate specific points on the body and relieve pain, reduce
chemotherapy-induced N/V, reduce side effects including hot flashes, and
help with dry mouth
acute pain
Right Answer - identifiable cause, protective response (makes you aware
of the problem needing fixing), usually severe with quick onset, resolves
with normal healing
addiction
Right Answer - inability to stop or control the use of drugs or alcohol, and
,the medication is taken for nontherapeutic reasons and independent of pain
relief
adjuvant chemotherapy
Right Answer - given after surgery or radiation to destroy any remaining
cancer cells
after a patient has received chemotherapy, they should:
Right Answer - avoid sick contacts/stores/crowds, drink lots of fluids for 48
hours to circulate medication, and monitor for adverse reactions
assessing bone tumors
Right Answer - size of mass (but avoid palpitation), mobility and ROM of
joints, soft tissue swelling, neurovascular status of extremity (check for
feeling, pulses, capillary refill), pain and tenderness (dull, achy, throbbing,
with rest)
avoid _______ on the side of _______
Right Answer - blood pressures, IVs, blood draws; mastectomy
benefits of clinical research trials
Right Answer - allows the patient to have access to the latest therapies,
closer monitoring of the disease, reduced cost (patient only pays for travel
expenses), and a chance to help others; the "placebo" drug (still an actual
medication, the patient just doesn't know which they are receiving) is as
good or better than the current standard of care
black box warning for metoclopramide
Right Answer - may cause tardive dyskinesia
Brain tumors
Right Answer - characterized by persistent headache lasting >4 weeks that
wakes one up from sleep, occurs when walking, occurs in a child < 4 years,
, or is associated with disorientation or confusion. Other symptoms include
persistent vomiting upon waking, vision changes, and motor changes
brainstem tumors
Right Answer - symptoms include abnormal gait and coordination, cranial
nerve palsies
Breakthrough pain
Right Answer - a flare of pain that comes on quickly, lasts for as long as an
hour, and can occur even when taking routine pain medications. it cannot
be predicted and cannot be controlled by regular pain medications, so it
must be treated differently than chronic pain (administering immediate-
acting medication)
breast cancer
Right Answer - most frequently diagnosed malignancy and the leading
cause of death in women worldwide; it can spread via the blood or lymph,
but treatments are very effective if caught early. characterized by a
hard/immovable breast mass or single dominant lesion with irregular
borders, swelling of all or part of a breast, skin dimpling/orange peel
appearance, breast or nipple pain, nipple retraction,
red/dry/flaking/thickened nipple or skin, nipple discharge, swollen lymph
nodes under the arm or near the collar bone
breast cancer in men
Right Answer - tends to present at an older age than women and is usually
genetic (should be referred to a genetic counselor). A biopsy is required to
confirm the diagnosis and assay for hormone receptors; most men with
early-stage breast cancer are treated with a mastectomy due to limited
breast tissue and surgical evaluation of the lymph nodes. if HER2+, treat
with tamoxifen
Questions and Answers| Graded A
a large pelvic neuroblastoma could result in:
Right Answer - paralysis/neuropathy, incontinence
neuroblastoma in the skull could result in:
Right Answer - HA, N/V, balance problems, confusion
a pap smear should be done _______ for women _____
Right Answer - every three years; ages 21-65
a self-breast exam should be done ______
Right Answer - every month a few days after menstrual period
abnormal findings that may indicate cancer
Right Answer - lumps/bumps, pain (especially pain that wakes you up at
night)
acupuncture
Right Answer - involves the use of very thin needles or pressure to
stimulate specific points on the body and relieve pain, reduce
chemotherapy-induced N/V, reduce side effects including hot flashes, and
help with dry mouth
acute pain
Right Answer - identifiable cause, protective response (makes you aware
of the problem needing fixing), usually severe with quick onset, resolves
with normal healing
addiction
Right Answer - inability to stop or control the use of drugs or alcohol, and
,the medication is taken for nontherapeutic reasons and independent of pain
relief
adjuvant chemotherapy
Right Answer - given after surgery or radiation to destroy any remaining
cancer cells
after a patient has received chemotherapy, they should:
Right Answer - avoid sick contacts/stores/crowds, drink lots of fluids for 48
hours to circulate medication, and monitor for adverse reactions
assessing bone tumors
Right Answer - size of mass (but avoid palpitation), mobility and ROM of
joints, soft tissue swelling, neurovascular status of extremity (check for
feeling, pulses, capillary refill), pain and tenderness (dull, achy, throbbing,
with rest)
avoid _______ on the side of _______
Right Answer - blood pressures, IVs, blood draws; mastectomy
benefits of clinical research trials
Right Answer - allows the patient to have access to the latest therapies,
closer monitoring of the disease, reduced cost (patient only pays for travel
expenses), and a chance to help others; the "placebo" drug (still an actual
medication, the patient just doesn't know which they are receiving) is as
good or better than the current standard of care
black box warning for metoclopramide
Right Answer - may cause tardive dyskinesia
Brain tumors
Right Answer - characterized by persistent headache lasting >4 weeks that
wakes one up from sleep, occurs when walking, occurs in a child < 4 years,
, or is associated with disorientation or confusion. Other symptoms include
persistent vomiting upon waking, vision changes, and motor changes
brainstem tumors
Right Answer - symptoms include abnormal gait and coordination, cranial
nerve palsies
Breakthrough pain
Right Answer - a flare of pain that comes on quickly, lasts for as long as an
hour, and can occur even when taking routine pain medications. it cannot
be predicted and cannot be controlled by regular pain medications, so it
must be treated differently than chronic pain (administering immediate-
acting medication)
breast cancer
Right Answer - most frequently diagnosed malignancy and the leading
cause of death in women worldwide; it can spread via the blood or lymph,
but treatments are very effective if caught early. characterized by a
hard/immovable breast mass or single dominant lesion with irregular
borders, swelling of all or part of a breast, skin dimpling/orange peel
appearance, breast or nipple pain, nipple retraction,
red/dry/flaking/thickened nipple or skin, nipple discharge, swollen lymph
nodes under the arm or near the collar bone
breast cancer in men
Right Answer - tends to present at an older age than women and is usually
genetic (should be referred to a genetic counselor). A biopsy is required to
confirm the diagnosis and assay for hormone receptors; most men with
early-stage breast cancer are treated with a mastectomy due to limited
breast tissue and surgical evaluation of the lymph nodes. if HER2+, treat
with tamoxifen
