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Questions and Answers

Which of the following is a consideration when developing exercise prescription for cancer patients?

  • Patient's prior fitness level (correct)
  • Patient's travel schedule
  • Patient's age
  • Patient's blood count values
  • What is the normal range for hemoglobin levels?

  • 25-38%
  • 4,000-10,000 mm3
  • 200,000-400,000 mm3
  • 8-10 g/dL (correct)
  • What is the recommended exercise for a patient with a platelet count of 10,000 mm3?

  • No exercises
  • Light exercise (correct)
  • Any exercise
  • Resistive exercise
  • Which of the following is a potential limitation for exercise in cancer patients?

    <p>Bone metastases</p> Signup and view all the answers

    What is the recommended exercise for a patient with a white blood cell count of 300 mm3?

    <p>No exercises</p> Signup and view all the answers

    Which type of breast cancer is confined to the lobules?

    <p>Lobular carcinoma in situ (LCIS)</p> Signup and view all the answers

    What is the leading cause of morbidity (impairment and dysfunction) due to late complications of breast cancer and its treatment?

    <p>Metastatic breast cancer</p> Signup and view all the answers

    How many women are estimated to be newly diagnosed with breast cancer in 2019?

    <p>268,600</p> Signup and view all the answers

    What is the primary purpose of a sentinel lymph node biopsy?

    <p>To evaluate the extent of lymph node involvement</p> Signup and view all the answers

    Which gene mutation is associated with an increased risk of developing breast and ovarian cancer?

    <p>BRCA 1</p> Signup and view all the answers

    Which of the following is a common side effect of chemotherapy?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of chemotherapy?

    <p>To affect cancerous cell proliferation by damaging DNA</p> Signup and view all the answers

    Which drug is commonly used as an anti-estrogen therapy?

    <p>Tamoxifen</p> Signup and view all the answers

    What is the most common type of surgery for breast reconstruction?

    <p>Implants</p> Signup and view all the answers

    Which muscles play a greater role in stability in the trunk?

    <p>Rectus abdominis</p> Signup and view all the answers

    Which targeted therapy is given intravenously for about a year to patients with Her2+ breast cancer?

    <p>Perjeta</p> Signup and view all the answers

    What are potential side effects of Herceptin?

    <p>Decreased white blood cell count</p> Signup and view all the answers

    What therapy inhibits cell growth and division in breast cancer treatment?

    <p>Perjeta</p> Signup and view all the answers

    What is the typical dose of radiation therapy delivered per treatment?

    <p>3-4 Gy</p> Signup and view all the answers

    What are potential impairments following breast cancer treatment?

    <p>Radiation fibrosis, scar adhesion, brachial plexopathy</p> Signup and view all the answers

    Which of the following is NOT a common treatment approach for head and neck cancer?

    <p>XRT and Chemo Medications</p> Signup and view all the answers

    Which of the following is a possible treatment side effect of surgery for head and neck cancer?

    <p>Swallowing/breathing difficulties</p> Signup and view all the answers

    Which of the following is a risk factor for developing radiation fibrosis?

    <p>Medical and degenerative disorders</p> Signup and view all the answers

    Which of the following is a potential effect of radiation on muscle tissue?

    <p>Myopathy can occur</p> Signup and view all the answers

    Which of the following is a consideration for physical therapists when treating head and neck cancer patients?

    <p>Orthopedic considerations</p> Signup and view all the answers

    Which of the following is a key fact about Axillary Web Syndrome?

    <p>Cording begins in the axilla and extends to medial ipsilateral arm to antecubital space and base of thumb.</p> Signup and view all the answers

    Which of the following is a subjective symptom of Axillary Web Syndrome?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a key fact about Breast Cancer Related Lymphedema?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a quantitative limb volume assessment technique?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a treatment option for Axillary Web Syndrome?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Physical Impairments and Management in Breast Cancer Treatment

    • Herceptin is a targeted therapy given intravenously for about a year to patients with Her2+ breast cancer.
    • Cardiomyopathy, decreased white blood cell count, anemia, and cancer-related fatigue are potential side effects of Herceptin.
    • Perjeta is another targeted therapy used in breast cancer treatment that inhibits cell growth and division.
    • Radiation therapy destroys cancer cells and inhibits cell growth, typically delivered in doses of 3-4 Gy per treatment and totaling 40-70 Gy.
    • Radiation therapy can cause tissue scarring and increase the risk of developing lymphedema and brachial plexopathies.
    • Acute, subacute, and chronic stages of radiation therapy can lead to skin impairment, tissue immobility, and adhesions.
    • Common upper quarter impairments following breast cancer treatment include chemotherapy-induced peripheral neuropathy, radiation fibrosis, scar adhesion, brachial plexopathy, scapular dyskinesia, and lymphedema.
    • Chemotherapy-induced peripheral neuropathy (CIPN) is the second most common acute side effect of cancer intervention and can cause gait and mobility deficits.
    • CIPN can result in paresthesia, decreased proprioception, neuropathic pain, muscle weakness, postural instability, and balance problems.
    • Management of CIPN includes patient education, assistive devices, exercises, joint mobilizations, gentle compression, and fall prevention recommendations.
    • Radiation fibrosis is the pathological development of fibrotic tissue sclerosis due to radiation therapy, potentially leading to loss of elasticity and organ complications.
    • Management of radiation fibrosis involves deep tissue work, tissue mobilization, scar mobilization, and prevention of chest wall adhesion.

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    Description

    Test your knowledge of physical impairments and management in breast cancer treatment with this quiz. Learn about the potential side effects of targeted therapies like Herceptin and Perjeta, as well as the impact of radiation therapy on tissue scarring and the development of conditions like lymphedema and brachial plexopathies. Explore common upper quarter impairments and how to manage them, including chemotherapy-induced peripheral neuropathy and radiation fibrosis.

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