Advanced Med Surg Quiz 2 Questions and
Verified Answers
Highest incidence of cancer in males Correct Answer: prostate
lung and bronchus
colon and rectum
Highest incidence of cancer in females Correct Answer: breast
lung and bronchus
colon and rectum
Highest mortality in males Correct Answer: Lung and bronchus
Prostate
Colon and Rectum
Highest mortality in females Correct Answer: Lung and bronchus
Breast
Colon and rectum
Invasion Correct Answer: growth of the primary tumor into surrounding tissue
Metastasis Correct Answer: dissemination of malignant cells from primary tumor to other sites in the
body
Risk factors/Prevention Correct Answer: Viruses and bacteria - Epstein Barr and h. pylori
Exposure to sunlight
Radiation
,Chronic irritation or inflammation
Tobacco Use
Fair skinned Blue/Green eyed people
use of sunscsreen and clothing styles (short sleeved)
occupation
recreational habits
environmental variables - humidity, altitude, latitude
Asbestos
Wood Dust
Aresenic and pesticides
Genetics
Diet - fats, alcohol, salt-cured or smoked meats, red or processed meats, nitrite and nitrate containing
foods
Hormonal agents - oral contraceptives and prolonged estrogen therapy
Cancer Prevention Correct Answer: *Primary Prevention*- reducing the risks through health promotion
strategies.
-Avoid known carcinogens
-Dietary and lifestyle changes
-Decreased caloric intake
-Increased physical activity
-Smoking cessation
, -*Breast cancer -Tamoxifen (Nolvadex) -reduces chances by 50%*
*Secondary*
-Promotes screening and early Detection
-Breast (early 20s) and testicular self examination
-Clinical Breat exams- 40
-PAP tests- once sexually active - every 3 yrs (no later than 21)
-Digital Rectal Examinations - 50
-Mammograms
-Fecal Occult Blood Test (50 years)
-PSA
Administration of Chemotherapeutic Agents Correct Answer: *Route*- depends on the type of agent; the
required dose and the type, location, and extent of tumor being treated
*Dosage*- pts total surface body area, previous response to chemotherapy or radiation therapy and
function of major organ systems
Goals of chemotherapy Correct Answer: Maximize cell kill - tumor
Minimize impact on healthy tissue
Decrease toxicity manifestations
Complications of chemotherapy infusions Correct Answer: Extravasation
GI Toxicity - N/V (24 to 48 hours)
Hematopoietic-Myelosuppression
Renal toxicity
Verified Answers
Highest incidence of cancer in males Correct Answer: prostate
lung and bronchus
colon and rectum
Highest incidence of cancer in females Correct Answer: breast
lung and bronchus
colon and rectum
Highest mortality in males Correct Answer: Lung and bronchus
Prostate
Colon and Rectum
Highest mortality in females Correct Answer: Lung and bronchus
Breast
Colon and rectum
Invasion Correct Answer: growth of the primary tumor into surrounding tissue
Metastasis Correct Answer: dissemination of malignant cells from primary tumor to other sites in the
body
Risk factors/Prevention Correct Answer: Viruses and bacteria - Epstein Barr and h. pylori
Exposure to sunlight
Radiation
,Chronic irritation or inflammation
Tobacco Use
Fair skinned Blue/Green eyed people
use of sunscsreen and clothing styles (short sleeved)
occupation
recreational habits
environmental variables - humidity, altitude, latitude
Asbestos
Wood Dust
Aresenic and pesticides
Genetics
Diet - fats, alcohol, salt-cured or smoked meats, red or processed meats, nitrite and nitrate containing
foods
Hormonal agents - oral contraceptives and prolonged estrogen therapy
Cancer Prevention Correct Answer: *Primary Prevention*- reducing the risks through health promotion
strategies.
-Avoid known carcinogens
-Dietary and lifestyle changes
-Decreased caloric intake
-Increased physical activity
-Smoking cessation
, -*Breast cancer -Tamoxifen (Nolvadex) -reduces chances by 50%*
*Secondary*
-Promotes screening and early Detection
-Breast (early 20s) and testicular self examination
-Clinical Breat exams- 40
-PAP tests- once sexually active - every 3 yrs (no later than 21)
-Digital Rectal Examinations - 50
-Mammograms
-Fecal Occult Blood Test (50 years)
-PSA
Administration of Chemotherapeutic Agents Correct Answer: *Route*- depends on the type of agent; the
required dose and the type, location, and extent of tumor being treated
*Dosage*- pts total surface body area, previous response to chemotherapy or radiation therapy and
function of major organ systems
Goals of chemotherapy Correct Answer: Maximize cell kill - tumor
Minimize impact on healthy tissue
Decrease toxicity manifestations
Complications of chemotherapy infusions Correct Answer: Extravasation
GI Toxicity - N/V (24 to 48 hours)
Hematopoietic-Myelosuppression
Renal toxicity
